Trial on the Efficacy of Tegaderm Chlorhexidine Gluconate (CHG) in Reducing Catheter Related Bloodstream Infections
NCT ID: NCT01142934
Last Updated: 2012-02-01
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
PHASE4
1200 participants
INTERVENTIONAL
2009-10-31
2012-10-31
Brief Summary
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catheter colonization (growth of microbes from the culture of catheter tip, \> 15 CFU according to semi-quantitative method or \> 1000 CFU according to quantitative method); incidence of catheter exit site infection; occurrence of catheter related infections/sepsis or other severe infection-related complications; safety profile evaluation: occurrence of hypersensitivity to the dressing on the basis of local objectivity (erythema, edema, other) or on that of patient symptoms (itch, burning sensation); relating to the device performance: incidence of high/medium/low dressing edge lift, ability to visualize the catheter insertion site, easiness of removal, easiness of dressing application; incidence of unscheduled dressing change. The study hypothesis implies that the use of slow release device containing chlorhexidine may decrease the incidence of CRBSI. This has already been showed for chlorhexidine impregnated sponges. Scope of the study is to verify if this property is also true for TegaDerm CHG,which is a new chlorhexidine-releasing dressing in which the medication is directly released by an integrated transparent gel pad, so that the catheter exit site remains visible and easy to inspect without removing the dressing.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
NONE
Study Groups
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TegaDerm CHG
TegaDerm CHG is the interventional arm to be compared with the control group in which the dressing is TegaDerm (without CHG).
Transparent adhesive dressing with an integrated gel pad containing 2% w/w chlorhexidine gluconate (CHG) (TegaDerm CHG)
The intervention is represented by the combination of the TegaDerm transparent adhesive dressing with an integrated gel pad containing 2% w/w chlorhexidine gluconate (CHG), an antiseptic agent with broad spectrum antimicrobial and antifungal activity.
Interventions
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Transparent adhesive dressing with an integrated gel pad containing 2% w/w chlorhexidine gluconate (CHG) (TegaDerm CHG)
The intervention is represented by the combination of the TegaDerm transparent adhesive dressing with an integrated gel pad containing 2% w/w chlorhexidine gluconate (CHG), an antiseptic agent with broad spectrum antimicrobial and antifungal activity.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Hospitalized patients, either in Intensive Care Unit or in non-Intensive Care ward settings
* Clinical indication for the insertion of a non-tunneled central venous catheter (excluding large bore catheters for dialysis or pheresis) or a PICC
Exclusion Criteria
* Inability to obtain an informed consent
* Actual evidence - or recent history (\< 30 days) - of bloodstream infection
* Central lines inserted in the femoral vein
* Central lines inserted by surgical cutdown
* Use of so called 'treated' catheters, i.e. catheters whose internal and/or external surface is coated with antibacterial drugs as well as catheters whose polyurethane releases ions with potential antiseptic action, should be excluded by the present protocol
* Specific intolerance or known hypersensitivity to transparent dressings or to chlorhexidine
* Any form of dermatitis, burns, skin lesions or tattoos at the insertion site
* Burns over ≥ 15% of the body surface area
* Use of topical antibiotics within a 10cm of the catheter insertion site
* Enrollment in another investigational drug or device study at any time during this study or 30 days prior.
18 Years
ALL
No
Sponsors
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3M
INDUSTRY
Fondazione C.N.R./Regione Toscana "G. Monasterio", Pisa, Italy
OTHER_GOV
Catholic University of the Sacred Heart
OTHER
Responsible Party
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Giancarlo Scoppettuolo
MD
Principal Investigators
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Giancarlo Scoppettuolo, MD
Role: PRINCIPAL_INVESTIGATOR
Dpt. Infectious Diseases, Rome Catholic University (CUSacredHeart)
Mauro Pittiruti, MD
Role: PRINCIPAL_INVESTIGATOR
Dpt. Surgery, Rome Catholic University (CUSacredHeart)
Locations
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I.C.U. Ospedale Civico
Palermo, PA, Italy
Dpt. Infectious Diseases, Rome Catholic University
Rome, RM, Italy
I.C.U. Rome Catholic University
Rome, RM, Italy
General Surgery Policlinico Umberto I
Rome, RM, Italy
I.C.U. Heart Surgery Policlinico Umberto I
Rome, RM, Italy
I.C.U. Neurosurgery Policlinico Umberto I
Rome, RM, Italy
I.C.U. Policlinico Umberto I
Rome, RM, Italy
Palliative Car Unit - Ospedale di Circolo
Varese, VA, Italy
Countries
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Central Contacts
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Facility Contacts
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Related Links
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Related Info
Italian Group for the Study of Medium and Long Term Vascular Access
Other Identifiers
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TegaCHGit01
Identifier Type: -
Identifier Source: org_study_id
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