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CompletedNCT04893343Updated Jan 4, 2022

Antibiotic Use in a Neonatal Intensive Care Unit Practicing Integrative Medicine

An observational study in Neonatal Infection, sponsored by ARCIM Institute Academic Research in Complementary and Integrative Medicine. Completed at 1 site in Germany. Open to participants aged 0 Days to 30 Days. Per ClinicalTrials.gov, last updated 2022-01-04.

Sponsored by ARCIM Institute Academic Research in Complementary and Integrative Medicine · Observational

Study type
Observational
Model
Cohort
Time perspective
Retrospective
Enrollment
246
Ages
0 Days to 30 Days
Sex
All
01

Study summary

The goal of this study is to describe the antibiotic use in a neonatal intensive care unit (NICU) in Germany that is practising integrative medicine. The investigators will review hospital records to find out how often and how long antibiotics were given to newborns; compare antibiotic use to other NICU in the same area; describe how sick infected newborns were (comparing those treated with or without antibiotics); and describe which anthroposophic medicines were used, how often and if there were safety problems.

Read the detailed description

A retrospective study, analysing antibiotic use in a level 2 neonatology intensive care unit (NICU) in Germany over a 4-year period from 2014 to 2017. The study will analyse frequency of antibiotic prescribing; compare antibiotic use to other level 2 NICU; compare clinical and laboratory parameters among neonates with infectious disease diagnosis managed with or without antibiotics; use and tolerability of anthroposophic medicinal products.

02

Conditions studied

  • Neonatal Infection

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Keywords

  • Neonatal infection
  • Neonatal sepsis
  • Antibiotic prescribing
  • Antibiotic stewardship
03

In context

Infections

6,687 studies on the registry are indexed under Infections; 807 are open to participants now.

This study's enrollment of 246 is close to the median of 240 across 2,136 observational studies indexed under Infections.

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Lead sponsor

ARCIM Institute Academic Research in Complementary and Integrative Medicine is the lead sponsor of 30 studies on the registry; 1 is open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
0 Days to 30 Days
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Neonates (aged 0 to 30 days) who are hospitalized for neonatal infection.

Inclusion criteria

  • Admission to neonatal intensive care unit

Exclusion criteria

Exclusion Criteria:

  • None
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Study design

Observational model
Cohort
Time perspective
Retrospective
Enrollment
246 participants (actual)
Patient registry
No

Groups and cohorts

  • Neonatal infection with antibiotics

    In-patient neonates with ICD-10 infectious disease diagnosis, treated with antibiotics

    Other: Antibiotic treatment

  • Neonatal infection without antibiotics

    In-patient neonates with ICD-10 infectious disease diagnosis, treated without antibiotics

    Other: No antibiotic treatment

Interventions

  • OtherAntibiotic treatment

    Antibiotic treatment

  • OtherNo antibiotic treatment

    No antibiotic treatment

06

What researchers measure

Primary outcomes

  1. Antibiotic prescription rate

    Number of antibiotic treatment days per 100 hospital days

    Time frame: January 1, 2014 to December 31, 2017

Secondary outcomes

  1. Antibiotic use compared to other level 2 NICU in same geographic area

    Proportion of neonates having received any antibiotic, compared to proportion in other level 2 NICU in the same geographic area

    Time frame: January 1, 2014 to December 31, 2017

  2. Antibiotic type

    Types of antibiotics used, frequency of use per antibiotic type

    Time frame: January 1, 2014 to December 31, 2017

  3. Antibiotic treatment duration

    Mean treatment duration and distribution among recommended therapy durations: 48 hours, 5 days and 7-10 days durations

    Time frame: January 1, 2014 to December 31, 2017

  4. Clinical and laboratory parameters in neonates with infectious disease diagnosis: Premature rupture of membranes

    Descriptive analysis of clinical and laboratory parameters in neonates with ICD-10 infectious disease diagnosis, treated with and without antibiotics. Here: Premature rupture of membranes \>24h before birth

    Time frame: January 1, 2014 to December 31, 2017

  5. Clinical and laboratory parameters in neonates with infectious disease diagnosis: Mother group B streptococcus positive

    Descriptive analysis of clinical and laboratory parameters in neonates with ICD-10 infectious disease diagnosis, treated with and without antibiotics. Here: Mother tested positive for group B streptococcus

    Time frame: January 1, 2014 to December 31, 2017

  6. Clinical and laboratory parameters in neonates with infectious disease diagnosis: Low birthweight

    Descriptive analysis of clinical and laboratory parameters in neonates with ICD-10 infectious disease diagnosis, treated with and without antibiotics. Here: Neonates with low birthweight (\< 2500 g)

    Time frame: January 1, 2014 to December 31, 2017

  7. Clinical and laboratory parameters in neonates with infectious disease diagnosis: pH umbilical artery at birth

    Descriptive analysis of clinical and laboratory parameters in neonates with ICD-10 infectious disease diagnosis, treated with and without antibiotics. Here: pH of umbilical artery blood at birth

    Time frame: January 1, 2014 to December 31, 2017

  8. Clinical and laboratory parameters in neonates with infectious disease diagnosis: Infant fever on admission

    Descriptive analysis of clinical and laboratory parameters in neonates with ICD-10 infectious disease diagnosis, treated with and without antibiotics. Here: Infant fever on admission (≥ 38.0° C)

    Time frame: January 1, 2014 to December 31, 2017

  9. Clinical and laboratory parameters in neonates with infectious disease diagnosis: CRP maximum value

    Descriptive analysis of clinical and laboratory parameters in neonates with ICD-10 infectious disease diagnosis, treated with and without antibiotics. Here: Maximum value of C-reactive protein (mg/l)

    Time frame: January 1, 2014 to December 31, 2017

  10. Clinical and laboratory parameters in neonates with infectious disease diagnosis: Leukocyte count maximum value

    Descriptive analysis of clinical and laboratory parameters in neonates with ICD-10 infectious disease diagnosis, treated with and without antibiotics. Here: Maximum value of leukocyte count (cells per liter)

    Time frame: January 1, 2014 to December 31, 2017

  11. Use of anthroposophic medications: medication names

    Anthroposophic medications: names of the medications used

    Time frame: January 1, 2014 to December 31, 2017

  12. Use of anthroposophic medications: frequency of use

    Anthroposophic medications: frequency of use per medication

    Time frame: January 1, 2014 to December 31, 2017

  13. Safety of anthroposophic medications: side effects

    Recording of anthroposophic medication side effects

    Time frame: January 1, 2014 to December 31, 2017

  14. Safety of anthroposophic medications: adverse drug reactions

    Recording of anthroposophic medication adverse drug reactions (ADR, in grades I-IV, ADR as % of prescriptions)

    Time frame: January 1, 2014 to December 31, 2017

07

Study locations

1 site
  • Die Filderklinik
    Filderstadt, Baden-Württemberg 70794, Germany
08

References and documents

Individual participant data

Plan to share: Yes — IPD that underlie results in a publication

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 4, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04893343
Lead sponsor
ARCIM Institute Academic Research in Complementary and Integrative Medicine
Responsible party
Sponsor
First posted
May 19, 2021
Start date
Jun 15, 2021
Primary completion
Dec 30, 2021
Completion
Dec 30, 2021
Last update
Jan 4, 2022

Study contacts

Jan Vagedes, Dr
principal investigator · Arcim Institute

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Dec 2021. You cannot join it, but the record below documents what was studied.

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