Status:

RECRUITING

MRSA Decolonization in Complicated Carriage

Lead Sponsor:

Leiden University Medical Center

Conditions:

MRSA

Eligibility:

All Genders

18+ years

Phase:

NA

Brief Summary

Multicenter open-label cluster randomized controlled trial determining the superiority of doxycycline-rifampicin compared to trimethoprim-rifampicin for the decolonization treatment of complicated MRS...

Detailed Description

Rationale: MRSA decolonization has proven to prevent infection and reduce transmission. It has yet remained undecided which combination of anti-staphylococcal agents is most effective in the treatment...

Eligibility Criteria

Inclusion

  • Age ≥18 years
  • Complicated MRSA carriership. Complicated carriership is defined as having one of the following features: (i) the presence of MRSA located at another site than the nose, (ii) an active infection with MRSA, (iii) in vitro resistance for mupirocin, (iv) active skin lesions, (v) foreign material that connects an internal body site with the outside (e.g., urine catheter, external fixation material), (vi) previously failure of decolonization treatment.
  • In case of none of the previously mentioned features, this is considered uncomplicated carriership.
  • \- The ability to provide informed consent for the use of their data.

Exclusion

  • \- Presence of any iv-access, urinary catheters or drains (because of high risk of treatment failure)
  • Failure of previous decolonization attempt of complicated MRSA carriage
  • Allergy or other contra-indication to either doxycycline, rifampicin or trimethoprim (these patients will participate in the observational arm)
  • Previous participation in this study (every patient can only participate once)
  • Pregnancy

Key Trial Info

Start Date :

July 25 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2028

Estimated Enrollment :

211 Patients enrolled

Trial Details

Trial ID

NCT05268120

Start Date

July 25 2022

End Date

May 1 2028

Last Update

March 6 2025

Active Locations (1)

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LUMC

Leiden, Netherlands