RecruitingPhase 4NCT06726395

Comparison of Cloxacillin and Benzylpenicillin in Penicillin Susceptible S. Aureus Bacteraemia

Randomized Controlled Clinical Trial Comparing Treatment With Cloxacillin Versus Benzylpenicillin in Bacteraemia Caused by Penicillin-susceptible Staphylococcus Aureus (PSSA)


Sponsor

Region Skane

Enrollment

420 participants

Start Date

Mar 10, 2025

Study Type

INTERVENTIONAL

Conditions

Summary

The goal of this study is to investigate if benzylpenicillin is a better treatment option than cloxacillin in patients with penicillin-susceptible Staphylococcus aureus bacteraemia.


Eligibility

Min Age: 18 Years

Inclusion Criteria1

  • Aged ≥18 with penicillin susceptible S. aureus bacteraemia (PSSA), and able to provide written informed consent.

Exclusion Criteria8

  • allergy to penicillin,
  • inability to give informed consent,
  • concomitant growth of other clinically significant bacteria in blood cultures
  • neutropenia
  • ≥ 96h with prior antibiotics
  • When the per oral follow up medication can not be flukloxacillin or penicillinV/Amoxicillin (ie prosthetic joint infection)
  • Patients in terminal palliation, where death is expected within 7 days.
  • Where the treating physician believes cloxacillin is not a first-line treatment.

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Interventions

DRUGPenicillin G_1200mg

benzylpenicillin preferred dosing 1gx4

DRUGcloxacillin

cloxacillin 2gx4


Locations(1)

Skånes universitetssjukhus, Region Skåne

Lund, Sweden

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NCT06726395


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