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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT00753558
Other study ID # sor475808CTIL
Secondary ID
Status Completed
Phase N/A
First received September 2, 2008
Last updated September 19, 2010
Start date November 2008
Est. completion date July 2010

Study information

Verified date September 2010
Source Soroka University Medical Center
Contact n/a
Is FDA regulated No
Health authority Israel: Ethics CommissionIsrael: Ministry of Health
Study type Interventional

Clinical Trial Summary

There is an urgent need to control our current national outbreak of carbapenem-resistant Klebsiella pneumoniae (CRKP). The purpose of this study is to eradicate CRKP gastrointestinal carriage using selective digestive decontamination (SDD); with buccal and oral gentamicin and polymyxin E administration. This will reduce infections and hopefully mortality caused by CRKP.


Recruitment information / eligibility

Status Completed
Enrollment 0
Est. completion date July 2010
Est. primary completion date June 2010
Accepts healthy volunteers No
Gender Both
Age group 18 Years and older
Eligibility Inclusion Criteria:

- Hospitalized men and women with a positive rectal swab for CRKP

- Age 18 years or older

Exclusion Criteria:

- Age less than 18 years

- Pregnant women, lactating women

- A known allergy to the study drugs

Study Design

N/A


Related Conditions & MeSH terms

  • Carriage of Carbapemen-resistant Klebsialle Pneumoniae
  • Pneumonia

Intervention

Drug:
Arm #1 :Oral solution and buccal gel of gentamicin and polymyxin E. Arm #2: Placebo.
Arm #1: Oral gentamicin & polymyxin E, gentamicin & polymyxin E buccal gel. Arm #2: Oral placebo solutions, placebo buccal gel.

Locations

Country Name City State
Israel Soroka University Medical Center Beer Sheva

Sponsors (1)

Lead Sponsor Collaborator
Soroka University Medical Center

Country where clinical trial is conducted

Israel, 

References & Publications (7)

Agustí C, Pujol M, Argerich MJ, Ayats J, Badía M, Domínguez MA, Corbella X, Ariza J. Short-term effect of the application of selective decontamination of the digestive tract on different body site reservoir ICU patients colonized by multi-resistant Acinetobacter baumannii. J Antimicrob Chemother. 2002 Jan;49(1):205-8. — View Citation

Brun-Buisson C, Legrand P, Rauss A, Richard C, Montravers F, Besbes M, Meakins JL, Soussy CJ, Lemaire F. Intestinal decontamination for control of nosocomial multiresistant gram-negative bacilli. Study of an outbreak in an intensive care unit. Ann Intern — View Citation

de Jonge E, Schultz MJ, Spanjaard L, Bossuyt PM, Vroom MB, Dankert J, Kesecioglu J. Effects of selective decontamination of digestive tract on mortality and acquisition of resistant bacteria in intensive care: a randomised controlled trial. Lancet. 2003 Sep 27;362(9389):1011-6. — View Citation

Leone M, Albanese J, Antonini F, Nguyen-Michel A, Martin C. Long-term (6-year) effect of selective digestive decontamination on antimicrobial resistance in intensive care, multiple-trauma patients. Crit Care Med. 2003 Aug;31(8):2090-5. — View Citation

Silvestri L, Mannucci F, van Saene HK. Selective decontamination of the digestive tract: a life saver. J Hosp Infect. 2000 Jul;45(3):185-90. Review. — View Citation

Silvestri L, van Saene HK, Milanese M, Gregori D, Gullo A. Selective decontamination of the digestive tract reduces bacterial bloodstream infection and mortality in critically ill patients. Systematic review of randomized, controlled trials. J Hosp Infect. 2007 Mar;65(3):187-203. Epub 2007 Jan 22. Review. — View Citation

van Saene HK, Petros AJ, Ramsay G, Baxby D. All great truths are iconoclastic: selective decontamination of the digestive tract moves from heresy to level 1 truth. Intensive Care Med. 2003 May;29(5):677-90. Epub 2003 Apr 10. Review. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Eradication of CRKP carriage measured by negative rectal swabs Two days after treatment ends No
Secondary No new in-hospital acquisition of CRKP Six weeks No