Osteomyelitis: Procalcitonin to Diagnose and Monitor Osteomyelitis
NCT02165579 · Status: COMPLETED · Type: OBSERVATIONAL · Enrollment: 36
Last updated 2018-06-08
Summary
The investigator plans a cohort study of 80 subjects admitted to hospital with a diabetic foot infection in order to compare serial bone biopsies (the current "gold standard") and procalcitonin to diagnose and monitor the effectiveness of therapy for osteomyelitis. The investigator will collect specimens as part of an existing trial to evaluate negative pressure wound therapy in diabetic infected wounds. A high proportion of these patients have osteomyelitis and will receive standard therapy including repeat bone biopsy and parenteral antibiotics. The investigator expects repeated measurement of procalcitonin will be highly correlated with repeated bone biopsy after antibiotic treatment has been completed to determine if therapy has been successful or if additional antibiotic therapy is needed.
Conditions
- Diabetes
- Foot Ulcer
- Osteomyelitis
Interventions
- OTHER
-
1 cohort, standard care, observational
This is one cohort standard care observational study. 40 diabetic patients admitted to Parkland hospital with a foot infection. We will enroll a representative cross section of subjects with diabetic foot infection. Patient will be consented and will receive therapy based on standard protocols. Currently patients with suspected osteomyelitis have bone biopsies to identify bacterial pathogens and verify MRI diagnosis. Repeat bone biopsies are performed at the end of therapy to verify that osteomyelitis has been successfully treated. Serum to measure procalcitonin will be obtained at baseline, week 3 and week 6. Tissue samples will be obtained at Baseline, Week 3 and Week 6 for tissue culture.
Sponsors & Collaborators
-
University of Texas Southwestern Medical Center
lead OTHER
Principal Investigators
-
Lawrence Lavery · UT Southwestern Medical Center
Eligibility
- Min Age
- 21 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-06-30
- Primary Completion
- 2014-08-31
- Completion
- 2014-12-31
Countries
- United States
Study Locations
More Related Trials
-
Diabetic Foot Osteomyelitis Treatment Using Gentamicin-loaded Calcium Sulfate-hydroxyapatite Biocomposite
NCT05316298 ·Status: UNKNOWN
-
Diabetic Foot Ulcer (DFU) Biofilm Infection and Recurrence
NCT05172089 ·Status: RECRUITING
-
Study to Evaluate Bacterial Activity That Drives the Progression of Clinical Infection
NCT03854695 ·Status: WITHDRAWN
-
Non-Invasive Testing to Evaluate Wound Healing in Diabetes
NCT04232631 ·Status: RECRUITING
-
Evaluation of Negative Pressure Wound Therapy in the Treatment of DFUs Incl. Post Amputation Wounds.
NCT01011387 ·Status: COMPLETED ·Phase: NA
-
Diabetic Foot Ulcers Microbiome and Pathogen Identification
NCT05556954 ·Status: COMPLETED
-
Use of Real-time Fluorescence Imaging in Diabetic Foot Ulcers: the Impact of Colonization
NCT05873049 ·Status: UNKNOWN ·Phase: NA
-
Continuous Diffusion of Oxygen (CDO) Treatment for Healing of Diabetic Foot Ulcers
NCT02501538 ·Status: COMPLETED ·Phase: NA
-
Obtaining and Storing Standard of Care Wound Biopsies for Immediate or Future Wound-Related Scientific Study
NCT00759889 ·Status: COMPLETED
-
Optimal Antibiotics for Operated Diabetic Foot Infections
NCT04081792 ·Status: COMPLETED ·Phase: NA
-
Human and Bacterial Protease Activity As Prognostic Tool of Foot Infections in Diabetic Patients
NCT03964571 ·Status: COMPLETED ·Phase: NA
-
A Feasibility Trial to Investigate the Safety and Between-group Effect Size of STIMULAN VG and Standard of Care (SoC) in Participants With Diabetic Foot Osteomyelitis
NCT05539963 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Mechanisms Underlying Impaired Diabetic Wound Healing
NCT00777712 ·Status: RECRUITING
-
A Prospective, Randomized, Double-Blind Multicenter Study Comparing CDO Therapy to Standard MWT in the Treatment of DFUs
NCT01645891 ·Status: COMPLETED ·Phase: NA
-
Pressure Ulcer-associated Osteomyelitis: Evaluation of a Two-stage Surgical Strategy With Prolonged Antimicrobial Therapy
NCT03010293 ·Status: COMPLETED
-
Diabetic Foot Ulcer (DFU) Rapid Pathogen Identification
NCT06569238 ·Status: COMPLETED ·Phase: NA
-
Obliterating Diabetic Microangiopathy of the Diabetic Foot
NCT02610036 ·Status: COMPLETED
-
Dynamic Plantar Microvascular Skin Response to Compressive Loads in At-risk Diabetic and Healthy Control: a Pilot Study
NCT01580917 ·Status: COMPLETED
-
Optical Imaging For Assessment of Foot Perfusion
NCT03144050 ·Status: UNKNOWN
-
Negative Pressure Wound Therapy in the Management of Diabetic Foot Ulcers
NCT04093635 ·Status: UNKNOWN
-
Treatment of Foot and Leg Ulcers Using a Laser
NCT03955289 ·Status: COMPLETED
-
Non-Invasive Assessment of Wound Healing With Optical Methods
NCT00578604 ·Status: COMPLETED
-
Biofilm Modified Macrophage Phenotype and Function in Diabetic Wound Healing
NCT03271580 ·Status: TERMINATED
-
Outcomes of Non-infected Diabetic Foot Ulcers With/Without Antibiotics
NCT01418456 ·Status: UNKNOWN ·Phase: PHASE4
-
Negative Pressure Wound Therapy for Wound Healing After Stoma Reversal
NCT03781206 ·Status: UNKNOWN ·Phase: NA