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