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Be Part of Research - Trial Details - Beta-Lactam InfusioN Group Study

Beta-Lactam InfusioN Group Study

Medical Conditions

Sepsis


This information is provided directly by researchers, and we recognise that it isn't always easy to understand. We are working with researchers to improve the accessibility of this information. In some summaries, you may come across links to external websites. These websites will have more information to help you better understand the study.


The purpose of this study is to find out whether continuous infusion of beta-lactam antibiotics or intermittent infusion or beta-lactam antibiotics, offers more health advantages to patients or if there is no difference.

The investigators will be looking to see whether patients receiving beta-lactams via one administration method or the other have a better chance of recovering from their illness. They will also be looking at long term outcomes such as quality-of-life and healthcare resource use.

Sepsis is caused by toxic substances (toxins) from bacteria and other organism entering the bloodstream from a site of infection. In some people, the infection can progress to sepsis and septic shock where the functions of organs in the body are affected. Patients suffering from sepsis and septic shock are commonly managed in the intensive care unit (ICU) where they are prescribed antibiotics as standard therapy, as well as other therapies to support the functions of the body.

Beta-lactam antibiotics are a group of antibiotics commonly used to treat infection in patients with sepsis and septic shock.

Currently, beta-lactam antibiotics are most commonly given to patients be intermittent infusions, that is, given at regular intervals throughout 24 hours. New research suggests that giving beta-lactam antibiotics as a continuous infusion may mean that antibiotic concentrations in the blood remain more consistent and may be more effective at killing bacteria.

However, the benefit to the patient by giving beta-lactams via continuous infusion has not been tested in a high-quality, large clinical trial.

Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.  

The recruitment start and end dates are as follows:

Mar 2018 Apr 2023

Publications

"Lipman J, Brett SJ, De Waele JJ, Cotta MO, Davis JS, Finfer S, Glass P, Knowles S, McGuinness S, Myburgh J, Paterson DL, Peake S, Rajbhandari D, Rhodes A, Roberts JA, Shirwadkar C, Starr T, Taylor C, Billot L, Dulhunty JM. A protocol for a phase 3 multicentre randomised controlled trial of continuous versus intermittent beta-lactam antibiotic infusion in critically ill patients with sepsis: BLING III. Crit Care Resusc. 2019 Mar;21(1):63-68."; "30857514"

INTERVENTIONAL

Intervention Type : OTHER
Intervention Description : Clinician prescribed beta-lactam antibiotic will be administered via continuous infusion for as long as prescribed whilst in the ICU

Intervention Arm Group : Continuous Infusion;

Intervention Type : OTHER
Intervention Description : Clinician prescribed beta-lactam antibiotic will be administered via intermittent infusion for as long as prescribed whilst in the ICU

Intervention Arm Group : Intermittent infusion;



You can take part if:



You may not be able to take part if:


This is in the inclusion criteria above


Below are the locations for where you can take part in the trial. Please note that not all sites may be open.

