Catheter-related infections are frequent. Treatment without catheter removal is difficult because of the presence of biofilm. The association of gentamicin and EDTA is active in vitro and in vivo against biofilms formed by Gram positive and Gram negative bacteria.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
8
Patients included in this study will receive daily injection (up to 10 days) of genta-EDTA-Na2 lock associated with systemic antibiotics.
Centre Hospitalier Intercommunal de Créteil
Créteil, France
HEGP
Paris, France
Hôpital Henri Mondor
Paris, France
Hôpital Saint-Louis
Paris, Île-de-France Region, France
The clinical efficacy is assessed by the frequency of clinical and microbial cure after 30 days of follow-up after the end of treatment (D40)
Resolution of clinical signs at the end of treatment (D6 if the patient already received 72h of a previous active lock before inclusion or D9 if he received a complete 10-day course of genta-EDTA-Na2 locks) and 30 days after completion of therapy (D40)
Time frame: 30 days of follow-up after the end of treatment (D40)
The long-term clinical efficacy is assessed by the frequency of microbial cure after 90 days of follow-up after the end of treatment.
Absence of microbial relapse (BSI with the same microbial pathogen, i.e. same species and same antibiotic susceptibility pattern) between D6-D9 and D100;
Time frame: after 90 days of follow-up after the end of treatment (D100)
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Hôpital Cochin
Paris, Île-de-France Region, France
Hôpital Beaujon
Paris, Île-de-France Region, France