This clinical trial is focused on studying the treatment of severe infections, which are serious conditions that can occur when the body’s response to an infection causes injury to its own tissues and organs. The trial will explore the use of various medications, including Avibactam, Colistimethate Sodium, Vancomycin, Teicoplanin, Piperacillin, Ceftazidime, Vaborbactam, Imipenem, Relebactam, Meropenem, Ceftriaxone, Linezolid, Micafungin, Anidulafungin, Ceftolozane, Tazobactam, and Cefuroxime. These medications are administered through an intravenous infusion, which means they are given directly into a vein.
The purpose of the study is to reduce the number of days patients are treated with broad-spectrum antibiotics, which are powerful medications used to treat a wide range of infections. The trial will compare the effectiveness of a new strategy called the MODIFY strategy, which uses procalcitonin guidance and molecular-guided diagnosis, against the standard care currently provided. Procalcitonin is a substance produced by the body in response to bacterial infections, and its levels can help guide treatment decisions.
Participants in the study will receive either the MODIFY strategy or the standard care for up to 10 days. The study will monitor various outcomes, such as the time it takes to change antibiotics, the time to achieve a sterile blood culture, and the overall length of hospital stay. The trial will also assess the impact on mortality rates and the incidence of certain infections. The goal is to find a more effective way to treat severe infections while minimizing the use of broad-spectrum antibiotics.



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