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In Siriraj Hospital, Colistin alone for treatment of MDR. A.baumanii or P.aeruginosa contributed to mortality 45%. In vitro studies revealed synergism of Rifampicin and Colistin.
In this study, patients with documented MDR. P.aeruginosa or A.baumanii will be allocated to receive Colistin alone and another group will receive Colistin plus Rifampicin.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Colistin | Active Comparator | Colistate |
|
| Colistin plus Rifampicin | Experimental | Colistate Rifampin |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Colistin | Drug | Colistimethate Sodium dose 2.5-5mg/kg/day |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| number of subjects with cure or improvement | Cure Improvement Worse Death | up to day 28 |
| Measure | Description | Time Frame |
|---|---|---|
| number of subjects with eradication of causative bacteria | Eradication Persistence Superinfection | up to day 28 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Visanu Thamlikitkul, Professor | Contact | 662 419 7000 | 6626 | sivth@mahidol.ac.th |
| Sunee Thanakhumtorn | Contact | 662 419 7000 | 6616 | srstn@mahidol.ac.th |
| Name | Affiliation | Role |
|---|---|---|
| Sukij Piyasirisilp, MD | Siriraj Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Division of Infectious disease and Tropical Medicine, Department of Medicine, Faculty of Medicine Siriraj Hospital | Recruiting | Bangkoknoi | Bangkok | 10700 | Thailand |
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| ID | Term |
|---|---|
| D003091 | Colistin |
| D012293 | Rifampin |
| ID | Term |
|---|---|
| D011113 | Polymyxins |
| D010456 | Peptides, Cyclic |
| D047028 | Macrocyclic Compounds |
| D011083 | Polycyclic Compounds |
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| Colistin plus Rifampicin | Drug | Colistin 2.5 to 5 mg/ Kg/ day Rifampin 10 mg/ Kg/ day |
|
|
| D055666 |
| Lipopeptides |
| D008055 | Lipids |
| D023181 | Antimicrobial Cationic Peptides |
| D010455 | Peptides |
| D000602 | Amino Acids, Peptides, and Proteins |
| D000089882 | Antimicrobial Peptides |
| D052899 | Pore Forming Cytotoxic Proteins |
| D008565 | Membrane Proteins |
| D011506 | Proteins |
| D012294 | Rifamycins |
| D006576 | Heterocyclic Compounds, 4 or More Rings |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
| D047029 | Lactams, Macrocyclic |