Evaluation of Microbial and Endocrinological Parameters in Dialysis Patients With Sepsis

Status: Recruiting
Location: See location...
Intervention Type: Diagnostic test
Study Type: Observational
SUMMARY

This prospective study aims to evaluate the diagnostic value and reliability of blood cultures obtained from different sources-central venous catheter (CVC), dialysis machine, and peripheral vein-in hemodialysis patients with suspected catheter-related bloodstream infections (CRBSIs). By comparing the timing and rates of bacterial growth from each site, the study seeks to identify the most accurate and timely method for diagnosing bloodstream infections in this patient population. In addition, the study will assess the dynamics of parathyroid hormone (PTH) levels during acute infections. Specifically, it will investigate whether a significant drop in PTH levels-and the rate of recovery following infection-correlates with adverse outcomes such as infectious complications, cardiovascular morbidity, or 90-day mortality. These findings may offer valuable prognostic insights and support improved monitoring and treatment strategies for dialysis patients experiencing infection.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
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Locations
Other Locations
Israel
Galilee Medical Center
RECRUITING
Nahariya
Contact Information
Primary
Etty Kruzel-Davila, MD
ETTYK@gmc.gov.il
972-4-9107619
Backup
Olga Vdovich, MD
olgav@gmc.gov.il
972-54-7628542
Time Frame
Start Date: 2022-08-16
Estimated Completion Date: 2027-12
Participants
Target number of participants: 200
Treatments
Hemodialysis patients with suspected catheter-related bloodstream infections (CRBSIs).
Study Population:~The study will include hemodialysis patients over the age of 18 who are hospitalized at the Galilee Medical Center due to sepsis and have provided written informed consent to participate in this study.~Study Procedure:~During hospitalization, and as part of the clinical workup for sepsis, blood cultures will be obtained from three sources:~1. The central venous catheter (CVC),~2. The dialysis machine circuit, and~3. A peripheral vein. In addition, parathyroid hormone (PTH) levels will be measured through a blood sample.
Related Therapeutic Areas
Sponsors
Leads: Western Galilee Hospital-Nahariya

This content was sourced from clinicaltrials.gov