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BacteremiaPRO-BACNCT03148769

Spanish Bacteriemia Cohort 2016: Epidemiology, Clinical Management and Prognosis Factors

An observational study of Bacteremia, run by Fundación Pública Andaluza para la gestión de la Investigación en Sevilla at 29 sites in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Bacteremia The Hypothesis of the study are the followings: To demonstrate relevant epidemiologic and clinical changes with potentially impact in the management and prognosis of the patients with bacteremia. Since the diagnosis and management is heterogeneous between centers, we could identify a scenario to improve. Read more about this study

Who is it for?
Ages 13 years and older
Conditions the study is for
Bacteremia
How many people
5,320 participants
Where
29 sitesSpain
Study dates
Oct 2016to May 2019
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 13 years and older
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: It will be included all episodes of bacteremia diagnosed over a year in all participating hospitals in patients over 13 years old. It´s no possible to make a calculation of the sample size, this will depend on the type of hospital, the number of beds of the same and the number of blood cultures that are requested during the period of recruitment of the study.

Who may be able to join

  • Every episode of bacteremia in patients older than 13 years old, confirmed microbiologically and clinically significant (presence of clinical sepsis data at diagnosis) should be prospectively included on the basis of standard criteria.
  • Episodes of transient bacteremia may be included.
  • Drugs will be prescribed in the usual way, according to the conditions established in the authorization. The assignment of a patient to a particular therapeutic strategy will not be decided in advance by the study protocol, but will be determined by the usual clinical practice, and the decision to prescribe a particular drug will be clearly dissociated from the decision to include to the patient in the study.

Who cannot join

  • Bacteremias without clinical relevance

Trial locations and contacts

29 sites in 1 country.

29 sites in 1 country

Spain29 sites
  • Hospital Punta Europa

    Algeciras, Cádiz, 11207

  • University General Hospital of Alicante

    Alicante, 03012

  • Torrecárdenas Hospital

    Almería, 04009

  • L´ Esperit Sant ( Santa Coloma Granemet) Hospital

    Barcelona, 08923

  • University Hospital of Burgos

    Burgos, 09006

  • University Hospital Puerta del Mar

    Cadiz, 11009

  • La Linea de la Concepción Hospital

    Cadiz, 11300

  • Puerto Real Hospital

    Cadiz, 11510

  • University Hospital Reina Sofía

    Córdoba, 14004

  • Public Health Agency Business Hospital de Poniente.

    El Ejido, Almería, 04700

  • University Hospital San Cecilio

    Granada, 18012

  • University Hospital Virgen de las Nieves

    Granada, 18014

  • General Hospital of Granollers

    Granollers, Barcelona, 08402

  • Ciudad de Jaén Hospital

    Jaén, 23007

  • Jerez de la Frontera Hospital

    Jerez de la Frontera, Cádiz, 11138

  • University Hospital of León

    León, 24001

  • University Hospital Arnau de Vilanova

    Lleida, 25198

  • University Hospital Carlos Haya ( Málaga)

    Málaga, 29010

  • Costa del Sol Hospital

    Márbella, Málaga, 29603

  • Central University Hospital of Asturias

    Oviedo, 33011

  • University Clinic of Navarra

    Pamplona, 31008

  • Hospital El Bierzo

    Ponferrada, León, 24404

  • University Hospital Marqués de Valdecilla

    Santander, 30008

  • University Hospital Virgen Macarena

    Seville, 41009

  • University Virgen de Valme Hospital

    Seville, 41014

  • University Hospital Mútua de Terrasa

    Terrassa, Barcelona, 08221

  • Hospital San Juan de la Cruz

    Úbeda, Jaen, 23400

  • University Hospital of Vigo

    Vigo, Pontevedra, 36204

  • Universitary Hospital Cruces

    Vizcaya, 48903

Other trials in Spain

About this study

Official title: Spanish Cohort of Bacteriemias 2016: Epidemiology, Clinical Management and Prognostic Factors at Diagnosis.

Bacteremia

The Hypothesis of the study are the followings:

  • To demonstrate relevant epidemiologic and clinical changes with potentially impact in the management and prognosis of the patients with bacteremia.
  • Since the diagnosis and management is heterogeneous between centers, we could identify a scenario to improve.
  • To identify quality indicators in the management of bacteremia.
  • To demonstrate that some interventions made by Bacteremia Team pose relevant impact in the prognosis of bacteremia.
Conditions
Bacteremia
Keywords
Bloodstream infections, epidemiology
Medical subject headings
Bacteremia, Sepsis

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Epidemiology and prognostic factors of bacteremia episodes.

    • Global incidence and per type of acquisition.
    • Global etiology and per type of acquisition.
    • Frequency of multiresistant and emerging microorganism.
    • Source of bacteremia.
    • Clinical severity of presentation.
    • Clinical failure, mortality at day 7, mortality at day 30, recurrence, length of stay and re-admission at hospital.

