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CTRI Number  CTRI/2025/12/098968 [Registered on: 11/12/2025] Trial Registered Prospectively
Last Modified On: 09/12/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Follow Up Study 
Study Design  Other 
Public Title of Study   Study evaluates children aged above 28 days to 14 years who were started on empirical antibiotics in view of suspected infection and later assessed for microbiological confirmation,clinical outcomes including septic shock. 
Scientific Title of Study   Adverse Clinical Outcomes Across Low Intermediate And High Phoenix Sepsis Score Risk Groups In Children With Suspected Infection - A Prospective Observational Study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
TP253123890 - 14/8/25  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  DR RENJINI M R 
Designation  DNB RESIDENT IN PEDIATRICS 
Affiliation  KIMS HEALTH TRIVANDRUM 
Address  DNB resident Department of pediatrics Kerala Institute of Medical Sciences P B No 1 Anayara P O Trivandrum Kerala-695029

Thiruvananthapuram
KERALA
695029
India 
Phone  9400535419  
Fax    
Email  renjinimr699@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR DIVAKAR JOSE R R 
Designation  ASSOCIATE CONSULTANT PEDIATRIC CRITICAL CARE 
Affiliation  KIMS HEALTH TRIVANDRUM 
Address  Associate consultant pediatric critical care ( coguide) Department of pediatrics Kerala Institute of Medical Sciences, P B No.1, Anayara P O, Trivandrum, Kerala-695029

Thiruvananthapuram
KERALA
695029
India 
Phone  9487461159  
Fax    
Email  drdivakarjoserr@gmail.com  
 
Details of Contact Person
Public Query
 
Name  DR RENJINI M R 
Designation  DNB PEDIATRIC RESIDENT 
Affiliation  KIMS HEALTH TRIVANDRUM 
Address  DNB pediatric resident Department of pedaitrics Kerala Institute of Medical Sciences, P B No.1, Anayara P O, Trivandrum, Kerala-695029

Thiruvananthapuram
KERALA
695029
India 
Phone  9400535419  
Fax    
Email  renjinimr699@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  KIMS HEALTH TRIVANDRUM 
Address  Kerala Institute of Medical Sciences, P B No.1, Anayara P O, Trivandrum, Kerala-695029 
Type of Sponsor  Private hospital/clinic 
 
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 RENJINI M R  KIMS HEALTH TRIVANDRUM  Department of pediatrics Kerala Institute of Medical Sciences, P B No.1, Anayara P O, Trivandrum, Kerala-695029
Thiruvananthapuram
KERALA 
09400535419

renjinimr699@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
INSTITUTIONAL ETHICS COMMITTEE  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,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  29.00 Day(s)
Age To  14.00 Year(s)
Gender  Both 
Details  Any Child With Clinically Suspected Infection
A)Started On Empirical Antibiotic Therapy
And Or
B)Blood Culture PCR Done From Sterile Site (Blood CSF Pleural Fluid Peritoneal Fluid Bone Joint Fluid) 
 
ExclusionCriteria 
Details  Children On DNR Or EOLC Care
Children Receiving Prophylactic Antibiotics Post Surgery 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Rate of adverse clinical outcome defined as the occurrence of any one of the following
Death
Invasive mechanical ventilation
Renal replacement therapy
Hospital stay more than 10 days 
Rate of adverse clinical outcome defined as the occurrence of any one of the following
Death
Invasive mechanical ventilation
Renal replacement therapy
Hospital stay more than 10 days 
 
Secondary Outcome  
Outcome  TimePoints 
Proportion of children with confirmed microbiological diagnosis among who receive antimicrobial drugs.  1 week 
Proportion of children with septic shock as per phoenix criteria among study population & their clinical outcomes  24 hours 
 
Target Sample Size   Total Sample Size="112"
Sample Size from India="112" 
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)   20/12/2025 
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="0"
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   phoenix sepsis score will be applied using worst recorded parameters within first 24 hours to identify sepsis 
Based on the score they will be categorized into low intermediate and high risk groups
clinical outcomes in each group will subsequently be compared
understanding in this area can highlight discrepancies improve sepsis recognition and optimize resource use
 
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