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Tackling Resistance And HealthCare Economics Through CPE Screening
Sponsor: Imperial College London
Summary
The goal of this clinical study is to learn if it is possible to reduce the spread of resistant bacteria called CPEs (Carbapenemase producing Enterobacterales) between patients admitted to hospital. CPEs can be carried in the gut of people without making them ill. Normally when patients come into hospital, they may undergo a swab test on their bottom to see if CPEs can be grown. This test can take up to 24 hours to produce a result. The investigators want to use a faster test which takes 2 hours to produce a result, and whether this can make a difference to CPE spread between person to person. The main questions it aims to answer are: 1. Why do people carry, transmit or get infected with CPE? 2. If a faster test was used to look for CPE, would this be better at reducing patient spread in hospital? 3. Is a faster test also more cost effective? Participants will: 1. Be tested by both the usual and faster test when they come into hospital by a swab on their bottom 2. Where they test positive for CPE they will be asked to answer some questions about their health
Official title: Multi-centre Evaluation of Carbapenemase-producing Enterobacterales (CPE) Prevalence and Transmission Dynamics, Recommendations on Screening Strategies, and Health Economics Outcomes Research Impact to Inform Policy Change
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
16000
Start Date
2026-08-01
Completion Date
2028-03-31
Last Updated
2026-06-23
Healthy Volunteers
No
Interventions
Rapid molecular diagnostic test for CPE identification
Participants will undergo a rectal swab and undergo rapid molecular testing for CPE colonisation
Locations (2)
Charing Cross Hospital
London, United Kingdom
St Thomas' hospital
London, United Kingdom