Use of brain natriuretic peptide to evaluate the cardiac function in the course of meningococcal septic shock or severe sepsis.
OBJECTIVES: determining sensibility and specificity of BNP blood level to detect myocardial dysfunction in septic shock or severe sepsis due to Neisseria meningitidis in children. METHODS: Prospective multicentric clinical trial including 7 French pediatric intensive care units. Serial cardiac ultra sounds and blood sampling will be done for patients hospitalized for purpura fulminans beginning at the time of admission in pediatric intensive care. Any child from 6 months to 18 years without preexisting cardiac disease and presenting with purpura fulminans will be enrolled after obtaining consent of both parents. From adult's studies on septic shock and BNP, a total number of 30 patients was calculated to be necessary to prove the interest of BNP in this indication.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
DIAGNOSTIC
Masking
NONE
Enrollment
35
Repeated brain natriuretic peptide dosages and cardiac echographies up to day 5
AP-HP, Necker hospital
Paris, France
Repeated brain natriuretic peptide (BNP) blood level
Time frame: Up to day 5
Repeated cardiac echography
Time frame: Up to day 5
PRISM II gravity score
Time frame: Up to day 5
Organ failure PELOD score
Time frame: Up to day 5
Troponin rate
Time frame: Up to day 5
mortality and morbidity (aftereffects)
Time frame: Day 28 and hospital discharge
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