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A prospective, open-label, single center, controlled trial. 44 patients that underwent neurosurgery or presented meningitis signs, for whom Clindamycin add-on therapy to assess its effect on neurological complication in relation to Neuron-specific enolase (NSE) and Neurotensin biomarkers levels.
This is a prospective, open-label, single center, controlled trial. 44 patients that underwent neurosurgery or presented meningitis signs, for whom Clindamycin add-on therapy is prescribed (900 - 1200 mg twice daily) will be recruited from Alexandria University Main Hospital.
Whole blood samples will be collected for Analyses of Neuron-specific enolase (NSE) and Neurotensin will be detected by ELISA.
All patients will be assessed for complete blood count (CBC), kidney function, liver function, Methodology
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Experimental | Group I are patients who will receive clindamycin added-on therapy. |
|
| Group B | Active Comparator | Group II patients will be managed with the standard regimen. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Clindamycin 600 mg | Drug | Clindamycin 900 - 1200 mg TWICE per day during 2 weeks period. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Neuron-specific enolase (NSE) Blood Concentration | Serum Level of NSE pg/ml | 2 weeks |
| Neurotensin Blood Concentration | Serum Level of Neurotensin pg/ml | 2 Weeks |
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Inclusion criteria
1) Adult patients will be enrolled if they underwent neurosurgery or presented with clinical signs of meningitis.
Exclusion criteria
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| Name | Affiliation | Role |
|---|---|---|
| Rehab H Werida, Ass Prof. | Damanhour University | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Alexandria University Hospital | Alexandria | Egypt |
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| ID | Term |
|---|---|
| D002981 | Clindamycin |
| ID | Term |
|---|---|
| D008034 | Lincomycin |
| D055231 | Lincosamides |
| D011759 | Pyrrolidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
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All enrolled 44 patients will be divided into two groups; Group I are patients who will receive clindamycin added-on therapy. Group II patients will be managed with the standard regimen.
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| standard regimen | Drug | standard regimen |
|
|
| D006571 |
| Heterocyclic Compounds |
| D006027 | Glycosides |
| D002241 | Carbohydrates |