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Clinical Trials/NCT01561469
NCT01561469CompletedNot Applicable

Multicenter, Retrospective, Observational Study to Evaluate Clinical and Economic Outcomes of Patients With MRSA Hospital-Acquired Pneumonia Treated With Linezolid Or Vancomycin

Pfizer0 sites188 target enrollmentStarted: November 2008Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Not Applicable
Status
Completed
Sponsor
Pfizer
Enrollment
188
Primary Endpoint
Percentage of Participants With Clinical Success

Study Overview

Brief Summary

The objective of this study is to review the local management of patients with methicillin-resistant Staphylococcus aureus hospital-acquired pneumonia treated with vancomycin or linezolid with the goal to define if any difference exists among these antimicrobials in regard to clinical and economic outcomes.

Detailed Description

Non-randomized, retrospective, observational study

Study Design

Study Type
Observational
Observational Model
Cohort
Time Perspective
Retrospective

Eligibility Criteria

Ages
18 Years to — (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Patients will be enrolled in the study if they fulfill the following three inclusion criteria:
  • Protocol criteria for HAP/VAP: Criteria for making a correct diagnosis of HAP will be met if the patient develops a new or progressive pulmonary infiltrate associated with at least two of the following: new or increased respiratory symptomatology (cough, sputum or tracheal secretions, shortness of breath), fever or hypothermia, leukocytosis, left shift, or leukopenia, or deterioration of pulmonary function.
  • Isolation of MRSA from a respiratory sample or blood culture within 48 hours of the diagnosis of HAP/VAP
  • Treatment of MRSA HAP/VAP with either vancomycin or linezolid with incorporation of 100 patients in the vancomycin arm and 100 patients in the linezolid arm

Exclusion Criteria

  • Patients not meeting enrollment criteria.

Arms & Interventions

Linezolid observational cohort

Intervention: Linezolid (Drug)

Vancomycin observational cohort

Intervention: Vancomycin (Drug)

Outcomes

Primary Outcomes

Percentage of Participants With Clinical Success

Time Frame: 14 days after diagnosis with VAP or hospital discharge, whichever occurred first

Clinical success was assessed as number of participants cured or improved. Cure = complete resolution of signs and symptoms of pneumonia; Improvement = partial resolution of signs and symptoms of pneumonia.

Secondary Outcomes

  • Duration of Intensive Care Unit (ICU) Stay(Up to 28 days after diagnosis of VAP)
  • Number of Participants With Microbiological Outcome(28 days after diagnosis of VAP)
  • Duration of Hospital Stay(Up to 28 days after diagnosis of VAP)
  • Duration of Antimicrobial Treatment(Up to 28 days after diagnosis of VAP)
  • Duration of Mechanical Ventilation(Up to 28 days after diagnosis of VAP)
  • Number of Antibiotic Free Days(Up to 28 days after diagnosis of VAP)

Investigators

Sponsor
Pfizer
Sponsor Class
Industry
Responsible Party
Sponsor

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