Prospective Study of Drug Resistant Pathogens Among Liver, Intestinal and Multivisceral Transplant Recipients
NCT00235664 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 200
Last updated 2008-12-17
Summary
Infections caused by multidrug resistant bacteria have become more prevalent at many tertiary care and academic centers. These infections are associated with increased morbidity and mortality. The initial empiric antibiotic choice may not be adequate and delay in initiating appropriate therapy is a reason for poorer outcomes. Furthermore, not uncommonly the only therapeutic options available are associated with significant toxicity. This is a particular challenge for solid organ transplant recipients, who are immunosuppressed and have a higher risk of acquiring infections. Exposure to different classes of antibiotics has been linked to development of antibiotic resistance. Determining the risk factors for acquisition of drug-resistant bacteria and the molecular mechanisms by which resistance occurs would allow the development and implementation of strategies to minimize these infections and therefore improve outcomes. We, the researchers at the University of Pittsburgh, aim to collect surveillance cultures on patients undergoing liver, intestinal and multivisceral transplantation in order to determine the prevalence and risk factors for Pseudomonas aeruginosa (P. aeruginosa), extended-spectrum β-lactamases (ESBL)-Klebsiella and methicillin-resistant Staphylococcus aureus (MRSA), as well as determine the molecular mechanisms associated with the development of resistance in P. aeruginosa.
Conditions
- Transplantation
Interventions
- PROCEDURE
-
Collection of stool and endotracheal aspirate samples
collection of samples
Sponsors & Collaborators
-
University of Pittsburgh
lead OTHER
Principal Investigators
-
David L Paterson, MD · University of Pittsburgh
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2005-10-31
- Completion
- 2007-12-31
Countries
- United States
Study Locations
More Related Trials
-
Vancomycin Resistant Enterococci in Patients Awaiting Liver Transplantation at the University of Michigan: Prevalence, Risk Factors, Natural History and Outcome of Colonization
NCT00005667 ·Status: UNKNOWN
-
Microbiota Study in Liver Transplanted Patients
NCT03507140 ·Status: COMPLETED
-
Evaluation of Heterologous Fecal microbiotA Transfer in ICU Patients: a FeasibilitY and SafetY StudY
NCT03350178 ·Status: TERMINATED ·Phase: PHASE2
-
Mechanisms of Resistance and Molecular Epidemiology of Commonly Encountered Multi-Resistant Bacteria
NCT00275327 ·Status: COMPLETED
-
Risk Factors for Piperacillin/Tazobactam Resistance in Extended-Spectrum Beta-Lactamase (ESBL) Producing Organisms
NCT00573521 ·Status: COMPLETED
-
Enteric Microbiome and Liver Transplantation
NCT03666312 ·Status: UNKNOWN
-
FMT to Eradicate Intestinal Colonization by Carbapenem-resistant Enterobacteriaceae
NCT05791396 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Intestinal Microbiota in Stem Cell Transplant Transplant Admission
NCT04623424 ·Status: RECRUITING
-
Impact of Specific Antimicrobials and MIC Values on the Outcome of Bloodstream Infections Due to ESBL- or Carbapenemase-producing Enterobacterales in Solid Organ Transplantation: an Observational Multinational Study.
NCT02852902 ·Status: COMPLETED
-
Amplification and Selection of Antimicrobial Resistance in the Intestine II
NCT03140826 ·Status: COMPLETED
-
Italian National Study on the Critically Ill Liver Transplant Patient With an Infection
NCT03363646 ·Status: UNKNOWN
-
Longitudinal and Cross-sectional Analysis of Pulmonary Microbiota in Lung Transplant Recipients Infected With Nocardia
NCT06594133 ·Status: COMPLETED
-
Fecal Microbiota Transplantation (FMT) to Decolonize Antibiotic - Resistant Bacteria (ARB) - New Protocol
NCT06156956 ·Status: RECRUITING ·Phase: NA
-
INtestinal Dysbiosis and TRanslocation of Bacteria in Patients Undergoing Surgery
NCT05775341 ·Status: ACTIVE_NOT_RECRUITING
-
Role of Fecal Microbiota in Predicting Graft Rejection and Sepsis Among Recipients of Living Donor Liver Transplant in First Year.
NCT04621812 ·Status: UNKNOWN
-
Outcomes of Empiric Antibiotic Therapy Based on Hospital Antibiograms in Organ Transplant Recipients with Bacteraemia
NCT06874920 ·Status: ENROLLING_BY_INVITATION
-
Antibiotic Resistant Community-Acquired E. Coli
NCT00298103 ·Status: COMPLETED
-
Bacteria and Intestinal Translocation in Surgery (Bandit)
NCT03554148 ·Status: ACTIVE_NOT_RECRUITING
-
Impact of a TDM-guided ECPA Program for Optimizing Pharmacodynamic Target Attainment of Continuous Infusion Beta-lactam-based Regimen
NCT06718517 ·Status: RECRUITING
-
Performance of the SeptiCyte LAB Test for Antibiotic Stewardship in Mesenteric Ischemia
NCT06507423 ·Status: COMPLETED
-
FMT for the Decolonization of Carbapenem-resistant Enterobacteriaceae
NCT04759001 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Feasibility Studies to Inform Novel Proposals to Avert Community-Based Antimicrobial Resistance Spread
NCT02666274 ·Status: UNKNOWN
-
Ampicillin-sulbactam Resistant E.Coli at UPMC
NCT00619580 ·Status: WITHDRAWN
-
Fecal Microbiota Transplantation for Carbapenem Resistant Enterobacteriaceae
NCT04790565 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Antibiotic Prophylaxis in Lung-Transplant Recipients
NCT06760143 ·Status: COMPLETED