Impact of Prescription Quality, Infection Control and Antimicrobial Stewardship on Gut Microbiota Domination by Healthcare-Associated Pathogens
NCT03765528 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 1500
Last updated 2020-08-03
Summary
Extended-spectrum beta-lactamase producing Enterobacteriaceae (EPE), vancomycin-resistant enterococci (VRE) and Clostridium difficile have become a major threat to hospitalised patients worldwide. We hypothesize that receiving inappropriate antibacterial treatment places patients at high risk of intestinal domination and subsequent infection by these bacteria. Further analyses will address cost-effectiveness of specific interventions, behavioural analyses of the decision process leading to inappropriate antibacterial treatment, and the rate of undetected colonization with EPE/VRE/C. difficile on admission.
Conditions
- Patients at High Risk of Antibacterial Treatment Upon Admission
Sponsors & Collaborators
-
University Hospital of North Norway
collaborator OTHER - collaborator OTHER
-
Rabin Medical Center
collaborator OTHER -
University of Latvia
collaborator OTHER -
McGill University Health Centre/Research Institute of the McGill University Health Centre
collaborator OTHER -
Haukeland University Hospital
collaborator OTHER -
University Hospital, Akershus
collaborator OTHER -
Helse Stavanger HF
collaborator OTHER_GOV -
Goethe University
collaborator OTHER -
University Hospital of Cologne
lead OTHER
Principal Investigators
-
Jörg Janne Vehreschild, MD · University Hospital Cologne
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-01-01
- Primary Completion
- 2021-07-31
- Completion
- 2022-07-31
Countries
- Germany
Study Locations
More Related Trials
-
Hospital Microbial Ecology Follow the Introduction of Ertapenem and Other Newly Introduced Antibiotic Over Time
NCT01611025 ·Status: UNKNOWN
-
Impact of Ceftriaxone and/or Fluoroquinolone (FQ) Treatment on the Gut Microbiota of Hospitalized Patients.
NCT02031588 ·Status: TERMINATED
-
Assessing the Impact of Antimicrobial Exposure and Infection Control Measures on the Spread of VRE
NCT04624464 ·Status: UNKNOWN
-
Epidemiology of Community - Associated Extended-spectrum Beta-lactamases (ESBL) Producing Escherichia Coli
NCT00573235 ·Status: COMPLETED
-
Prevalence of Digestive Carriage of Integrons
NCT01985217 ·Status: COMPLETED
-
Cohort Study of German Hematological / Oncological Wards to Assess the Effect of Contact Precautions on Nosocomial Colonization With Vancomycin Resistant Enterococci
NCT02623413 ·Status: UNKNOWN
-
Prevalence of Enterobacteria With Decreased Susceptibility to Carbapenems in Eastern Inter- Region
NCT02803710 ·Status: UNKNOWN
-
Reduction of Nosocomial Vancomycin -Resistant Enterococci (VRE) Colonization and Infection by Active Surveillance and Intervention of Infection Control
NCT01201031 ·Status: COMPLETED
-
Understanding and Modeling Reservoirs, Vehicles and Transmission of ESBL-producing Enterobacteriaceae in the Community and Long Term Care Facilities
NCT03477084 ·Status: COMPLETED
-
Epidemiology of Fluoroquinolone Resistance in Human Commensal Flora in Patients Hospitalised in Medical Wards
NCT00520715 ·Status: COMPLETED
-
Effect of Antibiotics on Gut Microbiome and Plasma Metabolome
NCT03273296 ·Status: COMPLETED ·Phase: PHASE4
-
Antimicrobial Combination Therapy for Treatment of Enterococcus Faecalis Bacteremia
NCT06833593 ·Status: RECRUITING
-
Pathogen-microbiome Interaction During Helicobacter Pylori Infection
NCT05121025 ·Status: RECRUITING
-
Exposure to Antibiotics and Incidence of Bacteraemia Caused by Resistant Bacteria
NCT04065750 ·Status: UNKNOWN
-
Clinical Trial to Reduce Antibiotic Resistance in European Intensive Cares
NCT00976638 ·Status: COMPLETED ·Phase: NA
-
Impact of Beta-lactams on the Microbiota and Relative Fecal Abundance of Mulltidrug Resistant Bacteria
NCT03338738 ·Status: COMPLETED ·Phase: NA
-
Fecal ESBL Resurgence During Antibiotic Treatment
NCT03206879 ·Status: TERMINATED
-
Empirical Antibiotic and Outcome in Community-onset Bacteremia
NCT03765749 ·Status: COMPLETED
-
Clinical Comparison of Treatment Strategies in AmpC Beta-lactamase Producing Enterobacterales in a Swiss Tertiary Care Hospital
NCT04577989 ·Status: COMPLETED
-
Clinical and Microbiologic Characteristics of Cephalosporin-Resistant E. Coli-PITT Protocol
NCT00877708 ·Status: COMPLETED
-
Mechanisms of Resistance and Molecular Epidemiology of Commonly Encountered Multi-Resistant Bacteria
NCT00275327 ·Status: COMPLETED
-
Qnr Genes in Enterobacteriaceae
NCT02834910 ·Status: COMPLETED
-
FMT to Eradicate Intestinal Colonization by Carbapenem-resistant Enterobacteriaceae
NCT05791396 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Microbial Epidemiology and Chlorhexidine Suscebtibily of Oropharyngeal and Intestinal Colonization
NCT02839980 ·Status: COMPLETED
-
Epidemiology of Resistant Microbial Strains Among Different Groups of People (Healthy, Infected and Exposed to Animals)
NCT03343119 ·Status: UNKNOWN