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CTRI Number  CTRI/2026/01/102041 [Registered on: 27/01/2026] Trial Registered Prospectively
Last Modified On: 23/01/2026
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cohort Study 
Study Design  Single Arm Study 
Public Title of Study   A study to find how often infections occur in adult ICU patients and what increases the risk 
Scientific Title of Study   Incidence and risk factors for Gram negative infections among adult ICU patients -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  Shivaani A 
Designation  PG Student 
Affiliation  Manipal Hospital  
Address  Manipal Hospital Department of Critical care medicine 98,HAL ,Old Airport road Bengaluru
Manipal Hospitals, Department of critical care medicine 98,HAL,Old Airport Road Bengaluru 560017
Bangalore
KARNATAKA
560017
India 
Phone  9994771717  
Fax    
Email  shivaharshini@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Mahesha Padyana 
Designation  Consultant 
Affiliation  Manipal Hospital  
Address  Manipal Hospital Department of Critical care medicine 98,HAL ,Old Airport road Bengaluru
Manipal Hospital Department of critical care medicine 98,HAL,Old Airport Road Bengaluru 560017
Bangalore
KARNATAKA
560017
India 
Phone  9448843933  
Fax    
Email  padyana@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Shivaani A 
Designation  PG Student 
Affiliation  Manipal Hospital  
Address  Manipal Hospital Department of critical care medicine 98,HAL ,Old Airport road Bengaluru
Manipal Hospitals, Department of Critical care medicine 98,HAL,Old Airport Road Bengaluru 560017
Bangalore
KARNATAKA
560017
India 
Phone  9994771717  
Fax    
Email  shivaharshini@gmail.com  
 
Source of Monetary or Material Support  
Manipal Hospitals, Department of Critical care medicine, 98,HAL,Old Airport road Bengaluru,India-560017 
 
Primary Sponsor  
Name  Manipal Hospital  
Address  Manipal Hospitals Department of critical care medicine 98,HAL,Old Airport Road Bengaluru,India-560017  
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 
Shivaani A  Manipal Hospital  Department of critical care medicine 98,HAL,Old Airport Road Bengaluru,India-560017
Bangalore
KARNATAKA 
9994771717

shivaharshini@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: A00-B99||Certain infectious and parasitic diseases,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  70.00 Year(s)
Gender  Both 
Details  All patients with culture proven gram negative isolates ,presenting with infection  
 
ExclusionCriteria 
Details  Isolated infections caused by organisms other than gram negative group 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To determine the incidence of gram negative infections among adult ICU patients in a tertiary care hospital  14 months 
 
Secondary Outcome  
Outcome  TimePoints 
1.to identify risk factors associated with gram negative infections in adult ICU patients
2.to determine microbiological spectrum & antibiotic resistance patterns of gram negative organisms
3.To evaluate clinical outcomes (length of ICU stay,duration of mechanical ventilation, need for RRT & mortality ) associated with gram negative infections.  
14 months 
 
Target Sample Size   Total Sample Size="250"
Sample Size from India="250" 
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)   10/02/2026 
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="2"
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   This study aims to determine how common Gram-negative infections are among adults admitted to the Intensive Care Unit (ICU) and to identify the factors that increase the risk of developing these infections. Gram-negative bacteria are a major cause of serious hospital-acquired infections and are often resistant to multiple antibiotics, making treatment difficult for critically ill patients.


The study will be conducted as a prospective observational study in a tertiary care hospital ICU. Adult patients will be followed from the time of ICU admission until discharge or death. Clinical details, comorbidities, severity scores, use of invasive devices, antibiotic exposure, and microbiological results will be recorded. Whenever an infection is suspected, appropriate samples will be collected and processed according to standard guidelines.


The incidence of Gram-negative infections will be calculated, and potential risk factors will be analyzed to determine which variables independently increase the likelihood of infection. The study will also describe the bacterial spectrum, antibiotic resistance patterns, and outcomes such as ICU stay, need for organ support, and mortality. The findings may help improve infection control and guide empirical antibiotic policies in ICUs


 
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