Campylobacter Enteritis and Post-Infective Bowel Dysfunction (PI-BD): Role of Antibiotics and Microbiota
CERAMIC
An Observational Study of the Role of Antibiotics, Inflammation and Changes in Microbiota in the Development of Post-infective Bowel Dysfunction Following Infection With Campylobacter Jejuni or Coli
2 other identifiers
observational
450
1 country
1
Brief Summary
The principal research objective is to determine the impact of antibiotic use on the risk of developing long term bowel symptoms after infection with the germ Campylobacter.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jan 2013
Longer than P75 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2013
CompletedFirst Submitted
Initial submission to the registry
January 14, 2014
CompletedFirst Posted
Study publicly available on registry
January 20, 2014
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2017
CompletedMay 4, 2017
May 1, 2017
4.1 years
January 14, 2014
May 3, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Yes/ no: Post-Infective bowel dysfunction (PI-BD)
This will be defined by response to the question "have your bowels returned to normal since your Campylobacter infection?"
12 weeks after microbiological diagnosis of infection
Secondary Outcomes (1)
Yes/ No: Post-Infective irritable bowel syndrome (PI-IBS)
12 weeks after microbiological diagnosis of infection
Study Arms (1)
Post-Campylobacter
Adults with symptoms of intestinal infection who submit a stool sample from which Campylobacter jejuni or coli is cultured
Eligibility Criteria
Adults in the Nottinghamshire area with no previous history of gastrointestinal disorder or surgical resection. Those who submit a stoo lsample from which Campylobacter spp. is cultured will be invited to take part.
You may qualify if:
- Age ≥ 18
- Clinical syndrome suggestive of intestinal infection, including symptoms such as new onset of abdominal pain, vomiting, diarrhoea, blood in stools, fever
- Submission of stool sample to Nottingham University Hospitals Microbiology Laboratory for investigation of these symptoms
- Campylobacter sp. cultured by selective media (standard clinical practice) from this stool sample
You may not qualify if:
- Pregnancy declared by the candidate
- History declared by the candidate of pre-existing gastrointestinal disorder, including but not limited to:
- Inflammatory Bowel Disease
- Coeliac Disease
- Pancreatitis
- Gallstone disease (biliary colic, cholecystitis)
- Diverticulitis
- Cancer of the gastrointestinal tract
- Irritable Bowel Syndrome
- Reported history of previous resection of any part of the gastrointestinal tract other than appendix or gallbladder
- Intestinal stoma
- Habitual use of opiate analgesics likely to alter bowel function e.g. morphine
- Use of antibiotics in the preceding four weeks other than for treatment of index infection.
- Use of purgative products/ high dose laxatives for bowel preparation in the four weeks prior to index infection.
- Any condition where the candidate is likely to require a course of antibiotics in the next 3 months e.g. severe chronic respiratory disease, recurrent urinary tract infection, lower limb ulceration
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Nottinghamlead
- Nottingham University Hospitals NHS Trustcollaborator
- Department of Health, United Kingdomcollaborator
- King's College Londoncollaborator
- University of Helsinkicollaborator
Study Sites (1)
University of Nottingham
Nottingham, NG7 2UH, United Kingdom
Related Publications (1)
Jalanka J, Gunn D, Singh G, Krishnasamy S, Lingaya M, Crispie F, Finnegan L, Cotter P, James L, Nowak A, Major G, Spiller RC. Postinfective bowel dysfunction following Campylobacter enteritis is characterised by reduced microbiota diversity and impaired microbiota recovery. Gut. 2023 Mar;72(3):451-459. doi: 10.1136/gutjnl-2021-326828. Epub 2022 Sep 28.
PMID: 36171082DERIVED
Related Links
Biospecimen
Stool (Faeces) Whole Blood
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Robin C Spiller, MSc MD FRCP
University of Nottingham
- PRINCIPAL INVESTIGATOR
Giles AD Major, BM BCh MRCP
University of Nottingham
- STUDY DIRECTOR
Mathew Diggle, MSc PhD
Nottingham University Hospitals NHS Trust
- STUDY DIRECTOR
Richard Puleston, MBBS PhD
University of Nottingham
- STUDY DIRECTOR
Miranda Lomer, PhD RD
King's College London
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 14, 2014
First Posted
January 20, 2014
Study Start
January 1, 2013
Primary Completion
February 1, 2017
Study Completion
June 1, 2017
Last Updated
May 4, 2017
Record last verified: 2017-05
Data Sharing
- IPD Sharing
- Will not share