MedPath

ong-term StaphyloCoccus aureus decolonizAtion in patients on home parentRal nutRition: a randomized multicEnter tRial.

Completed
Conditions
contamination with own skin bacteria
10004018
S. aureus carriage
10017977
Registration Number
NL-OMON44280
Lead Sponsor
Radboud Universitair Medisch Centrum
Brief Summary

Trial is onging in other countries

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
63
Inclusion Criteria

- Patient is fully able to understand the nature of the proposed intervention.
- Patient is diagnosed with intestinal failure and on HPN and/or fluid replacement
- Written informed consent by the patient before entering the trial.
- Age * 18 years.
- Estimated life expectancy * 1 year.
- Patient colonized with S. aureus.

Exclusion Criteria

- Cannot be expected to comply with the trial plan (substance abuse, mental condition).
- Pregnant or breastfeeding women.
- Continuous exposure to MRSA (e.g. pig farmer).
- Allergy for chlorhexidine and betadine.
- No options for oral and/or topical antibiotics due to allergies and/or resistance.
- Active S. aureus infection.
- Currently on treatment with antibiotics active against S. aureus.
- Decolonization (including mupriocin) treatment in the previous two months.
- The presence of an unremovable nasal foreign body.
- AST and ALT levels more than five times the upper limit of normal or liver failure.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>Primary outcome: proportion of patients eradicated for S. aureus (nose, throat,<br /><br>rectum, exit-site catheter) during one year.</p><br>
Secondary Outcome Measures
NameTimeMethod
<p>Secondary outcomes: long-term antimicrobial resistance, adverse events, patient<br /><br>compliance, incidence of (S. aureus)<br /><br>infections, catheter removals, mortality rates, S. aureus transmission routes,<br /><br>quality of life and costs.</p><br>
© Copyright 2025. All Rights Reserved by MedPath