Staphylococcus aureus bloodstream infection and S. aureus carrier status in hemodialysis patients Infections and Infestations Staphylococcus aureus bloodstream infection and S. aureus carrier status in hemodialysis patients
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients: 1. Hemodialysis patients of an outpatient dialysis centre (KfH e.V.) in Greifswald 2. Voluntary participation Controls: 1. Voluntary participation 2. Aged 50-70 3. Renally healthy 4. In hospital for at least 1 week
Exclusion criteria
Exclusion criteria: 1. Refusal to participate 2. Moving to another town that is not Greifswald
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Overall mortality rates, assessed using Kaplan-Meier analysis after the final sampling 2. Course and severity of bloodstream infection, determined by assessing for symptoms such as leukocytosis, fever and systemic inflammatory response syndrome, and a positive test for S. aureus in blood culture. This was assessed at the time of infection, and 7 and 14 days after | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. S. aureus genotype profiles over time, assessed after each 6 month sampling: 1.1. S. aureus spa-types determined by spa-PCR and out coming sequences classified by Ridom software 1.2. Clonal complexes (CC types) of S. aureus determined using S. aureus Genotyping Kit 2.0 from Alere Technologies (now Abbott) 2. S. aureus specific antibody response over time assessed using a multiplex assay and ELISA, with antibodies isolated every 6 months and stored and overall measurement taken once all samples are collected 3. T-cell response over time, assessed by a Fluorospot assay, with T-cells isolated every 6 months and stored and overall measurement taken once all samples are collected | — |
Countries
Germany