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Cefazolin versus flucloxacillin in bloodstream infections caused by methicillin-susceptible Staphylococcus aureus (MSSA): a quasi-randomized, prospective, observational study (CASABI)

Conditions
bloodstream infection due to Methicillin-susceptible Staphylococcus aureus (MSSA)
A41.0
Sepsis due to Staphylococcus aureus
Registration Number
DRKS00014583
Lead Sponsor
niklinik Köln
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
75
Inclusion Criteria

1. patients (> 18 years) with their 1st episode of a monomicrobial bloodstream infection due to Methicillin-sensitive Staphylococcus aureus (MSSA), proven by = 1 positive blood culture sample
2. patients willing and able to give written informed consent to participate in the study
3. Cefazolin or Flucloxacillin as part of the antibiotic regimen or planned transition to an antibiotic regimen that includes Cefazolin or Flucloxacillin

Exclusion Criteria

1. patients with polymicrobial bloodstream infection
2. patients unable to give informed consent

Study & Design

Study Type
observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Tolerability and safety of Cefazolin versus Flucloxacillin summarized as weighted sums of all side effects during therapy (grade of side effects according to CTCAE). Also the rate of premature discontinuation of therapy due to side effects for both substances will be recorded. <br><br>
Secondary Outcome Measures
NameTimeMethod
- Evaluation of the clinical and microbiological efficacy of Cefazolin versus Flucloxacillin for the therapy of bloodstream infections due to MSSA (Methicillin-susceptible Staphylococcus aureus) by categorical judgement at the end of i.v.-therapy, latest after 90 days. <br>- Follow-up after 90 days to record MSSA-specific and overall mortality<br>- sample size calculation and demonstration of the feasibility of a multicentric, randomised-controlled non-inferiority study <br><br>
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