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CTRI Number  CTRI/2024/03/063623 [Registered on: 05/03/2024] Trial Registered Prospectively
Last Modified On: 01/03/2024
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Case Control Study 
Study Design  Other 
Public Title of Study   TO ASSESS THE FINANCIAL IMPACT OF MULTIDRUG RESISTANT ORGANISMS IN ADULT CRITICALLY ILL PATIENTS AT A TERTIARY CARE HOSPITAL 
Scientific Title of Study   TO ASSESS THE FINANCIAL IMPACT OF MULTIDRUG RESISTANT ORGANISMS IN ADULT CRITICALLY ILL PATIENTS AT A TERTIARY CARE HOSPITAL 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Sr Dr Malti Flawrance MBBS MD IDCCM 
Designation  Senior Resident Critical care medicine, SJMCH 
Affiliation  St.Johns Medical College Hospital bengaluru 
Address  Malti Flawrance, St. Francis Hospital, Beawar Road, Ajmer 305001, Rajasthan.
Malti Flawrance, St. Johns Medical College Hospital The department of Critical Care Medicine Bengalore
Ajmer
RAJASTHAN
305001
India 
Phone  9414017592  
Fax    
Email  mbundlamsa@yahoo.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr BHUVANA KRISHNA 
Designation  PROFESSOR AND HEAD OF THE DEPT, Critical care medicine, SJMCH 
Affiliation  St.Johns Medical College Hospital bengaluru 
Address  DEPT OF CRITICAL CARE MEDICINE ST JOHNS MEDICAL COLLEGE HOSPITAL SARJAPUR ROAD BENGALURU
DEPT OF CRITICAL CARE MEDICINE ST JOHNS MEDICAL COLLEGE HOSPITAL SARJAPUR ROAD BENGALURU
Bangalore
KARNATAKA
560034
India 
Phone  9945693221  
Fax    
Email  bhuvana.11@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Sr Dr Malti Flawrance MBBS MD IDCCM 
Designation  Senior Resident Critical care medicine, SJMCH 
Affiliation  St.Johns Medical College Hospital bengaluru 
Address  Malti Flawrance, St. Francis Hospital, Beawar Road, Ajmer 305001, Rajasthan.
Dr Bhuvna Krishna HOD The Department of Critical Care Medicine St. Johns Medical College Hospital Bangalore 34
Ajmer
RAJASTHAN
305001
India 
Phone  9414017592  
Fax    
Email  mbundlamsa@yahoo.com  
 
Source of Monetary or Material Support  
St. Johns Medical College Hospital Bangalore 34 
 
Primary Sponsor  
Name  Sr Dr Malti Flawrance 
Address  St. Johns Medical College Hospital Bengaluru 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
Sr Dr Malti Flawrance  St. Johns Medical College Hospital Bengaluru 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Sr Dr Malti Flawrance  St Johns Medical College Hospital  The Department of Critical care medicine St Johns Medical College Hospital, Bengaluru, Karnataka
Bangalore
KARNATAKA 
9414017592

mbundlamsa@yahoo.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee-IEC/1/130/2024  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: B968||Other specified bacterial agents as the cause of diseases classified elsewhere, (2) ICD-10 Condition: B956||Staphylococcus aureus as the causeof diseases classified elsewhere, (3) ICD-10 Condition: B961||Klebsiella pneumoniae [K. pneumoniae] as the cause of diseases classified elsewhere, (4) ICD-10 Condition: B965||Pseudomonas (aeruginosa) (mallei)(pseudomallei) as the cause of diseases classified elsewhere, (5) ICD-10 Condition: B962||Escherichia coli [E. coli ] as thecause of diseases classified elsewhere,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  1. Cases- Patients who develop infection with multidrug resistant organisms from the day of admission to discharge from the intensive care unit.
2. Patients above 18years of age
3. Controls- patients admitted to intensive care unit who do not have infection with multidrug resistant organisms
4. Both medical and surgical patients.
 
 
ExclusionCriteria 
Details  Patients with consent for comfort care. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To analyze the inpatient cost of intensive care unit stay associated with multidrug-resistant organisms in critically ill adult patients   3 months  
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="25"
Sample Size from India="25" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   10/03/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   As per the World Health Organization (WHO) fact sheet, infections by antimicrobial-resistant organisms can result in failure of treatment, increased cost of medical treatment, increased hospitalization stay and increased socioeconomic burden, there have not been any Indian study substantiating the escalated financial burden and resource utilization. Multiple indirect evidences like increased antibiotics consumption, prolonged length of ICU stay and increased mortality rate have been pointers towards the need for an Indian study which could highlight the magnanimity of the problem. 
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