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临床试验/NCT04946500
NCT04946500Unknown不适用

Clindamycin in Prosthetic Joint Infections Caused by Staphylococcus

University Hospital, Brest1 个研究点 分布在 1 个国家目标入组 120 人开始时间: 2021年5月15日最近更新:
适应症

试验速览

阶段
不适用
入组人数
120
试验地点
1
主要终点
Failure of Clindamycine

研究概览

简要总结

The alternatives to the combination of Fluoroquinolone and Rifampicin in prosthetic joint infections (PJI) caused by staphylococcus are currently unclear. Clindamycin is prescribed as dual therapy in this indication, and provides many advantages. We conducted a multicenter retrospective observational study evaluating the efficacy and safety of Clindamycin in prosthetic joint infections due to staphylococcus between January 2013 and December 2019.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Retrospective

入排标准

年龄范围
18 Years 至 120 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Patients with PJI defined according to the IDSA.
  • Infection must be mono-microbial or multi-microbial with Staphylococcus spp sensitive to Clindamycin.
  • Infection may be acute or chronic, nosocomial or community-acquired.
  • Patient having received a curative treatment with Clindamycin.

排除标准

  • Patients with osteitis, osteomyelitis, septic arthritis in native joints, diabetic foot infections, spondylodiscitis, infections in external fixator, surgical site infections following neurosurgical management, bedsores, skin and soft tissue infections.
  • Patients with mono-microbial infections other than Staphylococcus, multi-microbial infections including other bacteria than Staphylococcus, suspected Osteoarticular Infection without microbial identification.
  • Patients with clindamycin-resistant Staphylococcal PJI, constitutive MLSb phenotype.
  • Patients having received suspensive treatment with Clindamycin.
  • Patients treated with Clindamycin as last line of treatment for a duration of less than 14 days.
  • Patients refusing to participate
  • Patients under legal protection (guardianship, curatorship, ..)

结局指标

主要结局

Failure of Clindamycine

时间窗: within 2 years of the diagnosis (within one year for patients diagnosed in December 2019)

New diagnosis of PJI at the same site, caused by the same microbial agent

次要结局

  • Safety of Clindamycin(During the treatment and 6 month after)
  • Correlation between failure of Clindamycin and blood level of Clindamycin(within 2 years of the diagnosis (within one year for patients diagnosed in December 2019))

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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