Dalbavancin Real-life Utilization in Diabetic Patients Suffering From Infections (DALBADIA)

Completed

Brief Summary: The study aims to describe the current use of dalbavancin among diabetic patients with infections in a real-world clinical setting in Italy and Spain.

Detailed Description: The study aims to describe the current use of dalbavancin in diabetic patients suffering from infections proven or suspected to be caused by Gram-positive or mixed Gram-positive and Gram-negative bacteria (with dalbavancin chosen for treating the Gram-positive component) in Italy and Spain.

As overall strategies to reduce the risk of developing severe infections and poor treatment outcomes among diabetic patients are under-researched and should be explored. This study could increase the knowledge of infection management among diabetic patients treated with dalbavancin in order to support appropriate clinical decision-making.

Recruitment & Eligibility

Inclusion Criteria

Age ≥18 years at the time of dalbavancin treatment initiation
Male and female patients
Patients who received dalbavancin as targeted or empirical therapy to treat Gram-positive bacterial infection or as anti-Gram-positive component of a treatment regimen for mixed infection (e.g., with concurrent antibacterial or antifungals drugs for covering Gram-negative strains or fungi)
Patients who received the last dose of dalbavancin according to the current standard clinical practice at least 30 (+7) days before enrolment in the study
Patients with known type 1 diabetes mellitus (T1DM) or type 2 diabetes mellitus (T2DM) at the time of infectious disease of interest diagnosis
Patients with available retrospective data in medical charts, including information about dalbavancin treatment and diabetes history
Patients who gave informed consent and personal data processing consent to take part into the study following local regulation.

Exclusion Criteria

Patients enrolled in a clinical trial in which treatment with dalbavancin was managed through a study protocol
Patients diagnosed with any hyperglycemic state other than T1DM or T2DM at the time of dalbavancin treatment initiation
Patients with long-term infection (over than 12 months of duration) at the time of dalbavancin treatment initiation
Previous participation in this study. Participation is defined as having given informed consent in this study
Pregnant or breast-feeding patients from start time of dalbavancin treatment initiation till enrolment visit.

Primary Outcome Measures

Name	Time	Method
Retrospective description of the utilization of dalbavancin treatment in diabetic patients.	4 weeks	Evidence of dalbavancin treatment choice (starting and subsequent dosage)
Retrospective description of the setting of dalbavancin treatment in diabetic patients.	4 weeks	Evidence of dalbavancin treatment choice (setting of infusion)
Retrospective description of the dalbavancin treatment in diabetic patients.	4 weeks	Evidence of dalbavancin treatment choice (number and dates of infusions)

Secondary Outcome Measures

Name	Time	Method
Demographic data	4 weeks	Demographic data description (Age and Gender)
Clinical cure of dalbavancin	Up to 8 weeks	Number of patients with clinical cure evaluated by physicians at end of dalbavancin treatment (i.e., date of last dalbavancin dose administration). Clinical cure is defined as clinical signs and symptoms resolved.
Incidence of Adverse Events	Up to 8 weeks	Safety profile was assessed through the incidence of Adverse Events occurred in patients treated with dalbavancin.
Microbiological success of dalbavancin	Up to 8 weeks	Number of patients with microbiological success at end of dalbavancin treatment (i.e., date of last dalbavancin dose administration). Microbioligical success is defined as culture-confirmed eradication of the Gram-positive pathogens identified at baseline, documented as a negative bacterial culture from the same site as the initial positive baseline culture

Locations (11): A.O.U. Pisana Presidio Ospedaliero Cisanello
🇮🇹
Pisa, Italy
Hospital Universitario Fundación Alcorcón
🇪🇸
Alcorcón, Madrid, Spain
Hospital Universitario Virgen de las Nieves
🇪🇸
Granada, Spain
Ospedale Cardinal Massaia
🇮🇹
Asti, Italy
Azienda Sanitaria Universitaria Friuli Centrale
🇮🇹
Udine, Italy
Hospital Clinic
🇪🇸
Barcelona, Spain
Hospital Universitario y Politécnico La Fe
🇪🇸
Valencia, Spain
Azienda Ospedaliera Universitaria Federico II
🇮🇹
Napoli, Italy
Azienda Ospedaliera Universitaria Policlinico "Paolo Giaccone"
🇮🇹
Palermo, Italy
ASST dei Sette Laghi
🇮🇹
Varese, Italy
Hospital Universitario La Paz
🇪🇸
Madrid, Spain