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ASER: assisted staphylococcal eradicatio

Phase 1
Completed
Conditions
Orthopaedic patients presenting for elective implant surgery that are colonised with S. aureus
Infections and Infestations
Staphylococcal infection, unspecified site
Registration Number
ISRCTN28026496
Lead Sponsor
niversity of Edinburgh
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
100
Inclusion Criteria

1. Patient is scheduled for elective implant surgery
2. Patient is attending pre-operative assessment clinic within 8-21 days of planned surgery
3. Patient has confirmed nasal colonisation with S. aureus (MSSA or MRSA) after pre-operative assessment using a rapid PCR test for MRSA and MSSA

Exclusion Criteria

1. Patient with allergy or other contraindication to mupirocin or chlorhexidine treatment
2. Patient known to have mupirocin or chlorhexidine resistant SA
3. Patient unable to wait the 3-4 hours for the SA screening result
4. Patients in whom microbiological treatment for SA other than decolonisation is planned prior to hospital admission for surgery
5. Patients receiving antibiotics in the last 2 weeks or planned to receive antibiotics prior to surgery (excluding routine peri-operative antibiotic prophylaxis)
6. Patient scheduled to receive joint revision surgery due to infection
7. Patient lives too far from the hospital to be followed-up for microbiological sampling
8. Patient aged <16 years
9. Pregnancy or breastfeeding
10. No informed consent

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Current primary outcome measures as of 05/06/2017:<br>Proportion of participants cleared of nasal SA at 48-96 hours after completing current eradication regimens for S. aureus<br><br>Previous primary outcome measures:<br>Proportion of participants positive for nasal S. aureus 48-96 hours post eradication regimen as determined by microbial analysis
Secondary Outcome Measures
NameTimeMethod
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