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The aim of this study was to compare the frequency of occurrence of digestive carrying of 3rd generation cephalosporin-resistant enterobacteriaceae (EB C3G-R), acquired during hospitalization in one of the participating departments, between patients treated with ceftriaxone and patients treated with cefotaxime
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Cefotaxime or ceftriaxone group | Active Comparator | free use of cefotaxime or ceftriaxone by the investigator |
|
| Cefotaxim group | Experimental | Systematic use of cefotaxime |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cefotaxime Injection | Drug | Systematic use of cefotaxime. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Frequency of occurrence of digestive carrying of EB C3G-R | Frequency of occurrence of digestive carrying of EB C3G-R | 30 days after inclusion |
| Measure | Description | Time Frame |
|---|---|---|
| incidence rate of EB C3G-R infections | Evaluate the effect of systematic use of cefotaxime rather than ceftriaxone on the incidence rate of EB C3G-R infections in participating departments. | 2 years |
| number of patients with occurrence of positive rectal swab with 3rd generation cephalosporin-resistant enterobacteriaceae (EB C3G-R) |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| CHU de Besançon | Recruiting | Besançon | 25000 | France |
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stepped-wedge design
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| Rectal swab |
| Procedure |
Rectal swab every 3 days during hospitalization and then 30 days after the first antibiotic infusion |
|
| Cefotaxime/ceftriaxone | Drug | ceftriaxone or cefotaxime infusion at the discretion of the prescribing physician |
|
Compare the number of patients with occurrence of positive rectal swab with 3rd generation cephalosporin-resistant enterobacteriaceae (EB C3G-R), 30 days after inclusion, between patients treated with ceftriaxone and patients treated with cefotaxime. |
| 30 days after inclusion |
| ID | Term |
|---|---|
| D004194 | Disease |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D002439 | Cefotaxime |
| D002443 | Ceftriaxone |
| ID | Term |
|---|---|
| D002505 | Cephacetrile |
| D002511 | Cephalosporins |
| D047090 | beta-Lactams |
| D007769 | Lactams |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D013843 | Thiazines |
| D013457 | Sulfur Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
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