An observer-blinded, cluster randomised trial of a typhoid conjugate vaccine in an urban South Indian cohort
We present here the protocol of a cluster randomised vaccine trial to assess the impact of introducing TyphiBEV ® vaccine to those between 1 and 30 years of age in a high-burden setting.MethodsThe primary objective is to determine the relative and absolute rate reduction of symptomatic, blood-culture-confirmedS. Typhi infection among participants vaccinated with TyphiBEV ® in vaccine clusters compared with the unvaccinated participants in non-vaccine clusters. The study population is residents of 30 wards of Vellore (a South Indian city) with participants between the ages of 1 and 30 years who provide informed consent....
Source: Trials - August 3, 2023 Category: Research Source Type: clinical trials

Effectiveness of a community health worker-led low-sodium salt intervention to reduce blood pressure in rural Bangladesh: protocol for a cluster randomized controlled trial
DiscussionRecent large clinical trials of LSSS in China and India have shown not only blood pressure improvements, but also stroke, major cardiac event, and all-cause mortality reductions. Nevertheless, how to best translate this intervention to population-level effectiveness remains unclear. Our study would test whether a community health worker-based program could be effectively used to disseminate LSSS and achieve measurable blood pressure benefits.Trial registrationClinicalTrials.gov NCT05425030. Registered on June 21, 2022. (Source: Trials)
Source: Trials - July 27, 2023 Category: Research Source Type: clinical trials

Impact of Reducing Colistin Use on Colistin Resistance in Humans and Poultry in Indonesia
Conditions:   Colonization, Asymptomatic;   Colistin;   Mcr-1;   Antimicrobial Resistance Intervention:   Other: screening Sponsors:   Erasmus Medical Center;   Indonesia University;   Center For Indonesian Veterinary Analytical Studies;   Utrecht University;   Institute of Tropical Medicine;   University of Calgary;   Directorate of Veterinary Public Health, Ministry of Agriculture Not yet recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - July 25, 2023 Category: Research Source Type: clinical trials

Lower Extremity Amputations in Persons With Diabetes Mellitus in the Netherlands
Conditions:   Lower Extremity Amputations;   Diabetes Mellitus Intervention:   Procedure: lower extremity amputation Sponsors:   University Medical Center Groningen;   Isala;   Innofeet;   Vektis health care information center;   National Institute for Public Health and the Environment (RIVM) Active, not recruiting (Source: ClinicalTrials.gov)
Source: ClinicalTrials.gov - July 11, 2023 Category: Research Source Type: clinical trials