Thoracic Surgery Clinical Trial
Official title:
Impact of the Introduction in a Heart Surgery ICU of a PCR Technique (Cepheid Xpert® SA Nasal Complete Assay) to Identify Methicillin-sensitive and Methicillin-resistant Staphylococcus Aureus in Nasal and Respiratory Tract Samples
In patients on mechanical ventilation, it is not known whether the identification of S.
aureus in LRT samples improves the performance of its nasal detection.
To assess the MSSA or MRSA carrier status of patients requiring mechanical ventilation for
more than 48 hours after major heart surgery: comparing the performance of the diagnostic
technique Xpert® SA Nasal Complete assay in nasal swab and LRT samples.
Patients undergoing heart surgery require ventilation for more than 48 hours. These
patients, placed on mechanical ventilation for a median of 7 days, will be followed weekly
until their discharge from hospital. We estimate we will need 500 determinations.
Samples will be obtained according to usual clinical practice. Thus, rather than discarding
a sample, it will be subjected to the two laboratory diagnostic techniques (conventional
culture and the Xpert® assay). No patient will be subjected to any procedure outside that of
routine clinical practice.
Patient with a tracheal tube in whom nasal and LRT secretions can be simultaneously
obtained. Patients may also be included if LRT samples can be obtained via a different
approach (tracheostomy, fibrobroncoscopy etc.).
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Observational Model: Cohort, Time Perspective: Prospective
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