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| Name | Class |
|---|---|
| Institut Pasteur in Madagascar (subject recruitment) | UNKNOWN |
| department of International cooperation of Monaco (funding) | UNKNOWN |
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The main challenge of the ChARLI program is to assess the clinical burden of severe neonatal and childhood bacterial infections in low-income countries,in particular those caused by antibiotic resistant bacteria. This program will address both healthcare associated, as well as community acquired infections. Beside its main challenge, the ChARLI program will also allow the assessment of the economic burden of these infections, the improvement of their medical care and then ultimately help to set public health interventions and guide public health measures necessary to combat bacterial infections and bacterial resistance in children. It will also lead to set up more basic research investigation to better understand how pathogenic and epidemic may be the resistant clones in these countries and to experiment innovative strategies devoted to prevent these infections.
In order to achieve these objectives, an international paediatric cohort will be created, and monitored a platform. This will be done first within the Institut Pasteur International Network (IPIN) and possibly extended in some others low income countries where the IPIN has no center. This constituted initiative will represent the first international pediatric program of its size to be located in low-income countries and specifically focusing severe bacterial infections and bacterial resistance to antibiotics
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| newborns |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| biological samples | Biological |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of infections with bacteria resistant to antibiotics in neonates and young children (up to 18 months of age). | 27 months |
| Measure | Description | Time Frame |
|---|---|---|
| Bacterial aetiology of neonatal infection in low income countries and its resistance | 27 months | |
| Identification of factors responsible of the dissemination and transmission of multiresistant resistant bacteria in low incomes countries | 27 months |
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Inclusion Criteria:
Exclusion Criteria:
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newborns
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Didier Guillemot, MD, PhD | Contact | 0145688301 | didier.guillemot@pasteur.fr |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| institut pasteur in Madagascar | Recruiting | Antananarivo | Madagascar |
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| Label | URL |
|---|---|
| Related Info | View source |
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| ID | Term |
|---|---|
| D001424 | Bacterial Infections |
| ID | Term |
|---|---|
| D001423 | Bacterial Infections and Mycoses |
| D007239 | Infections |
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At birth, for therapeutic management of the newborns in the presence of a risk factor for infection :gastric fluid, external auditory canal swabs, anal swabs, placental biopsy. Before empirical antibiotic treatment: blood cultures, blood sampling for CRP determination.In the presence of particular warning signs of infection chest X ray and lumbar puncture.
During the follow-up, for therapeutic management of the newborns if the child has a suspected infection : urine samples, blood for blood cultures and Blood formula and C-reactive protein (CRP) detrmination; rhinopharyngeal fluid samples, lumbar puncture in febrile children under the age of three months; and thick blood smears if the child has a fever.
Samples based on the presence of particular warning signs of infection: stool samples, eye or ear swabbing, chest X