Pneumonia Due to Stenotrophomonas Maltophilia in ICUs

NCT ID: NCT03506191

Last Updated: 2018-08-01

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

300 participants

Study Classification

OBSERVATIONAL

Study Start Date

2017-01-01

Study Completion Date

2018-09-30

Brief Summary

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Pneumonia is a major cause of ICU admission, or may complicate ICU course. Among the causative pathogens, Stenotrophomonas Maltophilia is a rare pathogen, but affects usually patients with chronic pulmonary co-morbidities, or with long duration of mechanical ventilation and multiples treatment with broad spectrum antimicrobial therapy. However, there are only a paucity of data regarding epidemiology, impact and outcome of Pneumonia due to Stenotrophomonas Maltophilia in critically ill patients.

Primary objective was to study factors associated with mortality in case of Pneumonia due to Stenotrophomonas Maltophilia. Secondary objectives were to describe factors associated with morbidity of Pneumonia due to Stenotrophomonas Maltophilia (duration of mechanical ventilation, ICU length of stay), and to report the characteristics of critically ill patients presenting Pneumonia due to Stenotrophomonas Maltophilia.

Detailed Description

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Conditions

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Pneumonia, Ventilator-Associated Stenotrophomonas Infection Critical Illness Pneumonia, Bacterial

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

Patients older than 18 years

Documented Stenotrophomonas maltophilia pneumonia:

* Clinical suspicion (≥ two criteria including: fever\> 38.5°C, leukocytosis \> 10\^9/L or leukopenia \< 4.10\^8/L, purulent tracheobronchial secretions and a new or persistent infiltrate on chest radiography).
* Documented Stenotrophomonas maltophilia positive quantitative culture of a respiratory sample: bronchoalveolar lavage fluid (significant threshold, \>10\^4cfu/ml) or plugged telescopic catheter (significant threshold, \>10\^3cfu/ml) or quantitative endotracheal aspirate (significant threshold, \>10\^6cfu/ml).

Exclusion Criteria

* None
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Groupe Hospitalier Pitie-Salpetriere

OTHER

Sponsor Role lead

Responsible Party

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Adrien Bouglé

Study director

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Adrien Bouglé, MD

Role: STUDY_DIRECTOR

APHP

Philippe Guerci, MD

Role: PRINCIPAL_INVESTIGATOR

CHRU NANCY

Locations

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Réanimation Polyvalente CHR Metz-Thionville

Metz, , France

Site Status

Department of Anesthesiology and Critical Care Medicine, University Hospital of NANCY

Nancy, , France

Site Status

Department of Anesthesiology and Critical Care Medicine, University Hospital of Strasbourg

Strasbourg, , France

Site Status

Anesthesiology and Critical Care Medicine, Groupe Hospitalier Pitié-Salpêtrière

Paris, Île-de-France Region, France

Site Status

Countries

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France

References

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Guerci P, Bellut H, Mokhtari M, Gaudefroy J, Mongardon N, Charpentier C, Louis G, Tashk P, Dubost C, Ledochowski S, Kimmoun A, Godet T, Pottecher J, Lalot JM, Novy E, Hajage D, Bougle A; AZUREA research network. Outcomes of Stenotrophomonas maltophilia hospital-acquired pneumonia in intensive care unit: a nationwide retrospective study. Crit Care. 2019 Nov 21;23(1):371. doi: 10.1186/s13054-019-2649-5.

Reference Type DERIVED
PMID: 31752976 (View on PubMed)

Other Identifiers

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RETROSTENO

Identifier Type: -

Identifier Source: org_study_id

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