CTRI/2022/11/047361尚未招募不适用
Global Action in Healthcare Network (GAIHN) - Antimicrobial Resistance, India, Enhanced infection control and prevention driven by targeted surveillance
US Centers for Disease Control and Prevention5 个研究点 分布在 1 个国家目标入组 9,600 人开始时间: 2023年2月1日最近更新:
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 9,600
- 试验地点
- 5
- 主要终点
- CRO, CP-CRO, and CR-CRO per 1,000 patient days.
研究概览
简要总结
Purpose of the study is to implement a program of enhanced infection control and prevention guided by active and passive surveillance for carbapenem and colistin resistant Gram-negative organism.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 12.00 Year(s) 至 99.00 Year(s)（—）
- 性别
- All
入选标准
- •Component 1 (passive surveillance) Passive surveillance will occur for cultures sent from designated wards.
- •All GN isolates found to be CRO by local standard of care AST may be included.
- •Component 2 (active surveillance) Patients will be considered for inclusion in active surveillance who are identified as part of a contact investigation for an index case of a critical CRO or possible nosocomial transmission event or are admitted to a ward designated for universal active surveillance.
- •Component 3 (case investigation):Patients who have an isolate that is a critical CRO (rare or novel resistance mechanism or resistance to treatment) or identified as being part of possible nosocomial transmission will be included.
- •Inpatient contacts identified through case investigation will be included.
- •Component 4 (enhanced IPC) Individual patients will not be included in enhanced IPC.
- •Wards selected for enhanced IPC will include ICUs and wards where critical CRO detection or nosocomial transmission is occurring.
排除标准
- •Exclusion Criteria • Species not considered to be of concern for IPC activities • Age < 12 years • Patient declines to participate in study activities.
结局指标
主要结局
CRO, CP-CRO, and CR-CRO per 1,000 patient days.
时间窗: six monthly
prevalence of CRO, CP-CRO, and CR-CRO colonization at admission.
时间窗: six monthly
Changes in thefrequency of CRO, CP-CRO, and CR-CRO
时间窗: six monthly
次要结局
- Change in technical capacity in bacteriology laboratories to detect and characterize CRO, CP-CRO, and CR-CRO(Baseline and endline)
研究者
研究点 (5)
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