Treatment of Enterococcus Faecalis Bacterem

NCT ID: NCT07299539

Last Updated: 2025-12-23

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

RECRUITING

Total Enrollment

700 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-02-24

Study Completion Date

2025-12-31

Brief Summary

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Enterococcus faecalis is a germ frequently responsible for bacteremia which can be severe with 15-25% risk of mortality and 26% risk of infectious endocarditis. There is no recommendation for the treatment of "simple" Enterococcus faecalis bacteremia (meaning without infectious endocarditis at diagnosis), nor studies comparing monotherapy versus combination antibiotic therapy.

Our main objective is to study the impact on mortality of bacteriostatic monotherapy and bactericidal combination antibiotic therapy in patients with Enterococcus faecalis bacteremia. We aim to also study the mortality up to three months, the failures of treatment, the modalities of treatment, the renal toxicity and the bacterial resistance.

Detailed Description

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Conditions

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Enterococcus Faecalis Bacteremia

Keywords

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Enterococcus faecalis bacteremia Mortality Monotherapy versus combination therapy

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

RETROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Subject of legal age (≥18 years)
* Having a positive blood culture result for Enterococcus faecalis identified within the microbiology laboratory of the University Hospital of Strasbourg during the period from 01 January 2017 to 31 December 2023.

Exclusion Criteria

* Penicillin treatment \< 7 days
* Treatment not containing a penicillin effective against enterococci among those studied: amoxicillin or piperacillin-tazobactam
* Combination of penicillin with another antibiotic effective against enterococci other than cephalosporins or aminoglycosides (glycopeptides, linezolids, carbapenems, levofloxacin, moxifloxacin).
* Bacteremia with one or more other pathogens within the first 7 days of bacteremia
* Infective endocarditis at diagnosis and within the first 7 effective days of treatment
* Resistance of Enterococcus faecalis to amoxicillin
* Mortality \<72 hours after initiation of antibiotic therapy
* Lack of information regarding the chosen antibiotic treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Strasbourg, France

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Service des Maladies Infectieuses et Tropicales - CHU de Strasbourg - France

Strasbourg, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Yvon RUCH, MD

Role: CONTACT

Phone: 33 3 69 55 12 1

Email: [email protected]

Facility Contacts

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Yvon RUCH, MD

Role: primary

Other Identifiers

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9378

Identifier Type: -

Identifier Source: org_study_id