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临床试验/NCT04671290
NCT04671290已完成不适用

Temocillin Versus Carbapenems for Urinary Tract Infection Due to ESBL-producing Enterobacteriaceae: a Multicenter Case-control Study.

Centre Hospitalier Annecy Genevois0 个研究点目标入组 144 人开始时间: 2015年1月1日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
入组人数
144
主要终点
Rate of clinical cure

研究概览

简要总结

To assess the efficacy of temocillin compared to carbapenems for the management of ESBL-E UTI.

详细描述

Adults with a definite diagnosis of ESBL-E UTI between January-2015 and October-2019 were enrolled in a multicenter retrospective case-control study. Cases were treated with temocillin ≥50% of the effective antibiotic therapy duration. Control exclusively received carbapenem over the effective antibiotic therapy duration.

研究设计

研究类型
Observational
观察模型
Case Control
时间视角
Retrospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Diagnosis of UTI defined by at least two of the following symptoms :chills,temperature >38°C (fever), flank or pelvic pain, nausea or vomiting, dysuria, urinary frequency, or urinary urgency, costovertebral angle tenderness on physical examination
  • Positive urine culture with ≥ 103 CFU/mL of a single strain of ESBL-E
  • Confirmed ESBL-producing enterobacteriaceae (ESBL-E) susceptible to carbapenems

排除标准

  • Multibacterial infection
  • Opposition to data collection according to GDPR

结局指标

主要结局

Rate of clinical cure

时间窗: Day 14 (End of antibiotic treatment according to national recommendations)

Number of patient in clinical cure is defined as the resolution of fever and symptoms of UTI present at antibiotic initiation (and no new symptoms) and the absence of clinical or microbiological failure.

次要结局

  • Kinetic of fever defervescence(Baseline (day 0), day 3, day 7, day 14)
  • Length of hospital stay(3 months after UTI diagnosis)
  • Loss to follow-up, re-hospitalization, and mortality (safety endpoints)(3 months after antibiotic therapy initiation)
  • Inflammatory biomarkers(Baseline (day 0), day 3, day 7, day 14)
  • Relapse of UTI(3 months after antibiotic therapy initiation)

研究者

申办方类型
Other
责任方
Sponsor

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