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Search / Trial NCT04987840

A Multi-Center Diagnostic Stewardship Program to Improve Respiratory Culture Utilization in Critically Ill Children

Launched by JOHNS HOPKINS UNIVERSITY · Jul 28, 2021

Trial Information

Current as of November 07, 2025

Enrolling by invitation

Keywords

Diagnostic Stewardship Pediatric Respiratory Culture Test

ClinConnect Summary

BrighT STAR is a national, observational study in pediatric intensive care units (PICUs) to see if a structured program that guides how respiratory tests are used can safely reduce unnecessary testing and antibiotic use in critically ill children. The study will involve about 10–15 participating children’s hospitals across the United States and will compare outcomes from before the program is put in place to after it starts, looking at safety and effectiveness, including deaths, infections, and how long children stay in the ICU.

Hospitals choose to participate by planning and implementing a quality-improvement program to reduce respiratory culture use in their PICUs. The study collects data from ICU patients at these hospitals and is not testing a new drug or device. The main goal is to determine whether careful testing and antibiotic use can be reduced without harming patients. Researchers will track outcomes such as how often respiratory cultures are done, antibiotic days, ICU length of stay, readmissions, and rates of ventilator-associated infections, sepsis, and septic shock.

Gender

ALL

Eligibility criteria

  • Inclusion Criteria:
  • Institutions that plan to develop and implement a quality improvement program to reduce respiratory culture use in their Pediatric ICUs
  • Exclusion Criteria:
  • Institutions that do not plan to develop and implement a quality improvement program to reduce respiratory culture use in their Pediatric ICUs

About Johns Hopkins University

Johns Hopkins University, a prestigious research institution located in Baltimore, Maryland, is renowned for its commitment to advancing medical science and public health through innovative clinical trials. With a rich history of groundbreaking research and a multidisciplinary approach, the university's clinical trial initiatives focus on translating scientific discoveries into effective treatments and interventions. Leveraging state-of-the-art facilities and a collaborative network of experts, Johns Hopkins University conducts rigorous clinical studies that aim to improve patient outcomes and address critical health challenges. Its dedication to ethical standards and participant safety underscores its role as a leader in clinical research.

Locations

Boston, Massachusetts, United States

Baltimore, Maryland, United States

Austin, Texas, United States

Memphis, Tennessee, United States

Nashville, Tennessee, United States

Omaha, Nebraska, United States

Minneapolis, Minnesota, United States

Cleveland, Ohio, United States

Patients applied

0 patients applied

Trial Officials

Aaron Milstone, MD, MHS

Principal Investigator

Johns Hopkins University

Timeline

First submit

Trial launched

Trial updated

Estimated completion

Not reported

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