Septic Shock Clinical Trial
— BLOOMY-COMOfficial title:
Bloodstream Infection Due to Multidrug-Resistant Organisms - Multicenter Study on Determinants of Clinical Outcomes
Continual surveillance of both community-acquired and nosocomial bloodstream infections for specific target organisms. Analysis of comorbidities, complications, bacterial resistance patterns, bacterial genomics (e. g. via WGS and MLST typing) for the determinants of clinical outcomes. The clinical outcomes are investigated both in the short-term (up until discharge) and the long-term (six months after index blood culture by standardized questionnaire). A predictive point-of-care score is to be developed based on these data to define high-risk patient populations requiring more intensive diagnostic and/or treatment regimens.
| Status | Recruiting |
| Enrollment | 6000 |
| Est. completion date | June 30, 2019 |
| Est. primary completion date | December 31, 2018 |
| Accepts healthy volunteers | No |
| Gender | All |
| Age group | 18 Years and older |
| Eligibility |
Inclusion Criteria: - At least 18 years old - Informed consent given either by patient or guardian - Inpatient - At least one blood culture positive for one of the following bacteria: Staphylococcus aureus, Enterococcus spp., Escherichia coli, Enterobacter spp., Klebsiella spp., Acinetobacter baumannii, Pseudomonas aeruginosa Exclusion Criteria: - Less than 18 years old - Not capable of giving informed consent nor informed consent given by guardian - Outpatient - No blood cultures positive for any of the target organisms |
| Country | Name | City | State |
|---|---|---|---|
| Germany | Charité - Universitätsmedizin Berlin | Berlin | |
| Germany | Universitätsklinikum Freiburg | Freiburg | Baden-Württemberg |
| Germany | Justus-Liebig-Universität Gießen | Gießen | Hessen |
| Germany | Universitätskliniken Köln | Köln | Nordrhein-Westfalen |
| Germany | Universitätsklinikum Schleswig-Holstein | Lübeck | Schleswig-Holstein |
| Germany | Universitätsklinikum Tübingen | Tübingen | Bade-Württemberg |
| Lead Sponsor | Collaborator |
|---|---|
| University Hospital Tuebingen | Universitätsklinikum Köln, University Hospital Freiburg, University Hospital Lübeck, University Hospital of Berlin, University of Giessen |
Germany,
| Type | Measure | Description | Time frame | Safety issue |
|---|---|---|---|---|
| Primary | Short-term mortality due to bloodstream infection | Mortality due to bloodstream infection up to hospital discharge in association to causative species, resistance pattern, comorbidities, complications etc. | From index blood culture to discharge, an average of 16 days | |
| Primary | Long-term mortality due to bloodstream infection | Mortality due to bloodstream infection up to long-term follow-up after 6 months in association to causative species, resistance pattern, comorbidities, complications etc. | Up to 6 months | |
| Primary | Long-term morbidity due to bloodstream infection | Morbidity as measured by the SF-36 questionnaire due to bloodstream infection after 6 months in association to causative species, resistance pattern, comorbidities, complications etc. | At 6 months |
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