Systemic Inflammatory Response Syndrome Clinical Trial
Official title:
Establishment of a Reference Clinical Sample Panel Allowing for the Development and Proof-of-concept Validation of an In-vitro Diagnostic Test for the Diagnosis of Melioidosis
Clinical samples [blood and voided urine (only for phase A)] from patient recruited at Sihanouk Hospital Centre of HOPE (SHCH) and HOPE Community Medical Center (CMC) will be processed (decontamination) and shipped to SRI International with the purpose of design and validation (proof of concept) and (case/control series) of in-vitro diagnostics for melioidosis.
Study will be proposed to all patients at Sihanouk Hospital Centre of HOPE (SHCH) and HOPE
Community Medical Center (CMC) presenting with systemic inflammatory response syndrome
(SIRS).
Blood samples will be collected upon admission for patients with blood culture request as
part of routine patient care and agreement on informed consent. A second sample will be
collected in patients with blood culture proven melioidosis or suspicion of melioidosis (only
for phase B), at day 5 after initiation of appropriate antibiotic treatment. Depending on the
final diagnosis, a subset of patients will be assigned to 3 groups:
1. Patients for whom blood cultures grew Burkholderia pseudomallei
2. Patients for whom blood cultures did not grow a pathogen, but have other body site grown
with Burkholderia pseudomallei, or are suspected of melioidosis
3. Patients for whom blood cultures grew with another pathogen
In phase A only, at least 20 ml of voided urine will be collected when a patient is
hospitalized and identified as belonging to study group 1, 2 or 3. A second collection of
voided urine will be collected for group 1 and 2 patients during routine further hospital
stay or a routine follow-up visit.
The clinical samples from these patients will be processed and shipped to SRI International
with the purpose of design (=phase A) and validation (=phase B) of in-vitro diagnostics for
melioidosis.
A coded database will be completed with basic demographic, clinical and microbiological data
and final diagnosis. This coded information will be provided to SRI International.
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