Epidemiology of Fluoroquinolone Resistance in Human Commensal Flora in Patients Hospitalised in Medical Wards
Study Details
Study Description
Brief Summary
Emergence of bacterial resistance to antibiotics, which is a major public health issue, appears to involve predominantly commensal flora. No data exists concerning risk factors for the carriage of fluoroquinolone resistant bacteria in the flora of hospitalised patients. We will conduct a prospective open study including all unselected patients hospitalised in medical wards of one hospital. Nasal, pharyngeal and rectal swabs will be performed upon admission as well as a review of potential risk factors, after patient's information and acceptance. Resistance testing aiming 3 pathogens (Staphylococcus, Streptococcus and E. coli) will be performed on all specimens, and a case control study will compare risk factors from the resistant and non-resistant groups, for each pathogen. A thousand patients should be included in a year's time. This work could help understand risk factors involved in the carriage of fluoroquinolone resistant pathogens, potentially responsible for invasive infections and inter-patient transmission of resistance. Limiting bacterial resistance and transmission is a goal that can be successfully undertaken only if resistance mechanisms, but also risk factors of acquiring resistant bacteria are better understood.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Patients at hospital admission Patients at hospital admission in medical wards on our tertiray care hospital (Hôpital Beaujon, Clichy, France). |
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
Inclusion Criteria:
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all adult patients admitted to the internal medicine, oncology, cardiology and geriatric unit of Beaujon Hospital, Clichy, France.
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patient agreement
Exclusion Criteria:
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Age < 18
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patient refusal or incapable
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Hôpital Beaujon | Clichy | Ile de France | France | 92110 |
Sponsors and Collaborators
- Association Pour le Recherche en Infectiologie et en Médecine Interne
- Pr Bruno Fantin
Investigators
- Principal Investigator: Victoire de Lastours, MD,
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- FQ/EPI