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A clinical trial and systematic review has found that changing the way antibiotics are given to adult patients with sepsis could save thousands of lives globally.

Latest research by and has shown that intravenously administering commonly used penicillin-like antibiotics via continuous infusion 鈥� instead of multiple short infusions聽鈥� cures infections and saves lives.

The clinical trial of more than 7000 patients tested findings from laboratory studies to deliver the best drug concentration for the bacteria causing the infection, said Professor Jason Roberts, Director of and .

鈥淲e found by delivering these antibiotic doses as a continuous infusion we can maintain the concentration of the antibiotic in a patient鈥檚 blood and tissue, and kill bacteria at a greater rate,鈥� Roberts said.

鈥淭his simple intervention uses commonly available antibiotics, so even small hospitals in third-world countries can implement the dosing change almost as easily as well-resourced hospitals in developed countries.鈥�

Associate Professor Joel Dulhunty, UQ researcher and Director of Research and Implementation at the , claimed the international trial was one of the largest ever antibiotic randomised clinical trials.

鈥淭he trial, sponsored by The George Institute, was a massive undertaking involving 104 hospitals in 7 countries, more than 130,000 doses of medication and the analysis of 4 million data points,鈥� Dulhunty said.

Associate Professor Naomi Hammond, Critical Care Program Head at The George Institute, said the clinical trial data was then used in a systematic review and meta-analysis, combining 18 studies and more than 9000 patients.

鈥淭he combined data showed a very significant benefit with the use of a continuous infusion, saving one life for every 26 patients treated,鈥� Hammond said.

UQCCR Emeritus Professor Jeffrey Lipman said the next step for the research team would be to inform worldwide treatment protocols and guidelines.

鈥淧hysicians follow international guidelines when treating sepsis patients, and at the moment these guidelines have a very low certainty of evidence around how to best administer these drugs,鈥� Lipman said.

鈥淭hanks to our program of research, treatment protocols and guidelines will now have a very high certainty.

鈥淕iven the simple nature of the findings and the conversations we are having between hospitals, we expect most will adopt these changes immediately.鈥�

The research is the culmination of a program of work over 20 years led by Lipman that began with small studies focusing on dosing, and progressed to large clinical trials with multinational collaborators.

The BLING III trial was funded by the National Health and Medical Research Council of Australia, the Belgian Healthcare Knowledge Centre (KCE), the Health Research Council of New Zealand, The University of Queensland, University 黑料吃瓜群网 Nimes, Skane University 黑料吃瓜群网, and UK National Institute for Health and Care Research.

The Royal Brisbane and Women鈥檚 黑料吃瓜群网 Foundation provided funding for the program of research, which commenced with the BLING I trial.

The BLING III trial involved collaborators from Australia, New Zealand, Malaysia, Sweden, Belgium, France and the UK. The research was published in two papers in the .

Image credit: iStock.com/Artur Plawgo