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Comparison of Solid Organ Transplant

M

Methodist Health System

Status

Unknown

Conditions

Multidrug-Resistant Organism
Healthcare-associated Pneumonia
Gram-negative Bacteremia
Gram-Negative Bacterial Infections
Hospital-acquired Pneumonia

Study type

Observational

Funder types

Other

Identifiers

NCT04055922
058.PHA.2017.D

Details and patient eligibility

About

Solid organ transplant (SOT) recipients have increased incidence of infections with MDRO pathogens. This difference leads to a disparity in antibiograms between SOT recipients and other hospitalized patients.

Full description

There is limited guidance for empiric antimicrobial therapy in this population. Local epidemiology plays a voluble role in managing infections empirically within the hospital setting. Antibiograms can serve as a critical tool in optimizing empiric antimicrobial decisions. Refining antibiogram data to specific populations such as SOT patients may allow for timelier and appropriate empiric use of antimicrobials, and improve clinical outcomes.

Time to appropriate therapy (antimicrobial testing susceptible in vitro to the pathogen identified) is of vital importance in management of serious infections. SOT may have different resistance rates at Methodist Dallas Medical Center making the applicability of the yearly hospital-wide antibiogram unknown for use in this specialized patient population. A SOT-Specific antibiogram may highlight common resistance patterns identified in pathogens seen in this patient population. Additionally, this investigation may further emphasize the importance of antimicrobial stewardship activities such as: appropriate empiric antibacterial decisions, de-escalation, and effective durations of therapy.

Enrollment

150 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • 18 years or older

Exclusion criteria

  • Missing data necessary to determine study outcomes

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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