MedPath

Impact MRSA -PCR on Patient Management

Completed
Conditions
MRSA Bacteremia
Registration Number
NCT03096405
Lead Sponsor
Fondation Hôpital Saint-Joseph
Brief Summary

Staphylococcus aureus represents one of the most met germs, with Escherichia coli, during bacteremia. Microbiologist distinguish at aureus S. two profiles of resistance in beta-lactamines: S. aureus sensitive to the methicillin ( SASM) and the S. aureus resistant to the methicillin ( SARM).

With the implementation of the MALDI-TOF, it is now possible to identify the origin responsible of the bacteremia the day of the positivity of the hemoculture ( J0) and to set up a treatment with adapted antibiotic, which, in the case of a sepsis to aureus S., is the vancomycine. Ye it was demonstrated, that the use of the vancomycine on the SASM increased the average duration of stay and a more important rate of relapse.

The PCR SARM was organized in the GHPSJ in 2014. It allows from the day of the positivity of the hemoculture ( J0), to determine the phenotype of resistance of S. aureus.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
50
Inclusion Criteria
  • Hemoculture positive to Staphylococcus Aureus Methicillin Sensitive
Exclusion Criteria
  • Positive test to Staphylococcus Aureus Methicillin Sensitive but not hospitalized.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Adaptation duration of antibiotherapy24 hours
Secondary Outcome Measures
NameTimeMethod
average duration of hospitalizationday 30
MortalityDay 30

Trial Locations

Locations (1)

Groupe Hospitalier Paris Saint Joseph

🇫🇷

Paris, Ile-de-France, France

© Copyright 2025. All Rights Reserved by MedPath