Dynamic of the Acquisition of Antibiotic Resistance in Integrons in Neonatology Newborns
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 278
- 试验地点
- 3
- 主要终点
- The occurrence over time of digestive acquisition of any type of RI
研究概览
简要总结
Antibiotic resistance is a major public health issue as multiresistant bacteria (MRB) are increasing. Among the actions to control resistance, one is an interesting lead: to prevent the emergence of resistant bacteria by limiting possibilities for bacteria to acquire resistance. Mechanisms of resistance genes acquisition are deeply studied but there are few data on the dynamic of acquisition over time. Among the genetic components that disseminate resistance genes, resistance integrons (RI) play a major role in the acquisition and dissemination of antibiotic resistance in gram-negative bacteria. The digestive tract of the newborn (NB), which is initially sterile, is colonized by a bacterial microbiota during the first days of life. It thus appears to be an appropriate model to study the dynamic of resistance acquisition. This project intends to follow the NB of neonatology over time in order to study the dynamic of the digestive acquisition of RI and MRB
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- — 至 1 Day(Child)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Mother-child pairs that will be included in the study will be the pairs of all the NB, born in the center (in born) and hospitalized in the neonatology units of each center:
- •with a predictable stay ≥ 3 weeks in the unit
排除标准
- •NB will not be included if:
- •They exhibit a birth defect, especially on the digestive tract
- •They are secondarily hospitalized after a postnatal transfer (out born).
- •The parents express their objection for the child to take part in the study
- •The stool sample of the mother has not been received
结局指标
主要结局
The occurrence over time of digestive acquisition of any type of RI
时间窗: 3 weeks
次要结局
- The occurrence over time of digestive acquisition of severals type of RI(3 weeks)
- Occurrence over time of digestive acquisition of MRB in NB hospitalized in neonatology units(3 weeks)
