| Unique ID issued by UMIN | UMIN000054606 |
|---|---|
| Receipt number | R000061976 |
| Scientific Title | Observational study of medical treatment for acute osteomyelitis and pyogenic arthritis |
| Date of disclosure of the study information | 2024/07/01 |
| Last modified on | 2024/12/06 11:37:05 |
Observational study of medical treatment for acute osteomyelitis and pyogenic arthritis
Observational study of medical treatment for acute osteomyelitis and pyogenic arthritis
Observational study of medical treatment for acute osteomyelitis and pyogenic arthritis
Observational study of medical treatment for acute osteomyelitis and pyogenic arthritis
| Japan |
acute osteomyelitis, septic arthritis
| Pediatrics |
Others
NO
In acute osteomyelitis and septic arthritis, comparing the group that underwent short-term intravenous therapy (including treatment initiation up to day 6) followed by oral therapy according to the ESPID guideline with the group that received the intravenous therapy for 7 days or more, demonstrate cure rates with frequency and confidence interval widths using retrospective and prospective observational studies.
Safety,Efficacy
The cure rate at 6 months from the start of treatment, meaning the absence of symptoms and signs of acute osteomyelitis and septic arthritis, and no requirement of additional antimicrobial therapy due to recurrence.
Observational
| 1 | months-old | <= |
| 19 | years-old | > |
Male and Female
1 Diagnosed with acute osteomyelitis or septic arthritis at a single site based on fever, local symptoms, and imaging findings, or diagnosed with both acute osteomyelitis and septic arthritis.
2 Aged over 1 month and under 19 years old.
3 Those who showed treatment responsiveness* to initial treatment within 5 days after treatment initiation**.
4 Cases with no positive blood culture beyond 2 days after treatment initiation**.
5 Microorganisms identified from blood, joint fluid, and pus, with susceptibility.
6 Able to take medication orally or through tube feeding, and the drug can be absorbed from the gastrointestinal tract.
*Treatment responsiveness: Determined when fever resolves and local redness, swelling, and pain improve compared to before treatment initiation.
**Treatment initiation: Day 1 is considered as the day of the second administration of initial antimicrobial therapy.
1 Those with causative microorganisms resistant to MRSA, PRSP, or other drug-resistant or acid-fast bacteria.
2 Those diagnosed as chronic osteomyelitis (with symptoms present for over 2 weeks before treatment initiation, etc.).
3 Those diagnosed with congenital or acquired immunodeficiency syndrome.
4 Cases of arthritis or osteomyelitis following trauma, surgery, or foreign body placement.
5 Cases of non-hematogenous arthritis or osteomyelitis due to direct extension from primary infectious foci.
6 Those who opted not to disclose information about this study and indicated refusal.
7 Others deemed unsuitable as subjects by the principal investigator.
200
| 1st name | Aki |
| Middle name | |
| Last name | Miyashita |
Tokyo Metropolitan Children's Medical Center
Division of infectious disease
183-8561
2-8-29, Musashidai, Fuchu-shi, Tokyo
042-300-5111
aki1002.miya1993@gmail.com
| 1st name | Aki |
| Middle name | |
| Last name | Miyashita |
Tokyo Metropolitan Children's medical center
Division of infectious disease
183-8561
2-8-29, Musashidai, Fuchu-shi, Tokyo
042-300-5111
aki1002.miya1993@gmail.com
Tokyo Metropolitan Chidren's Medical Center
none
Self funding
Tokyo Metropolitan Children's medical center
2-8-29, Musashidai, Fuchu-shi, Tokyo
042-300-5111
sn_erb@tmhp.jp
NO
| 2024 | Year | 07 | Month | 01 | Day |
Unpublished
Open public recruiting
| 2024 | Year | 04 | Month | 23 | Day |
| 2024 | Year | 06 | Month | 06 | Day |
| 2024 | Year | 08 | Month | 09 | Day |
| 2028 | Year | 03 | Month | 31 | Day |
none
| 2024 | Year | 06 | Month | 07 | Day |
| 2024 | Year | 12 | Month | 06 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000061976