Effect of Ceftazidime-Avibactam on Carbapenemase-Producing Klebsiella Pneumoniae

Sohag University

Status: Not yet enrolling

Conditions: ISOLATION OF KLEB. by Culture on macConkey Agar; Detection of Resistance Gene in Isolates Using Conventional Pcr; Antibiotic Sensitivity Testing of Different Antibiotics According to Clsi 25; Detection of Some Virulence Genes Using Conventional Pcr; Effect of Ceftazidime-Avibactam on Carbapenemase-Producing Klebsiella Pneumoniae

Treatments: Genetic: . - Genotypic detection of carbapenemase genes by conventional PCR.

Study type: Observational

Funder types: Other

Identifiers

NCT07369518

Soh-Med-25-12-2MS

Details and patient eligibility

About

Specimen Collection : Clinical specimens included blood, urine, bronchoalveolar lavage fluid, wound, peritoneal fluid, and tracheal aspirate obtained from patients with suspected bacterial infections collected in dry sterile well-closed plastic cups.

Bacterial identification by Gram stain, culture and biochemical rections

• analysisThe resistance pattern of the isolates will be detected by disc diffusion method.
• phenotypic detection of carbapenemases. • Detection of carbapenem resistance genes (KPC, VIM, IMP, OXA-48, NDM) by conventional PCR.

Full description

Carbapenem-resistant Enterobacterales (CRE) poses an urgent global public health threat, with more than 1,100 documented deaths, as reported in a 2019 antibiotic resistance publication by the U.S. Centers for Disease Control and Prevention.

Carbapenem-resistant Enterobacterales, including carbapenem-resistant Klebsiella pneumoniae (CRKP), is associated with higher mortality compared with infections caused by carbapenem-susceptible Enterobacterales infections Specimen Collection : Clinical specimens included blood, urine, bronchoalveolar lavage fluid, wound, peritoneal fluid, and tracheal aspirate obtained from patients with suspected bacterial infections collected in dry sterile well-closed plastic cups.

Bacterial identification by Gram stain, culture and biochemical rections

• analysisThe resistance pattern of the isolates will be detected by disc diffusion method.
• phenotypic detection of carbapenemases. • Detection of carbapenem resistance genes (KPC, VIM, IMP, OXA-48, NDM) by conventional PCR.

Enrollment: 100 estimated patients

Sex: All

Volunteers: Accepts Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria: Infections caused by klebsiella pneumoniae like skin infections, chest infections, surgical site infections, and urinary tract Infections.-

Exclusion Criteria:

• Infections caused by any organisms other than klebsiella pneumoniae and carbapenem resistant klebsiella pneumoniae by mechanism other than carbapenemases production.

Trial design

100 participants in 2 patient groups

Group 1 patients with klebsiella pneumoniae infection

Description:

Infections caused by klebsiella pneumoniae like skin infections, chest infections, surgical site infections, and urinary tract Infections.

Treatment:

Genetic: . - Genotypic detection of carbapenemase genes by conventional PCR.

Group 2 patients without klebsiella pneumoniae

Description:

Infections caused by any organisms other than klebsiella pneumoniae and carbapenem resistant klebsiella pneumoniae by mechanism other than carbapenemases production.

Treatment:

Genetic: . - Genotypic detection of carbapenemase genes by conventional PCR.