Mastering Hospital Antimicrobial Resistance and Its Spread Into the Community

NCT ID: NCT00773799

Last Updated: 2008-10-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

1200 participants

Study Classification

OBSERVATIONAL

Study Start Date

2008-10-31

Study Completion Date

2014-01-31

Brief Summary

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Data on occurrence of antimicrobial resistant bacteria acquisition in rehabilitation centers will be collected. After removal of patient identifiers, information regarding the patients population will be entered into electronic sheet. The phase will last twelve months in each center.

Detailed Description

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All patients admitted to the department will be examined on admission, two weeks latter and monthly by obtaining nares and perirectal cultures. These cultures will be processed for detection the target organisms. This activity is part of the good medical practice and is performed on routine basis in various hospital units

Epidemiological data will be collected from patient records. This data will be stored after removal of all patients' identifiers. These data will be transferred for analysis to Tel Aviv Medical Center

Conditions

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ESBL Infection Methicillin-Resistant Staphylococcus Aureus

Keywords

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To define activities and patient characteristics likely to lead to dissemination of resistant bacteria in rehabilitation centers and To define specific risk factors for acquisition of resistant bacteria (ESBL producers and MRSA) in rehabilitation centers. ESBL producers MRSA

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

RETROSPECTIVE

Study Groups

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rehabilitation center's hospitalized patients

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Hospitalized patients are older then 18 years old

Exclusion Criteria

* Age 18 years or less
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tel-Aviv Sourasky Medical Center

OTHER_GOV

Sponsor Role lead

Responsible Party

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TASMC

Principal Investigators

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Yehuda carmeli, MD MPH

Role: PRINCIPAL_INVESTIGATOR

TASMC

Locations

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Tasmc

Tel Aviv, , Israel

Site Status

Countries

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Israel

Central Contacts

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yaffa lerman, MD

Role: CONTACT

Phone: 97252-4266910

Email: [email protected]

Facility Contacts

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Yaffa lerman, md

Role: primary

References

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Vovko P, Retelj M, Cretnik TZ, Jutersek B, Harlander T, Kolman J, Gubina M. Risk factors for colonization with methicillin-resistant Staphylococcus aureus in a long-term-care facility in Slovenia. Infect Control Hosp Epidemiol. 2005 Feb;26(2):191-5. doi: 10.1086/502525.

Reference Type BACKGROUND
PMID: 15756891 (View on PubMed)

Lucet JC, Grenet K, Armand-Lefevre L, Harnal M, Bouvet E, Regnier B, Andremont A. High prevalence of carriage of methicillin-resistant Staphylococcus aureus at hospital admission in elderly patients: implications for infection control strategies. Infect Control Hosp Epidemiol. 2005 Feb;26(2):121-6. doi: 10.1086/502514.

Reference Type BACKGROUND
PMID: 15756880 (View on PubMed)

Ben-Ami R, Schwaber MJ, Navon-Venezia S, Schwartz D, Giladi M, Chmelnitsky I, Leavitt A, Carmeli Y. Influx of extended-spectrum beta-lactamase-producing enterobacteriaceae into the hospital. Clin Infect Dis. 2006 Apr 1;42(7):925-34. doi: 10.1086/500936. Epub 2006 Feb 27.

Reference Type BACKGROUND
PMID: 16511754 (View on PubMed)

Stelfox HT, Bates DW, Redelmeier DA. Safety of patients isolated for infection control. JAMA. 2003 Oct 8;290(14):1899-905. doi: 10.1001/jama.290.14.1899.

Reference Type BACKGROUND
PMID: 14532319 (View on PubMed)

Campbell M, Fitzpatrick R, Haines A, Kinmonth AL, Sandercock P, Spiegelhalter D, Tyrer P. Framework for design and evaluation of complex interventions to improve health. BMJ. 2000 Sep 16;321(7262):694-6. doi: 10.1136/bmj.321.7262.694. No abstract available.

Reference Type BACKGROUND
PMID: 10987780 (View on PubMed)

Pope C, van Royen P, Baker R. Qualitative methods in research on healthcare quality. Qual Saf Health Care. 2002 Jun;11(2):148-52. doi: 10.1136/qhc.11.2.148.

Reference Type BACKGROUND
PMID: 12448807 (View on PubMed)

Bartholomew LK, Parcel GS, Kok G. Intervention mapping: a process for developing theory- and evidence-based health education programs. Health Educ Behav. 1998 Oct;25(5):545-63. doi: 10.1177/109019819802500502.

Reference Type BACKGROUND
PMID: 9768376 (View on PubMed)

van Bokhoven MA, Kok G, van der Weijden T. Designing a quality improvement intervention: a systematic approach. Qual Saf Health Care. 2003 Jun;12(3):215-20. doi: 10.1136/qhc.12.3.215.

Reference Type BACKGROUND
PMID: 12792013 (View on PubMed)

Smith DL, Dushoff J, Perencevich EN, Harris AD, Levin SA. Persistent colonization and the spread of antibiotic resistance in nosocomial pathogens: resistance is a regional problem. Proc Natl Acad Sci U S A. 2004 Mar 9;101(10):3709-14. doi: 10.1073/pnas.0400456101. Epub 2004 Feb 25.

Reference Type BACKGROUND
PMID: 14985511 (View on PubMed)

Other Identifiers

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TASMC-08-YC-239-CTIL

Identifier Type: -

Identifier Source: org_study_id