    Measured: From day 0 to day 30

Secondary outcomes (6)
  1. Clinical management of patients with bacteremia during the episode.

    • Antibiotic therapy used during the episodes (empirical and targeted).
    • Non antibiotic therapy/support therapy used during the episode.
    • Frequency of focus search and adequate control.

    Measured: From day 0 to day 30

  2. Differences in the management between types of services, wards and hospitals.

    Comparison between different services and hospital wards of variables regarding on the management of episodes.

    Measured: From day 0 to day 30

  3. Influence of clinical management in the prognosis.

    • Identifying prognostic factors related with mortality, clinical failure and recurrence.

    Measured: From day 0 to day 30

  4. Developing and validating a predictive model for early and late mortality.

    • Developing and validating a predictive model for mortality based in prognostic factors related with mortality.

    Measured: From day 0 to day 30

  5. Quality indicators in the management of bacteremia.

    • Identifying quality indicators in the management of episodes of bacteremia.

    Measured: From day 0 to day 30

  6. Interventions made by Bacteremia Team.

    • Frequency and type of interventions made by Bacteremia Teams.
    • Impact of these interventions in the management and prognosis of episodes.

    Measured: From day 0 to day 30

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 May 2017
  2. Study startOct 2016
  3. Primary completionMay 2017
  4. Study completionMay 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
5,320 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03148769
Sponsor's protocol ID
FIS-AMO-2016-01
Acronym
PRO-BAC
Status last verified
May 2019
First submitted
5 Apr 2017
Last updated
21 May 2019
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes

Publications

  • Garnacho-Montero J, Garcia-Garmendia JL, Barrero-Almodovar A, Jimenez-Jimenez FJ, Perez-Paredes C, Ortiz-Leyba C. Impact of adequate empirical antibiotic therapy on the outcome of patients admitted to the intensive care unit with sepsis. Crit Care Med. 2003 Dec;31(12):2742-51. doi: 10.1097/01.CCM.0000098031.24329.10.

    PubMed 14668610
  • Vincent JL, Sakr Y, Sprung CL, Ranieri VM, Reinhart K, Gerlach H, Moreno R, Carlet J, Le Gall JR, Payen D; Sepsis Occurrence in Acutely Ill Patients Investigators. Sepsis in European intensive care units: results of the SOAP study. Crit Care Med. 2006 Feb;34(2):344-53. doi: 10.1097/01.ccm.0000194725.48928.3a.

    PubMed 16424713
  • Rodriguez-Bano J, Lopez-Prieto MD, Portillo MM, Retamar P, Natera C, Nuno E, Herrero M, del Arco A, Munoz A, Tellez F, Torres-Tortosa M, Martin-Aspas A, Arroyo A, Ruiz A, Moya R, Corzo JE, Leon L, Perez-Lopez JA; SAEI/SAMPAC Bacteraemia Group. Epidemiology and clinical features of community-acquired, healthcare-associated and nosocomial bloodstream infections in tertiary-care and community hospitals. Clin Microbiol Infect. 2010 Sep;16(9):1408-13. doi: 10.1111/j.1469-0691.2009.03089.x.

    PubMed 19845694
  • Lopez-Cortes LE, Del Toro MD, Galvez-Acebal J, Bereciartua-Bastarrica E, Farinas MC, Sanz-Franco M, Natera C, Corzo JE, Lomas JM, Pasquau J, Del Arco A, Martinez MP, Romero A, Muniain MA, de Cueto M, Pascual A, Rodriguez-Bano J; REIPI/SAB group. Impact of an evidence-based bundle intervention in the quality-of-care management and outcome of Staphylococcus aureus bacteremia. Clin Infect Dis. 2013 Nov;57(9):1225-33. doi: 10.1093/cid/cit499. Epub 2013 Aug 8.

    PubMed 23929889
  • Pappas PG, Kauffman CA, Andes D, Benjamin DK Jr, Calandra TF, Edwards JE Jr, Filler SG, Fisher JF, Kullberg BJ, Ostrosky-Zeichner L, Reboli AC, Rex JH, Walsh TJ, Sobel JD; Infectious Diseases Society of America. Clinical practice guidelines for the management of candidiasis: 2009 update by the Infectious Diseases Society of America. Clin Infect Dis. 2009 Mar 1;48(5):503-35. doi: 10.1086/596757.

