Comparison of the Impact on Digestive Portage of Broad Spectrum Beta-Lactamase-Producing Enterobacteriaceae (E-ESBLs) of Proposed Treatments in Outbreaks of Childhood Urinary Tract Infection

Status: Recruiting
Location: See all (20) locations...
Intervention Type: Other
Study Type: Observational
SUMMARY

The emergence of extended-spectrum beta-lactamase-producing Enterobacteriaceae (E-ESBL) is a major public health problem. It leads more frequent prescription of penems with the risk of emergence and spread of strains producing carbapenemases, which may be resistant to all known antibiotics. A policy of savings of penems is desirable. Among the alternatives to penems, amikacin is in the foreground. It remains active on the majority of E-ESBL strains. Some risk factors for E-ESBL emergence are known: recent antibiotic therapy (particularly quinolones and cephalosporins third generation), previous hospitalization or residence in a high endemic country. In pediatrics, E-ESBLs are primarily responsible for urinary tract infection. In France, E-ESBLs represent about 10% of the strains responsible for urinary tract infections. The Pathology Group Pediatric Infectious (GPIP) of the French Society of Pediatrics (SFP) and the Society of Infectious Pathology French Language (SPILF) have proposed different therapeutic options to treat febrile UTIs in children: amikacin intravenous; intravenous (IV) ceftriaxone or intramuscular (IM); or cefixime per-os (PO). The objective of this study is to compare the emergence of E-ESBLs in stools of children after febrile UTIs treatment with amikacin IV versus ceftriaxone or cefixime.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 3 months
Maximum Age: 3
View:

• Infant and child (age ≥ 3 months and \<3 years)

• Patient treated for febrile urinary tract infection as monotherapy with amikacin IV, ceftriaxone (IV or IM) or cefixime PO \*

• Whose parents read and understood the newsletter and whose express consent was collected

• Patient affiliated to a social security scheme (Social Security or Universal Medical Coverage)

Locations
Other Locations
France
Jean Verdier Hospital
RECRUITING
Bondy
Cabinet du Dr Benali
RECRUITING
Charenton-le-pont
Cabinet du Dr Coicadan
RECRUITING
Chennevières-sur-marne
Antoine Beclère Hospital
NOT_YET_RECRUITING
Clamart
Cabinet du Dr Corrard
RECRUITING
Combs-la-ville
Cabinet du Dr Thollot
RECRUITING
Essey-lès-nancy
André Mignot Hospital
NOT_YET_RECRUITING
Le Chesnay
CHU Le Kremlin-Bicêtre
NOT_YET_RECRUITING
Le Kremlin-bicêtre
157 Avenue du Général Leclerc
NOT_YET_RECRUITING
Maisons-alfort
Centre Hospitalier de Meaux
NOT_YET_RECRUITING
Meaux
Cabinet du Dr Deberdt
RECRUITING
Nogent-sur-marne
Cabinet du Dr Wollner
RECRUITING
Nogent-sur-marne
Cabinet du Dr Michot
RECRUITING
Paris
Cabinet du Dr Romain
RECRUITING
Paris
Cabinet du Dr Turberg-Romain
RECRUITING
Paris
Hospital Robert-Debré
RECRUITING
Paris
Cabinet du Dr Cohen
RECRUITING
Saint-maur-des-fossés
Cabinet du Dr Werner
RECRUITING
Villeneuve-lès-avignon
CHI Villeneuve-Saint-Georges
RECRUITING
Villeneuve-saint-georges
13 Villa Beauséjour
NOT_YET_RECRUITING
Vincennes
Contact Information
Primary
Fouad Madhi, MD
fouad.madhi@chicreteil.fr
+33157025422
Time Frame
Start Date: 2019-01-19
Estimated Completion Date: 2026-07
Participants
Target number of participants: 200
Treatments
amikacin IV
Febrile urinary tract infection treated with amikacin IV
Other antibiotics
Febrile urinary tract infection treated with other antibiotic, according to the recommendations: ceftriaxone or cefixime
Related Therapeutic Areas
Sponsors
Leads: Centre Hospitalier Intercommunal Creteil

This content was sourced from clinicaltrials.gov