Staphylococcus Aureus Surgical Site Infection Multinational Epidemiology in Europe

NCT ID: NCT03353532

Last Updated: 2021-05-24

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

COMPLETED

Total Enrollment

178902 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-08-01

Study Completion Date

2021-01-31

Brief Summary

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This is a retrospective multinational, multicenter cohort study with a nested case-control. The study includes all surgical procedures performed at a participating site to prevent bias.

Data will be assessed in two populations.

Cohort population: Export of electronic file data on demographics, surgical procedure ICPM code, duration of procedure, American Society of Anesthesiologists (ASA) score, body mass index, comorbidity ICD codes, and wound class of all patients undergoing surgery.

Nested case-control population: For patients establishing S. aureus SSI and 1:1 matched controls from the same center further data will be captured: Length of hospitalization, length of ICU stay and reason as well as attribution to SSI, survival at 30 and at 90 days, antibiotic treatments including duration, functional status at admission and at final discharge; necessity for surgical revision, and death attributed to SSI.

If readmission is necessary, reason and attribution to SSI, length of hospitalization and length of ICU stay as well as all antibiotic treatments and their duration will be recorded.

The cases causative pathogens including resistance patterns and type of SSI according to CDC criteria will be captured.

Matching criteria comprise the following:

* Type of procedure
* Age
* ASA score
* BMI
* Duration of procedure (as percentile for this procedure)
* Diabetes
* Sex

Detailed Description

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Conditions

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Staphylococcus Aureus Wound Infection, Surgical Epidemiology

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Study Groups

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Cohort

Adult patients with SSI after any surgical procedure.

No interventions assigned to this group

Case-Control

Cases: Patients establishing S. aureus SSI Controls: Patients from the same center who did not undergo S. aureus SSI, matched by the following criteria

* Type of procedure
* Age
* ASA score
* BMI
* Duration of procedure (as percentile for this procedure)
* Diabetes
* Sex

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Age ≥18 years at the time of surgery

Exclusion Criteria

* Cases with missing data defined as "missing completely at random" (MCAR)
* Infection at the time of surgery
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Pfizer

INDUSTRY

Sponsor Role collaborator

University of Cologne

OTHER

Sponsor Role lead

Responsible Party

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Oliver Cornely, MD

Prof. Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Oliver A Cornely, MD

Role: PRINCIPAL_INVESTIGATOR

University of Cologne

Locations

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Centre Hospitalier Départemental Vendee

La Roche-sur-Yon, , France

Site Status

Centre Hospitalier et Universitaire de Limoges

Limoges, , France

Site Status

Centre Hospitalier Régional et Universitaire de Tours

Tours, , France

Site Status

University Hospital Cologne

Cologne, North Rhine-Westphalia, Germany

Site Status

University Hospital Bonn

Bonn, , Germany

Site Status

Jena University Hospital

Jena, , Germany

Site Status

Hospital of the University of Munich

Munich, , Germany

Site Status

University of Udine and Azienda Sanitaria Universitaria Integrata

Udine, , Italy

Site Status

Hospital Clínic Barcelona

Barcelona, , Spain

Site Status

Institut Hospital del Mar d'Investigacions Mèdiques

Barcelona, , Spain

Site Status

Hospital General Universitario Gregorio Marañón e Instituto de Investigación Sanitaria Gregorio Marañón

Madrid, , Spain

Site Status

Hospital Universitario Ramón y Cajal

Madrid, , Spain

Site Status

Hospital Universitari i Politècnic La Fe

Valencia, , Spain

Site Status

Manchester University NHS Foundation Trust (MFT)

Manchester, , United Kingdom

Site Status

Countries

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France Germany Italy Spain United Kingdom

References

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Mellinghoff SC, Bruns C, Albertsmeier M, Ankert J, Bernard L, Budin S, Bataille C, Classen AY, Cornely FB, Couve-Deacon E, Fernandez Ferrer M, Fortun J, Galar A, Grill E, Guimard T, Hampl JA, Wingen-Heimann S, Horcajada JP, Kohler F, Koll C, Mollar J, Munoz P, Pletz MW, Rutz J, Salmanton-Garcia J, Seifert H, Serracino-Inglott F, Soriano A, Stemler J, Vehreschild JJ, Vilz TO, Naendrup JH, Cornely OA, Liss BJ. Staphylococcus aureus surgical site infection rates in 5 European countries. Antimicrob Resist Infect Control. 2023 Sep 19;12(1):104. doi: 10.1186/s13756-023-01309-w.

Reference Type DERIVED
PMID: 37726843 (View on PubMed)

Mellinghoff SC, Bruns C, Al-Monajjed R, Cornely FB, Grosheva M, Hampl JA, Jakob C, Koehler FC, Lechmann M, Maged B, Otto-Lambertz C, Rongisch R, Rutz J, Salmanton-Garcia J, Schlachtenberger G, Stemler J, Vehreschild J, Wulfing S, Cornely OA, Liss BJ. Harmonized procedure coding system for surgical procedures and analysis of surgical site infections (SSI) of five European countries. BMC Med Res Methodol. 2022 Aug 12;22(1):225. doi: 10.1186/s12874-022-01702-w.

Reference Type DERIVED
PMID: 35962320 (View on PubMed)

Mellinghoff SC, Vehreschild JJ, Liss BJ, Cornely OA. Epidemiology of Surgical Site Infections With Staphylococcus aureus in Europe: Protocol for a Retrospective, Multicenter Study. JMIR Res Protoc. 2018 Mar 12;7(3):e63. doi: 10.2196/resprot.8177.

Reference Type DERIVED
PMID: 29530837 (View on PubMed)

Other Identifiers

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SALT

Identifier Type: -

Identifier Source: org_study_id

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