Ignite Creation Date:
2024-05-05 @ 5:18 PM
Last Modification Date:
2024-10-26 @ 9:30 AM
Study NCT ID:
NCT00426894
Status:
UNKNOWN
Last Update Posted:
2007-01-25
First Post:
2007-01-24
Brief Title:
Microbial Surveillance in Children Hospitalized for Cardiovascular Surgery
Sponsor:
Hadassah Medical Organization
Organization:
Hadassah Medical Organization
Study Overview
Official Title:
Longitudinal Microbial Surveillance in Children Hospitalized for Cardiac Surgery Before the Operation and During Hospitalization
Status:
UNKNOWN
Status Verified Date:
2007-01
Last Known Status:
NOT_YET_RECRUITING
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
the purpose of this study is to determine whether children who are hospitalised waiting for cardiac surgery for several days in pediatric or pediatric surgery department acquire resistant microbial flora thus necessitating broad spectrum antibiotics for perioperative prophylaxis
Detailed Description:
Background
Guidelines for antimicrobial prophylaxis for cardiac surgery advise using first generation cephalosporin for those children coming from home Large number of children that pass cardiac surgery in Hadassah University Hospital Jerusalem are hospitalized for several days before the operation in Pediatric Surgery department due to administrative reasons These children receive broad spectrum antibiotics vancomycin and ceftazidime as a peri-operative prophylaxis in order to prevent infection with hospital acquired flora with which they could become colonized with during this period This policy causes exposure to broad spectrum antibiotics from the beginning in these children and also providing an antimicrobial pressure in the intensive care unit influencing the development of resistant flora
There is no documentation that these children acquire resistant flora during there hospitalization in the pre-operative period We suggest checking microbial flora in those children hospitalized for cardiac surgery in order to determine the need for broad spectrum antimicrobial prophylaxis
Goals
To check microbial flora in children hospitalized for cardiac surgery on different time points on admission and during hospitalization in Pediatric Surgery Department on admission to PICU immediately after operationafter 3 - 5 dayswhen drains are extracted
To document if there is a change in resistance pattern of microbial pathogens during these periods
To determine the optimal regimen for antimicrobial prophylaxis for those children who need to be hospitalized in this department before the operation
Methods
Surveillance cultures would be taken from children who are hospitalized for cardiac surgery on several time points
1 on admission to Pediatric Surgery or other department pre-operatively
2 once weekly afterwards if they continue to be hospitalized without surgery
3 on admission to PICU after surgery
4 during their subsequent hospitalization in PICU after 3 - 5 days
5 on the day of drains extraction
These cultures will include the cultures of nostrils throataxillas perineum and rectum and post operative wound
Guidelines for antimicrobial prophylaxis for cardiac surgery advise using first generation cephalosporin for those children coming from home Large number of children that pass cardiac surgery in Hadassah University Hospital Jerusalem are hospitalized for several days before the operation in Pediatric Surgery department due to administrative reasons These children receive broad spectrum antibiotics vancomycin and ceftazidime as a peri-operative prophylaxis in order to prevent infection with hospital acquired flora with which they could become colonized with during this period This policy causes exposure to broad spectrum antibiotics from the beginning in these children and also providing an antimicrobial pressure in the intensive care unit influencing the development of resistant flora
There is no documentation that these children acquire resistant flora during there hospitalization in the pre-operative period We suggest checking microbial flora in those children hospitalized for cardiac surgery in order to determine the need for broad spectrum antimicrobial prophylaxis
Goals
To check microbial flora in children hospitalized for cardiac surgery on different time points on admission and during hospitalization in Pediatric Surgery Department on admission to PICU immediately after operationafter 3 - 5 dayswhen drains are extracted
To document if there is a change in resistance pattern of microbial pathogens during these periods
To determine the optimal regimen for antimicrobial prophylaxis for those children who need to be hospitalized in this department before the operation
Methods
Surveillance cultures would be taken from children who are hospitalized for cardiac surgery on several time points
1 on admission to Pediatric Surgery or other department pre-operatively
2 once weekly afterwards if they continue to be hospitalized without surgery
3 on admission to PICU after surgery
4 during their subsequent hospitalization in PICU after 3 - 5 days
5 on the day of drains extraction
These cultures will include the cultures of nostrils throataxillas perineum and rectum and post operative wound
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None