Exposure to NSAIDs (Non Steroidal Anti-Inflammatory Drugs) and Severity of Community-acquired Bacterial Infections

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT02794831

Acronym

ANAIG

Enrollment

335

Registered

2016-06-09

Start date

2016-09-22

Completion date

2018-04-10

Last updated

2026-06-24

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

Conditions

Bacterial Infection

Keywords

NSAIDs, Bacterial Infections, Severity, Self Medication

Brief summary

* NSAIDs are widely consumed, and some are currently available for self-medication with indications 'Pain and Fever' (Cavalié, National Agency for Drug Safety (ANSM), 2014) * There is no recommendation to limit their use in bacterial infections except for chicken pox in children. * To date, no study has highlighted the aggravating role of exposure to NSAIDs on bacterial infections in adults, based on the usual septic severity Levy's score (SSS), and mortality, but it delays adequate antibiotics (Legras, Critical Care, 2009) * Community-acquired bacterial infections in adults exposed to NSAIDs are serious by their spread (multiple locations), and suppurative character requiring frequent use of invasive procedures such as surgery or drainage. The SSS does not reflect the seriousness of these infections. They are frequently associated with use of ibuprofen (63.4%), and self-medication practices (65.5%). The main hypothesis is that NSAIDs exposure is associated with a specific severity of community-acquired bacterial infection, marked by dissemination, suppurative complications or even invasive procedures requirement. Our objectives are also to: * Describe what NSAID use terms are associated to the risk of serious bacterial infections: molecule, dosage, duration of exposure, access (prescription or self-medication), associated drugs. * To determine what type (s) (s) of bacterial infection is worsened by exposure to NSAIDs. * To determine if other risk factors contribute to severity of bacterial community acquired infection * To describe hospital costs associated to such severity of bacterial infection

Interventions

None listed

Study design

Observational model

CASE_CONTROL

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to No maximum

Healthy volunteers

Inclusion criteria

* Patient : adult patient hospitalized in managed care organization (MCO) in one of the study centers for severe community bacterial infection, infected with more than one site, and / or abscess collection, and / or a per-cutaneous drainage of the infection, and / or septic surgery * Control: Patient hospitalized in the same center (different service or not), during the week or months of the inclusion of cases for infection without abscess or invasive procedure, only one infected site

Exclusion criteria

* Hematologic or solid neoplasia undergoing chemotherapy, long-term corticosteroid, chronic exposure to NSAIDs, ongoing treatment with methotrexate or monoclonal antibody (anti-tumor necrosis factor (ant-TNF) particular), chronic buffy neutropenia, surgical site infections, catheter infections, disorders of consciousness or cognitive neuro-against-indicating the administration of the drug exposure questionnaire adults under guardianship, minor, no insurance disease, patients already included in a biomedical research with taking medication blind.

Design outcomes

Primary

Measure	Time frame	Description
exposure to NSAIDs	From the inclusion (J0) to the the end of hospital stay, up to three months	The risk studied is the exposure to NSAIDs, the overall medication history will be collected for cases and controls. The standard questionnaire to document medications history, including self-medication, was previously published (Asseray et al., 2013) The window of exposure to drugs is defined as 14 days before hospital admission. Drug exposure will be assessed at the time of inclusion.

Secondary

Measure	Time frame	Description
Name of NSAIDS	36 months	Describe what NSAIDs terms of use contribute to the risk of serious bacterial infections
type of bacterial infection at risk of worsening when exposed to NSAIDs	36 months	Describe what type of bacterial infection is at risk of worsening when exposed to NSAIDs.
other drugs exposure assessed by questionnaire	36 months	—
Duration of NSAID exposure	36 months	—
self-medication assessment	36 months	—

Countries

France

Contacts

PRINCIPAL_INVESTIGATOROlivier Epaulard, PU-PH

University Hospital, Grenoble

PRINCIPAL_INVESTIGATOREric DENES, PH

University Hospital, Limoges

PRINCIPAL_INVESTIGATORThomas Guimard, PH

LA ROCHE SUR YON HOSPITAL

PRINCIPAL_INVESTIGATORLouis BENARD, PU-PH

Tours University Hospital

PRINCIPAL_INVESTIGATORThierry MAY, PU-PH

Central Hospital, Nancy, France

PRINCIPAL_INVESTIGATORAnnie-Pierre JONVILLE-BERA, PH