  • The Royal London Hospital
    London
    E1 1BB
  • Salford Royal Hospital
    Salford
    M6 8HD
  • Hull Royal Infirmary
    Hull
    HU3 2JZ
  • Ninewells Hospital
    Dundee
  • Glasgow Royal Infirmary
    Glasgow
  • Royal Berkshire Hospital
    Reading
    Berkshire
    RG1 5AN
  • Blackpool Victoria Hospital
    Blackpool
    Lancashire
    FY3 8NR
  • Broomfield Hospital
    Chelmsford
    Essex
    CM1 7ET
  • Southampton General Hospital
    Southampton
    Hampshire
    SO16 6YD
  • Queen's Hospital
    Romford
  • Medway Maritime Hospital
    Gillingham
    Kent
    ME7 5NY
  • Queen Alexandra Hospital
    Portsmouth
    Hampshire
    PO6 3LY
  • University Hospital of Wales
    Cardiff
    Wales
    CF14 4XW
  • Stoke Mandeville Hospital
    Aylesbury
    Buckinghamshire
    HP21 8AL
  • Basingstoke and North Hampshire Hospital
    Basingstoke
    Hampshire
    RG24 9NA
  • Royal Surrey County Hospital
    Guildford
    Surrey
    GU2 7XX
  • Sunderland Royal Hospital
    Sunderland
    Tyne And Wear
    SR4 7TP
  • Frimley Park Hospital
    Frimley
    Surrey
    GU16 7UJ
  • Poole Hospital
    Poole
    Dorset
    BH15 2JB
  • Kings College Hospital
    London
    Brixton
    SE5 9RS
  • Princess Royal University Hospital
    Orpington
    Bromley
    BR6 8ND
  • Milton Keynes University Hospital
    Milton Keynes
    Buckinghamshire
    MK6 5LD
  • Countess of Chester Hospital
    Chester
    Cheshire
    CH21UL
  • Dorset County Hospital
    Dorchester
    Dorset
    DT1 2JY
  • University Hospital of North Tees
    Stockton-on-Tees
    Durham
    TS19 8PE
  • Ipswich Hospital
    Ipswich
    East Suffolk
    IP4 5PD
  • Darent Valley Hospital
    Dartford
    England
    DA28DA
  • Maidstone Hospital
    Maidstone
    England
    ME169QQ
  • Derriford Hospital
    Plymouth
    England
    PL68DH
  • Golden Jubilee National Hospital
    Clydebank
    Glasgow
    G81 4HX
  • Royal Bolton Hospital
    Bolton
    Greater Manchester
    BL4 0JR
  • Charing Cross Hospital
    London
    Hammersmith
    SW6 8RF
  • Royal Hampshire County Hospital
    Winchester
    Hampshire
    SO22 5DG
  • Hereford County Hospital
    Hereford
    Herefordshire
    HR1 2ER
  • Watford General Hospital
    Watford
    Hertfordshire
    WD18 0HB
  • Kingston Hospital
    Kingston Upon Thames
    Kent
    KT2 7QB
  • Tunbridge Wells Hospital
    Tunbridge Wells
    Kent
    TN2 4QJ
  • The Royal Marsden
    Chelsea
    London
    SW3 6JJ
  • Guy's & St Thomas' Hospital London
    Lambeth
    London
    SE1 7EH
  • St Georges Hospital
    Tooting
    London
    SW17 0QT
  • Royal Victoria Infirmary
    Newcastle
    Northhumberland
    NE1 4LP
  • Newcastle Freeman Hospital
    Newcastle
    Northumberland
    NE7 7DN
  • The Queens Medical Centre
    Nottingham
    Nottinghamshire
    NG7 2UH
  • Kingsmill Hospital
    Sutton In Ashfield
    Nottinghamshire
    NG17 4JL
  • St Marys Hospital
    London
    Paddington
    W2 1NY
  • Whiston Hospital
    Rainhill
    Prescot
    L35 5DR
  • Hammersmith Hospital
    London
    Shepherds Bush
    W12 0HS,
  • James Cook University Hospital South Tees
    Middlesbrough
    South Tees
    TS4 3BW
  • University Hospital Coventry & Warwickshire
    Coventry
    Warwickshire
    CV2 2DX
  • Queen Elizabeth Medical Centre
    Birmingham
    West Midlands
    B12 2TH
  • Pinderfields General Hospital
    Wakefield
    West Yorkshire
    WF1 4DG
  • Bristol Royal Infirmary
    Bristol
    BS1 3NU
  • Northumbria Specialist Emergency Hospital
    Cramlington
  • Whittington Health
    London
    N19 5NF


The study is sponsored by The George Institute and is in collaboration with National Health and Medical Research Council, Australia; Australian and New Zealand Intensive Care Society Clinical Trials Group.




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Read full details for Trial ID: NCT03213990
Last updated 10 December 2023

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