Staphylococcus Aureus Resistant to Methicillin (MRSA) Screening in Trauma
试验速览
- 阶段
- 不适用
- 状态
- 撤回
- 主要终点
- Prevalence of Staphylococcus aureus resistant to methicillin nasal carriage in the population supported to trauma emergencies
研究概览
简要总结
The main objective of this study and to know the incidence of healthy carriers of Staphylococcus aureus resistant méti- patients supported for fracture of the proximal femur .
This assessment will be made preoperatively by a nasal sampling and analysis through it by rapid Polymerase Chain Reaction method GeneXpert® .
详细描述
There are 85,000 fractures of the upper extremity in France each year. This is a frequent pathology in fragile patients. The characteristics in terms of comorbidities, age, sex and survival are well known from the literature. While secondary mechanical complications to surgery, hovering around 6 to 8%, mortality at one year is very high (around 25%).
Postoperative infection after a fracture of the upper end of the femur ranges from 2 to 8% depending on the series. This complication is responsible for morbidity and excess mortality linked to the need for revision surgery, prolongation of hospitalization and antibiotic treatment.
In elective surgery, detection of Staphylococcus aureus resistant to methicillin is systematic and recommended in many countries, preoperative level of the nasal cavity. Parvizi then Goya believe that this port increased from four to nine times the occurrence of infection at the surgical site.
Various epidemiological studies have shown the presence of Staphylococcus aureus in over 30% of patients. This prevalence is lower in the French population. An estimated 70% the proportion of Staphylococcus aureus in the periprosthetic infections, and 30% related specifically to the methicillin-resistant Staphylococcus aureus.
Today there is no consensus on what to have vis-à-vis the detection of a hand and the other hand treatment of patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient treated in the trauma unit for fractures of the proximal femur belong to a social security scheme patient
排除标准
- •Minor patient
- •Presence of abrasions
- •MRSA history
- •Open fracture
- •Ongoing infectious process
- •Patients under judicial protection , guardianship
- •Pregnant or breastfeeding women
- •patient refusal to participate in the study
结局指标
主要结局
Prevalence of Staphylococcus aureus resistant to methicillin nasal carriage in the population supported to trauma emergencies
时间窗: 12 months
To evaluate the prevalence of Staphylococcus aureus resistant to methicillin nasal carriage in the population supported to trauma emergencies
次要结局
未报告次要终点