    PubMed 19191635
  • Rodriguez-Bano J, Pano-Pardo JR, Alvarez-Rocha L, Asensio A, Calbo E, Cercenado E, Cisneros JM, Cobo J, Delgado O, Garnacho-Montero J, Grau S, Horcajada JP, Hornero A, Murillas-Angoiti J, Oliver A, Padilla B, Pasquau J, Pujol M, Ruiz-Garbajosa P, San Juan R, Sierra R; Grupo de Estudio de la Infeccion Hospitalaria-Sociedad Espanola de Enfermedades Infecciosas y Microbiologia Clinica; Sociedad Espanola de Farmacia Hospitalaria; Sociedad Espanola de Medicina Preventiva, Salud Publica e Higiene. [Programs for optimizing the use of antibiotics (PROA) in Spanish hospitals: GEIH-SEIMC, SEFH and SEMPSPH consensus document]. Enferm Infecc Microbiol Clin. 2012 Jan;30(1):22.e1-22.e23. doi: 10.1016/j.eimc.2011.09.018. Epub 2011 Dec 15. Spanish.

    PubMed 22178010
  • Mosier MJ, Ton-That H. Making the case for de-escalation therapy in ventilator-associated pneumonia once again. Crit Care Med. 2013 Jul;41(7):1810-1. doi: 10.1097/CCM.0b013e31828ce949. No abstract available.

    PubMed 23774344
  • Kaye KS. Antimicrobial de-escalation strategies in hospitalized patients with pneumonia, intra-abdominal infections, and bacteremia. J Hosp Med. 2012;7 Suppl 1:S13-21. doi: 10.1002/jhm.983.

    PubMed 23737333
  • Gaynes R. Health care--associated bloodstream infections: a change in thinking. Ann Intern Med. 2002 Nov 19;137(10):850-1. doi: 10.7326/0003-4819-137-10-200211190-00015. No abstract available.

    PubMed 12435223
  • Cisneros-Herreros JM, Sanchez-Gonzalez M, Prados-Blanco MT, Llanos-Rodriguez C, Vigil-Martin E, Soto-Espinosa de los Monteros B, Pachon-Diaza J. [Blood cultures in the emergency department]. Enferm Infecc Microbiol Clin. 2005 Mar;23(3):135-9. doi: 10.1157/13072162. Spanish.

    PubMed 15757584
  • Fridkin SK, Hageman JC, Morrison M, Sanza LT, Como-Sabetti K, Jernigan JA, Harriman K, Harrison LH, Lynfield R, Farley MM; Active Bacterial Core Surveillance Program of the Emerging Infections Program Network. Methicillin-resistant Staphylococcus aureus disease in three communities. N Engl J Med. 2005 Apr 7;352(14):1436-44. doi: 10.1056/NEJMoa043252.

    PubMed 15814879
  • Rodriguez-Bano J, Navarro MD, Romero L, Martinez-Martinez L, Muniain MA, Perea EJ, Perez-Cano R, Pascual A. Epidemiology and clinical features of infections caused by extended-spectrum beta-lactamase-producing Escherichia coli in nonhospitalized patients. J Clin Microbiol. 2004 Mar;42(3):1089-94. doi: 10.1128/JCM.42.3.1089-1094.2004.

    PubMed 15004058
  • Al-Hasan MN, Juhn YJ, Bang DW, Yang HJ, Baddour LM. External validation of bloodstream infection mortality risk score in a population-based cohort. Clin Microbiol Infect. 2014 Sep;20(9):886-91. doi: 10.1111/1469-0691.12607. Epub 2014 Mar 26.

    PubMed 25455590
  • Al-Hasan MN, Lahr BD, Eckel-Passow JE, Baddour LM. Predictive scoring model of mortality in Gram-negative bloodstream infection. Clin Microbiol Infect. 2013 Oct;19(10):948-54. doi: 10.1111/1469-0691.12085. Epub 2012 Nov 27.

    PubMed 23190091
  • Retamar P, Portillo MM, Lopez-Prieto MD, Rodriguez-Lopez F, de Cueto M, Garcia MV, Gomez MJ, Del Arco A, Munoz A, Sanchez-Porto A, Torres-Tortosa M, Martin-Aspas A, Arroyo A, Garcia-Figueras C, Acosta F, Corzo JE, Leon-Ruiz L, Escobar-Lara T, Rodriguez-Bano J; SAEI/SAMPAC Bacteremia Group. Impact of inadequate empirical therapy on the mortality of patients with bloodstream infections: a propensity score-based analysis. Antimicrob Agents Chemother. 2012 Jan;56(1):472-8. doi: 10.1128/AAC.00462-11. Epub 2011 Oct 17.

    PubMed 22005999

Questions about this trial

What is this clinical trial studying?

An observational study of Bacteremia, run by Fundación Pública Andaluza para la gestión de la Investigación en Sevilla at 29 sites in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 May 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 29 sites in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Epidemiology and prognostic factors of bacteremia episodes. (time frame: From day 0 to day 30). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03148769, which also lists 18 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 May 2019.

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