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In Siriraj Hospital, colistin alone for treatment of MDR A. baumannii contributed to mortality 45% Fosfomycin is an antimicrobial which has activity against gram-negative bacterial including MDR A. baumannii In this study, we compare the clinical and microbiologicalresponse of colistin alone versus colistin plus fosfomycin in treatment of A. baumannii infected patients
Inclusion criteria
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| colistin | Active Comparator | Colistimethate sodium 2.5-5mg/kg iv |
|
| colistin plus fosfomycin | Active Comparator | colistimethate sodium 2.5-5mg/kg iv plus fosfomycin 2gm iv every 12 hours |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| colistin | Drug | Colistimethate sodium 2.5-5mg/kg of colistin base |
|
| Measure | Description | Time Frame |
|---|---|---|
| number of subjects with cure or improvement | cure improvement worse death | up to 28days |
| Measure | Description | Time Frame |
|---|---|---|
| number of subjects with eradication of causative bacteria | eradication persistence superinfection | up to 28days |
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Dr Visanu Thamlikitkul, Professor | Contact | 662-419-6626 | sivth@mahidol.ac.th | |
| Dr Pornpan Koomanachai, MD | Contact | 662-419-7783 | nokmed@yahoo.com |
| Name | Affiliation | Role |
|---|---|---|
| Visanu Thamlikitkul, MD | Siriraj Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Siriraj Hospital | Recruiting | Bangkok | Bangkok | 10700 | Thailand |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24982065 | Derived | Sirijatuphat R, Thamlikitkul V. Preliminary study of colistin versus colistin plus fosfomycin for treatment of carbapenem-resistant Acinetobacter baumannii infections. Antimicrob Agents Chemother. 2014 Sep;58(9):5598-601. doi: 10.1128/AAC.02435-13. Epub 2014 Jun 30. |
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| ID | Term |
|---|---|
| D003091 | Colistin |
| D005578 | Fosfomycin |
| ID | Term |
|---|---|
| D011113 | Polymyxins |
| D010456 | Peptides, Cyclic |
| D047028 | Macrocyclic Compounds |
| D011083 | Polycyclic Compounds |
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| colistin plus fosfomycin | Drug | colitimethate sodium 2.5-5mg/kg iv plus fosfomycin 2gm iv every 12 hours |
|
|
| 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 |
| D063065 | Organophosphonates |
| D009943 | Organophosphorus Compounds |
| D009930 | Organic Chemicals |