Status:

WITHDRAWN

Development of a Probiotic Strategy to Prevent or Eliminate Nasal Colonization With S. Aureus

Lead Sponsor:

Tufts Medical Center

Conditions:

Hemodialysis

Eligibility:

All Genders

18+ years

Brief Summary

The goal of this study is characterize the changes in bacterial diversity of the nares of hemodialysis patients. Another goal is to determine when hemodialysis patients become colonized with the bacte...

Eligibility Criteria

Inclusion

  • Male and female subjects aged 18 years or older
  • On a stable hemodialysis schedule three times a week at Tufts Medical Center outpatient hemodialysis unit
  • Able to speak English, Spanish, Cantonese, or Mandarin (One of these languages is spoken by \>95% of our hemodialysis population)
  • Provides informed consent to participate in the study
  • No plans to be absent from the dialysis unit in the next 6 months
  • Willingness to report on adverse events during the study period

Exclusion

  • Patients in which hemodialysis was indicated for acute renal failure secondary to septic shock, acute tubular necrosis, or other condition which is felt to be temporary or secondary to a life threatening illness or likelihood of hemodialysis for less than 6 months.
  • Treatment with systemic anti-staphylococcal antibiotic therapy within 30 days prior to enrollment or planned use of topical mupirocin applied to the nares
  • Receiving peritoneal dialysis (concordance between the colonizing and infecting strain is not as high as in the hemodialysis population (105))
  • Absolute neutrophil count less than 500/mm3 or anticipated fall in neutrophil count \< 500/mm3 (e.g. as a result of recent chemotherapy)
  • Bleeding diathesis such as platelets count less than 20 or INR \>4 within the last 30 days
  • On immunosuppressive therapy
  • Anticipated renal transplant during the next 6 months
  • Evidence of active bowel leak, acute abdomen or colitis

Key Trial Info

Start Date :

May 1 2011

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT00977496

Start Date

May 1 2011

Last Update

March 18 2015

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