Sepsis & infection

The clinical and paraclinical effectiveness of four-hour infusion vs. half-hour infusion of high-dose ampicillin-sulbactam in treatment of critically ill patients with sepsis or septic shock: An assessor-blinded randomized clinical trial

J Crit CarePublished Randomised controlled trial

Study context

Population
Critically ill intensive care unit (ICU) patients with sepsis or septic shock and eGFR (Cockcroft-Gault) >60 ml/min, Shiraz, Iran, 2019–2021
Participants
136 patients
Comparison
Extended vs intermittent infusion of ampicillin/sulbactam 9 g every 8 h
  • Extendedn = 68
  • Intermittentn = 68reference
Methodological detailsassessor-blinded, two-centre
  • Assessor-blinded
  • Two-centre

Further findings

OutcomeP value
Clinical cureP = 0.039
ICU LOSP = 0.87
Hospital LOS0.83
ICU mortalityP = 0.031
Hospital mortalityP = 0.037

Clinical cure

Significantly higher in the extended group

ICU LOS

Did not differ between the groups

Hospital LOS

Did not differ between the groups

ICU mortality

Significantly lower in the extended infusion group

Hospital mortality

Significantly lower in the extended infusion group

Original publication

The clinical and paraclinical effectiveness of four-hour infusion vs. half-hour infusion of high-dose ampicillin-sulbactam in treatment of critically ill patients with sepsis or septic shock: An assessor-blinded randomized clinical trial. J Crit Care. Published 19 October 2022. doi:10.1016/j.jcrc.2022.154170

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