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The aim of the study is to describe the concentrations of Ceftriaxone at the steady state, in patients treated for meningitis, to determine pharmacokinetic parameters at high dose in this population. Additionally, we aimed to detect adverse effect, especially neurological trouble related to Ceftriaxone toxicity.
Day 0 : onset of treatment by Ceftriaxone, following usual therapeutic process (French Guideline) From Day 0 to Day 4 : inclusion, clinical and biological data collection, electroencephalogram at baseline.
Two samples for ceftriaxone concentration monitoring :
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ceftriaxone treatment | Experimental | ceftriaxone will be administered à high dose : > or equal to 75mg/kg/day or 4 gr/day |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ceftriaxone treatment | Drug | ceftriaxone will be administered à high dose : > or equal to 75mg/kg/day or 4 gr/day |
|
| Measure | Description | Time Frame |
|---|---|---|
| plasmatic concentration of ceftriaxone, measured at the steady state (after 48 hours of treatment at least). | after at least 48 hours of ceftriaxone treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Neurological troubles | Neurological troubles explored by electroencephalogram aiming to diagnose epileptic syndrome. | participants will be followed for the duration of ceftriaxone treatment, an expected average of two weeks |
| clinical evolution |
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Inclusion Criteria:
Exclusion Criteria:
- Patient under guardianship
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Tours universitary hospital | Tours | France | 37170 | France | ||
| Nantes Universitary Hospital |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 31235630 | Derived | Gregoire M, Dailly E, Le Turnier P, Garot D, Guimard T, Bernard L, Tattevin P, Vandamme YM, Hoff J, Lemaitre F, Verdier MC, Deslandes G, Bellouard R, Sebille V, Chiffoleau A, Boutoille D, Navas D, Asseray N. High-Dose Ceftriaxone for Bacterial Meningitis and Optimization of Administration Scheme Based on Nomogram. Antimicrob Agents Chemother. 2019 Aug 23;63(9):e00634-19. doi: 10.1128/AAC.00634-19. Print 2019 Sep. |
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| ID | Term |
|---|---|
| D008581 | Meningitis |
| D064420 | Drug-Related Side Effects and Adverse Reactions |
| ID | Term |
|---|---|
| D000090862 | Neuroinflammatory Diseases |
| D009422 | Nervous System Diseases |
| D064419 | Chemically-Induced Disorders |
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Time of return to apyrexia, health complications and lenght of hospital stay will be registered.
| participants will be followed for the duration of ceftriaxone treatment, an expected average of 2 weeks |
| Nantes |
| Loire Atlantique |
| 44093 |
| France |
| Angers Universitary Hospital | Angers | 49933 | France |
| La Roche/Yon hospital | La Roche/Yon | 85925 | France |
| Poitiers Universitary hospital | Poitiers | 86021 | France |
| Rennes Universitary hospital | Rennes | 35033 | France |
| St Nazaire hospital | Saint-Nazaire | 44600 | France |