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CTRI Number  CTRI/2025/03/082587 [Registered on: 18/03/2025] Trial Registered Prospectively
Last Modified On: 24/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Other 
Public Title of Study   comparision of parameters in complete blood count with sepsis screen and blood culture in neonatal sepsis 
Scientific Title of Study   Correlation of neutrophil to leukocyte ratio(NLR) and mean platelet volume (MPV) with sepsis screen and blood culture in neonatal sepsis - A prospective observational study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Mouna S 
Designation  Postgraduate 
Affiliation  BGS Global Institute of Medical Sciences 
Address  Postgraduate in Department of Pediatrics, BGSGIMS, Bengaluru, Karnataka- 560060

Bangalore
KARNATAKA
560060
India 
Phone  8618097370  
Fax    
Email  mounas1197@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Nagajyothi S 
Designation  Associate Professor 
Affiliation  BGS Global Institute of Medical Sciences 
Address  Associate Professor, Department of Pediatrics, BGSGIMS, Bengaluru, Karnataka- 560060

Bangalore
KARNATAKA
560060
India 
Phone  8867779137  
Fax    
Email  rashdaksh@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nagajyothi S 
Designation  Associate Professor 
Affiliation  BGS Global Institute of Medical Sciences 
Address  Associate Professor, Department of Pediatrics, BGSGIMS, Bengaluru, Karnataka- 560060

Bangalore
KARNATAKA
560060
India 
Phone  8867779137  
Fax    
Email  rashdaksh@gmail.com  
 
Source of Monetary or Material Support  
BGS Global Institute of Medical Sciences, Bengaluru, Karnataka, India- 560060 
 
Primary Sponsor  
Name  Dr Mouna S 
Address  Postgraduate in Department of Pediatrics, BGSGIMS, Bengaluru, Karnataka- 560060 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Mouna S  BGS Global Institute of Medical Sciences  NICU #1,Department of Pediatrics,4th floor, BGSGIMS, Bengaluru, Karnataka- 560060
Bangalore
KARNATAKA 
8618097370

mounas1197@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
BGS Global institute of medical sciences  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: D759||Disease of blood and blood-formingorgans, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  NIL  NIL 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  28.00 Day(s)
Gender  Both 
Details  Both inborn and outborn neonates who are admitted to BGSGIMS NICU ,with either of,
1.more than 34 weeks of gestation with antenatal 2.risk factors for sepsis
3.PROM more than 18hrs
4.Prepartum fever
5.Chorioamnionitis
6.With clinical features of sepsis :
7.Hypothermia or fever with temperature instability
Lethargy, refusal of feeds
Hypotonia
Bradycardia or tachycardia
Respiratory distress
Hypotension or shock 
 
ExclusionCriteria 
Details  1. Neonates with congenital anomaly.
2. Neonate with proven blood culture sepsis.
3. Neonates started on prior antibiotics.
4. Neonates with birth asphyxia.
5. Refusal to give consent
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To correlate the efficacy of NLR and MPV with sepsis screen and blood culture in predicting neonatal sepsis  Baseline  
 
Secondary Outcome  
Outcome  TimePoints 
To determine the predictability of neonatal sepsis by NLR and MPV  at the end of study 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
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)   01/04/2025 
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="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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  

Neonates who fulfil the inclusion criteria will be included in the study. Demographic data will be entered in pre designed proforma. At the time of admission gestational age will be calculated using extended new ballard scoring, Blood culture and sensitivity will be sent at admission and/or before starting antibiotics. sepsis screen will be sent after 4 hour of life /admission which ever is later. 

Peripheral smear will be used to calculate neutrophil to leucocyte ratio and I:T ratio. All babies will be managed as per standard protocols. Repeat sepsis screen and blood culture will be sent if clinical condition worsens or warrants upgrade of antibiotics. This will be documented as separate variable, will not be considered for sampling. This will be analysed separately. Outcome of all cases, deaths/discharges and number of days of hospital stay will be recorded. All data will be recorded in Microsoft excel sheet.

 
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