staphylococcus aureus bacteraemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Positive blood culture for staphylococcus aureus in an adult patient with symptoms or signs of infection. Indication for thromboprophylaxis Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 40 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 40
Exclusion criteria
Exclusion criteria: Contraindication for thromboprophylaxis. Clinically significant active bleeding or risk of excessive bleeding. Heparin-induced thrombocytopenia. Severe liver and kidney disease. Pregnancy and lactation.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Efficacy and safety of direct thrombin inhibitors (dabigatran or argatroban) versus LMWH (clexane) in patients with staphylococcus aureus bacteraemia. Effect on coagulation parameters. ;Secondary Objective: Characterization of Staphylococcus aureus strains from clinical cases. Detection of metastatic foci using PET/CT in a subgroup of high risk patients. Correlation of the risk of metastatic infection with clinical and microbiological parameters.;Primary end point(s): Safety of dabigatran/argatroban versus enoxaparin (bleeding, adverse effects) Efficacy of dabigatran/argatroban versus enoxaparin (venous thrombo-embolism) Difference in coagulation parameters between dabigatran/argatroban and enoxaparin treated patients.;Timepoint(s) of evaluation of this end point: Interim analysis after 20 patients | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Clinical course of staphylococcus aureus infection (hospital stay, relapse, mortality) Metastatic infection score ;Timepoint(s) of evaluation of this end point: Interim analysis after 20 patients | — |
Countries
Belgium
Contacts
University Hospitals Leuven (Gasthuisberg)