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Epidemiology and Genomic Surveillance of Staphylococcus Aureus in ICU Neonatology

Not yet recruiting
Conditions
the Aim of This Study is to Describe Genomic Epidemiology of MSSA in Neonatal ICU
Registration Number
NCT06267352
Lead Sponsor
University Hospital, Caen
Brief Summary

Newborns hospitalized in Neonatology are particularly vulnerable to infections, in particular healthcare associated infection (HAI). Staphylococcus aureus represents the 2nd microorganism responsible for sepsis, this infection is particularly serious and like any HAI, it increases the length of hospitalization of newborns and neonatal morbidity.

In September 2020, the CDC published recommendations for the prevention and control of Staphylococcus aureus infections in neonatal intensive care unit/ICU. They specify the indications for implementing a MSSA surveillance strategy as well as the screening and management methods.

Despite the absence of a defined strategy at the national level, our establishment chose to initiate management measures several years ago following serious infections and MSSA epidemics in neonatal intensive care unit/ICU.

With the aim of improving the efficiency of care and evaluating the strategy chosen at the establishment, it is necessary to describing

* the epidemiology of MSSA carriage and infections

* cross-transmission of MSSA strains between patients

* the success rate of decolonization

* the sensitivity of detection of digestive carriage by stool swabbing in order to limit the number of samples from newborns.

Detailed Description

Not available

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
120
Inclusion Criteria
  • newborns hospitalized in neonatal ICU
  • MSSA carrier
Exclusion Criteria
  • none

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
frequency of MSSA cross transmission as assessed by WGSMonth 24

Number of patients with acquired MSSA / total number of MSSA carriers

Secondary Outcome Measures
NameTimeMethod
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