Methicillin-resistant Staphylococcus aureus infection
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Inpatients at the Department of Pediatrics, Kyushu University Hospital 2. Patients receiving teicoplanin treatment for diagnosed or suspected Methicillin-resistant Staphylococcus aureus infection 3. Patients whose written informed consent has been obtained (from them or from their parents)
Exclusion criteria
Exclusion criteria: 1. Patients with renal impairment (serum creatinine is 1.5 times higher than upper limit of normal) and hepatic dysfunction (AST or ALT is 2.5 times higher than upper limit of normal) before teicoplanin treatment 2. Patients with past histories of hypersensitivity reaction against teicoplanin 3. Patients with previous teicoplanin treatment during the previous 7 days 4. Patients with inadequate medical conditions determined by the study director or researchers
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of achieving target serum trough concentration of teicoplanin (more than 15 mg/L) in pediatric patients on the day 3 or 4 of treatment | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Rate of achieving target serum trough concentration of teicoplanin (more than 10 mg/L) in pediatric patients on the day 3 or 4 of treatment 2. Incidence of hepatic dysfunction and renal impairment during teicoplanin treatment (AST, ALT, serum creatinine) 3. Resolution of clinically significant signs and symptoms, and mortality on the 4th day of teicoplanin treatment and the day of teicoplanin treatment completion in patients with Methicillin-resistant Staphylococcus aureus (MRSA) infection 4. Duration of fever, and incidence of addition or switching of other anti-MRSA drugs in patients with MRSA infection 5. Duration of bacteremia in patients with MRSA sepsis 6. Relationships between age and concentration (mg/L) /cumulative loading dose per body weight (mg/kg) (C/D) ratio, serum creatinine level and C/D ratio, and estimated glomerular filtration ratio and C/D ratio | — |
Countries
Japan
Contacts
Graduate School of Medical Sciences, Kyushu University Department of Pediatrics