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CTRI Number  CTRI/2023/05/053245 [Registered on: 30/05/2023] Trial Registered Prospectively
Last Modified On: 28/05/2023
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Single Arm Study 
Public Title of Study   Prescriptions in the PICU 
Scientific Title of Study   Antibiotic prescription patterns in the PICU  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Asma Javed 
Designation  Junior Resident 
Affiliation  KMC, Manipal 
Address  Department of pediatrics, woman and child block, KMC Manipal

Bangalore
KARNATAKA
576104
India 
Phone  9890893697  
Fax    
Email  dr.asmajaved20@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Suneel C Mundkur 
Designation  Professor 
Affiliation  KMC, Manipal 
Address  Department of pediatrics, KMC Manipal

Udupi
KARNATAKA
576104
India 
Phone  9845150802  
Fax    
Email  Suneel_cm@hotmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Suneel C Mundkur 
Designation  Professor 
Affiliation  KMC, Manipal 
Address  Department of pediatrics, KMC Manipal

Udupi
KARNATAKA
576104
India 
Phone  9845150802  
Fax    
Email  Suneel_cm@hotmail.com  
 
Source of Monetary or Material Support  
Department of pediatrics, KMC, Manipal 
 
Primary Sponsor  
Name  Self 
Address  Department of pediatrics, KMC Manipal 
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 Asma Javed  PICU, KMC Manipal  PICU, 2nd floor, department of pediatrics, Kasturba hospital, KMC manipal
Udupi
KARNATAKA 
9890893697

dr.asmajaved20@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee-2  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  , (1) ICD-10 Condition: Z163||Resistance to other antimicrobialdrugs,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  NIL  NIL 
 
Inclusion Criteria  
Age From  1.00 Month(s)
Age To  18.00 Year(s)
Gender  Both 
Details  All patients admitted in the PICU 
 
ExclusionCriteria 
Details  Patients/ parents denying consent
Pediatric oncology patients 
 
Method of Generating Random Sequence    
Method of Concealment    
Blinding/Masking    
Primary Outcome  
Outcome  TimePoints 
TO STUDY INDICATIONS FOR PRESCRIPTIONS IN THE PICU  Day 1 
 
Secondary Outcome  
Outcome  TimePoints 
To study antibiotic review with respect to dose modifications/ change in antibiotic/ change in route of administration during the course of treatment in the PICU  3 days 
To study factors determining the decision to stop antibiotics in patients admitted in the PICU  5 days 
 
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)   10/06/2023 
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 Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   NOT YET PUBLISHED  
Individual Participant Data (IPD) Sharing Statement

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

Response - NO
Brief Summary   STEP 1: IEC approval will be taken prior to the study. After the approval of the ethics committee, the study will commence.

STEP 2: Informed consent will be obtained from the parents of the study participants.

STEP 3: Data will be collected in the form of history as well as clinical examination, investigations will be recorded according to the format of the proforma designed for the study.

STEP 4: Each patient will be categorised into one out of four categories based on the antibiotic use in the patient. 
               1. Antibiotic indicated + prescribed
               2. Antibiotic indicated + not prescribed
               3. Antibiotic not indicated + prescribed
               4. Antibiotic not indicated + not prescribed
The focus remains on categories 1 and 4, to study the common indications of antibiotic use at our PICU. We don not expect many patients to fall under categories 2 and 3 due to our vigilant patient care. However, it is important to include them in case of special circumstances.

STEP 5: Once an antibiotic has been prescribed, relevant details such as the dose, route, duration of therapy will be documented.

STEP 6: Further the plan on review of antibiotic therapy will be followed. On review, the change in plan of antibiotic use will be categorised as one of the following: Change the dose, Change the route, Stop antibiotic, Continue same treatment. 
 
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