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Farm-originated Antimicrobial Resistance Modeling: Exploring Humans-to-Animal Dissemination (FARMHAND)

2026年11月3日 更新者:Centre Hospitalier de Saint-Brieuc

Farm-originated Antimicrobial Resistance Modeling: Exploring Humans-to-Animal Dissemination - FARMHAND

Antimicrobial resistance is a major public health issue. Methicillin resistance in Staphylococcus aureus (MRSA) is one of the indicators that is monitored particularly closely. In animals, pig farms, among others, have been identified as reservoirs of MRSA, with a risk of transmission to humans, particularly to individuals in direct contact with livestock. In France, the prevalence of MRSA in pig farms has increased markedly in recent years.

While cross-species transmission between pigs and humans in professional settings is well-documented, the temporal dynamics, the actual incidence of acquisition, and the associated determinants remain insufficiently characterized in France.

Adopting a "One Health" approach, this project aims to gain a better understanding of the mechanisms by which MRSA spreads between animal and human subpopulations and to incorporate these insights into a mathematical modeling framework.

研究概览

详细说明

The participants in this project will be farmers representing 20 different pig farms, the majority of which will be located in Brittany-a region recognized as the leading pork-producing area in France.

Participants will be asked to provide two types of samples, only one of which will contain personally identifiable data.

  • Nasal swabs: Participants in the study will be asked to perform a self-administered nasal swab once a month, at approximately the same time each month. This method was selected because it has demonstrated an acceptable level of participant compliance, as well as satisfactory validity for detecting S. aureus carriage in humans.
  • Dust samples: Participants will be asked to collect dust samples from the production floor-specifically in the room within the finishing facility that houses the oldest animals-by wiping surfaces with a small cloth. This method was chosen because dust in livestock-rearing environments has been identified as a reliable indicator of MRSA carriage status in pigs.

These successive samplings will be carried out over time in order to analyze carriage dynamics and estimate epidemiological parameters of interest. A modeling component will be incorporated to make use of the data collected.

研究类型

介入性

注册 (估计的)

20

阶段

  • 不适用

联系人和位置

本节提供了进行研究的人员的详细联系信息,以及有关进行该研究的地点的信息。

学习联系方式

研究联系人备份

学习地点

      • Ploufragan、法国、22440
        • Anses Ploufragan - Plouzané - Niort, site de Ploufragan
        • 接触:
          • Claire CHAUVIN, Dr
      • Saint-Brieuc、法国、22000
        • Centre Hospitalier de Saint-Brieuc - Paimpol - Tréguier, site de Saint-Brieuc
        • 接触:

参与标准

研究人员寻找符合特定描述的人,称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年 及以上 (成人、年长者)

接受健康志愿者

是的

有资格学习的性别

全部

描述

Inclusion Criteria:

  • 18 years of age or older,
  • Work full-time as a pig farmer on the participating farm,
  • Have regular contact with the animals, defined as at least 4 days per week,
  • Be willing to participate in the study and sign an informed consent form,
  • Agree to perform monthly self-administered nasal swab sampling and to provide data via a questionnaire.

Exclusion Criteria:

  • Refusal to participate or inability to provide informed consent,
  • Inability to perform monthly self-administered nasal swabs in accordance with the protocol,
  • Employment on a part-time basis, or status as an intern or apprentice within the operation,
  • No inclusion of persons targeted by Articles L. 1121-5 to L. 1121-8 and L. 1122-1-2 of the Public Health Code (e.g., minors, legally protected adults, etc.)

学习计划

本节提供研究计划的详细信息,包括研究的设计方式和研究的衡量标准。

研究是如何设计的?

设计细节

  • 主要用途:基础科学
  • 分配:不适用
  • 介入模型:单组作业
  • 屏蔽:无(打开标签)

武器和干预

参与者组/臂
干预/治疗
实验性的:Farmers representing 20 different pig farms

Participants will be asked to provide two types of samples, only one of which will contain personally identifiable information.

  • Nasal samples: a monthly self-collected nasal swab, performed at approximately the same time each month.
  • Dust samples: following the collection and storage of the nasal swab, participants will be asked to collect dust samples from the production area-specifically, from the room within the fattening facility that houses the oldest animals-by wiping surfaces using a small cloth.

研究衡量的是什么?

主要结果指标

结果测量
措施说明
大体时间
To estimate the prevalence of nasal carriage of MRSA among pig farmers during the study period.
大体时间:From enrollment to the end of the study : 24 months

The primary outcome measure is the prevalence of nasal carriage of MRSA among pig farmers during the study period, as determined by microbiological detection from self-collected nasal swabs.

From enrollment to the end of the study : 24 months

次要结果测量

结果测量
措施说明
大体时间
Describe the temporal dynamics of nasal carriage of Staphylococcus aureus among pig farmers and within farms.
大体时间:From enrollment to the end of the study : 24 months

The prevalence of nasal carriage of MSSA among pig farmers.

From enrollment to the end of the study : 24 months
Estimate the incidence of acquisition and clearance of MRSA and MSSA among pig farmers and within farms, based on repeated longitudinal measurements.
大体时间:From enrollment to the end of the study : 24 months

The incidence of acquisition and clearance of MRSA and MSSA among pig farmers, estimated from repeated longitudinal measurements of nasal carriage.

From enrollment to the end of the study : 24 months
Identify factors associated with the carriage and acquisition of MRSA among pig farmers.
大体时间:From enrollment to the end of the study : 24 months

The prevalence and incidence of MSSA and MRSA within the pig farm environment.

From enrollment to the end of the study : 24 months

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查,以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (估计的)

2026年11月1日

初级完成 (估计的)

2028年11月1日

研究完成 (估计的)

2028年11月1日

研究注册日期

首次提交

2026年10月21日

首先提交符合 QC 标准的

2026年10月21日

首次发布 (实际的)

2026年10月27日

研究记录更新

最后更新发布 (实际的)

2026年11月6日

上次提交的符合 QC 标准的更新

2026年11月3日

最后验证

2026年11月1日

更多信息

与本研究相关的术语

计划个人参与者数据 (IPD)

计划共享个人参与者数据 (IPD)?

未定

药物和器械信息、研究文件

研究美国 FDA 监管的药品

不

研究美国 FDA 监管的设备产品

不

此信息直接从 clinicaltrials.gov 网站检索,没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求,请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改,我们的网站上也会自动更新.

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