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Study of impact of stool surveillance cultures for managing infections in allogeneic stem cell transplant patients

Pattern of sensitivity and resistance of stool surveillance over 13 years in a tertiary cancer centre and impact of stool surveillance guided selection of antibiotics during neutropenic sepsis in patients undergoing allogeneic HSCT - NIL

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CTRI
Registry ID
CTRI/2024/01/061533
Enrollment
358
Registered
2024-01-16
Start date
Unknown
Completion date
Unknown
Last updated
2024-01-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: D898- Other specified disorders involving the immune mechanism, not elsewhere classified

Interventions

Intervention1: Nil: Nil Intervention2: Nil: Nil Control Intervention1: Nil: Nil Control Intervention2: Nil: Nil

Sponsors

Tata Memorial Centre
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: All patients admitted for allogenic hematopoietic stem cell transplant from January 2008 to December 2020

Exclusion criteria

Exclusion criteria: Patients having active gastrointestinal bleed at the time of allogenic hematopoietic stem cell transplant.

Design outcomes

Primary

MeasureTime frame
-Time to defervescence in all groups Pansensitive, ESBL, MDR,VRE -Time to defervescence according to empirical antibiotic use versus surveillance stool culture guided 1st line antibiotics Timepoint: 3 months

Secondary

MeasureTime frame
-Time to change to second line antibiotics. -Concordance rate between blood culture during first febrile neutropenia episode and baseline stool surveillance culture. -Change in surveillance stool culture from pan sensitive to ESBL or CRO -Change in surveillance stool culture from ESBL at baseline to CRO -Change in surveillance stool culture from VSE to VRE -To study change in pattern of stool sensitivity in 2 time periods 1st January 2008 to 31st December 2014 and 1st January 2015 to 31st December 2020 -Correlation of change in stool sensitivity pattern in the first 100 days with OS -Correlation of change in stool sensitivity pattern in the first 100 days with gut GVHD or any GVHD Timepoint: 3 months

Countries

India

Contacts

Public ContactDr Keshav Garg

Advanced Centre for Treatment Research and Education in Cancer

garg488keshav@gmail.com02227405000

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026