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NCT06652126: TANGERINE

Immunosuppression and Intensive Care Unit-acquired Multidrug-resistant Bacteria

Not yet recruiting Last updated 22 October 2024
What this trial tests

trial testing Microbiological examinations. in Critically-ill Patients in 1,000 participants. Not yet recruiting.

Timeline
1 November 2024
Primary endpoint
1 December 2029
1 December 2029

Quick facts

Lead sponsorUniversity Hospital, Lille
StatusNot yet recruiting
Study typeOBSERVATIONAL
Enrollment1,000
Start date1 November 2024
Primary completion1 December 2029
Estimated completion1 December 2029

Drugs / interventions tested

Conditions studied

Sponsor

University Hospital, Lille

Who can join

18 and older, any sex, with Critically-ill Patients. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Antimicrobial resistance AMR is an emerging global threat to human health, and intensive care units (ICUs) are a 'hot spot' for the emergence and diffusion of multidrug-resistant (MDR) bacteria. ICU-acquired colonization and infection with MDR bacteria (ICU-MDR-col and ICU-MDR-inf, respectively) have been associated with higher ICU length-of-stay, duration of invasive mechanical ventilation and mortality. Immunocompromised patients account for an increasing proportion of ICU patients, and they are particularly prone to ICU-acquired infections, a significant proportion of which are caused by MDR pathogens. Recently, in a prospective multicenter study in France (CIMDREA, 8 ICUs, 750 patients), we found that immunocompromised patients had a lower cumulative incidence of ICU-MRD-col, but not ICU-MDR-inf (after adjustment for confounders). These results suggest that isolation measures and contact precautions could have a protective impact on cross-transmission of MDR bacteria in immunocompromised patients, even though our study fails to provide conclusive arguments for this. If confirmed, these findings could have an impact on antibiotic stewardship in immunocompromised critically-ill patients, a key element to control the spread of AMR in ICUs and beyond. Thus, we are planning to carry out the TANGERINE study, an observational prospective multicenter study in Europe, to confirm the findings of CIMDREA and provide a better understanding of the effect of isolation measures and contact precautions on the epidemiology of AMR in ICUs.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Trials by the same sponsor.

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