biomArker-guided Duration of Antibiotic treatment in hospitalised Patients with suspecTed Sepsis (ADAPT-Sepsis): A protocol for a multicentre randomised controlled trial.
Paul DarkGavin D PerkinsRonan McMullanDanny McAuleyAnthony C GordonJonathan ClaytonDipesh MistryKeith YoungScott ReganNicola McGowanMatt StevensonSimon GatesGordon L CarlsonTim WalshNazir I LonePaul R MounceyMervyn SingerPeter WilsonTim FeltonKay MarshallAnower M HossainRanjit LallPublished in: Journal of the Intensive Care Society (2023)
In the setting of routine NHS care, if this trial finds that a treatment protocol based on monitoring CRP or PCT safely allows a reduction in duration of antibiotic therapy, and is cost effective, then this has the potential to change clinical practice for critically ill patients with sepsis. Moreover, if a biomarker-guided protocol is not found to be effective, then it will be important to avoid its use in sepsis and prevent ineffective technology becoming widely adopted in clinical practice.