<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20220912055944N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-05-04</date_registration>
      <primary_sponsor>Esfahan University of Medical Sciences</primary_sponsor>
      <public_title>Study of the effect of symbiotics on preventing ventilator- associated pneumonia</public_title>
      <acronym></acronym>
      <scientific_title>Study of the effect of symbiotics on preventing ventilator- associated pneumonia in children on mechanical ventilation</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-05-10</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>70</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/68714</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Not randomized, Blinding: Not blinded, Placebo: Not used, Assignment: Other, Purpose: Prevention, Other design features: In this study, the intervention group receives the drug and the control group receives nothing.</study_design>
      <phase>3</phase>
      <hc_freetext>Condition 1: Ventilator-associated pneumonia. Condition 2: Duration of mechanical ventilation. Condition 3: Duration of ICU stay. Condition 4: Duration of hospital stay. Condition 5: Mortality rate.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: The patients who were put in this group prescribed KidiLact during the first 24 hour after intubation. This drug is produced by Zisttakhmir company and it includes synbiotic (peribiotic + probiotic) suitable for children up to 10 years old. It contains 10 safe and useful bacteria including the especial kind of bacteria for children called bifidobacterium infantis and fructooligosaccaride as a peribiotic. KidiLact is sold as a sachet as it can be used easily for children. It includes  Lactobacilus ramnosus, Lactobacilus roteri, Lactobacilus acidophilus, Lactibacilus bulgaris, Lactobacilus kazei, Bifidobacterium infantis, Bifidobacterium berveh, Bifidobacterium bifidum, Bifidobacterium lactis, Streptococcus termophilus with the colony count of 109 and fructooligosaccaride as a peribiotic. The patients were received one sachet orally twice a day for seven days. Intervention 2: Control group: The patients in this group were received nothing after mechanical ventilation.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
Study of the effect of symbiotics on preventing ventilator-associated pneumonia in children on mechanical ventilation

When:
From the publication date of the article

To whom:
The researchers of the universities and research centers

Conditions:
Citation of the published paper

Where to obtain:
Hanieh Basirkazeruni: 00989131009655- hany_med1384@yahoo.com
Sharareh Babai: 00989133190061- sharareh.ba@gmail.com

How to obtain:
Sending an email to the corresponding author of the paper

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Hanieh Basirkazeruni</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>App. 2, Amir building, No. 14, Amininezhad St., Northern sheikh sadough Ave.</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8163614143</zip>
        <telephone>+98 31 3666 4034</telephone>
        <email>hany_med1384@yahoo.com</email>
        <affiliation>Esfahan University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Sharareh Babai</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Imam hosein children's hospital, Imam khomeini Ave.,</address>
        <city>Isfahan</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>8195163381</zip>
        <telephone>+98 31 3386 6266</telephone>
        <email>sharareh.ba@gmail.com</email>
        <affiliation>Esfahan University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Children supported by mechanical ventilation for at least 48 hours and without primary immunodeficiency</inclusion_criteria>
      <agemin>1 month</agemin>
      <agemax>9 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Primary immunodeficiency</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>J20-J22</hc_code>
      <hc_code></hc_code>
      <hc_code></hc_code>
      <hc_code></hc_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Other acute lower respiratory infections</hc_keyword>
      <hc_keyword></hc_keyword>
      <hc_keyword></hc_keyword>
      <hc_keyword></hc_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Prevention</i_code>
      <i_code>Prevention</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: The patients who were put in this group prescribed KidiLact during the first 24 hour after intubation. This drug is produced by Zisttakhmir company and it includes synbiotic (peribiotic + probiotic) suitable for children up to 10 years old. It contains 10 safe and useful bacteria including the especial kind of bacteria for children called bifidobacterium infantis and fructooligosaccaride as a peribiotic. KidiLact is sold as a sachet as it can be used easily for children. It includes  Lactobacilus ramnosus, Lactobacilus roteri, Lactobacilus acidophilus, Lactibacilus bulgaris, Lactobacilus kazei, Bifidobacterium infantis, Bifidobacterium berveh, Bifidobacterium bifidum, Bifidobacterium lactis, Streptococcus termophilus with the colony count of 109 and fructooligosaccaride as a peribiotic. The patients were received one sachet orally twice a day for seven days.</i_keyword>
      <i_keyword>Control group: The patients in this group were received nothing after mechanical ventilation.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Percentage of patients who were infected with ventilator-associated pneumonia. Timepoint: At the beginning, middle and the end of the study. Method of measurement: Nonbronchoscopic bronchoalveolar lavage (NB-BAL).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Duration of ventilator-associated pneumonia treatment. Timepoint: Beginning and end of the treatment. Method of measurement: Number of the days that ventilator-associated pneumonia was treated.</sec_outcome>
      <sec_outcome>Duration of mechanical ventilation. Timepoint: Beginning and end of the mechanical ventilation. Method of measurement: Number of the days the patients were under mechanical ventilation.</sec_outcome>
      <sec_outcome>Duration of hospitalization in pediatric intensive care unit. Timepoint: Beginning and end of the hospitalization in pediatric intensive care unit. Method of measurement: Number of the days the patients were hospitalized in pediatric intensive care unit.</sec_outcome>
      <sec_outcome>Duration of hospitalization. Timepoint: Beginning and end of the hospitalization. Method of measurement: Number of the days the patients were hospitalized.</sec_outcome>
      <sec_outcome>Mortality rate. Timepoint: End of the study. Method of measurement: Counting the deaths.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Esfahan University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2022-06-27</approval_date>
        <contact_name>Ethics committee of Isfahan University of Medical Sciences</contact_name>
        <contact_address>Esfahan University of Medical Sciences, Hezar Jarib Ave. Esfahan Isfehan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
