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

Results pending

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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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

1200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-10-31

Study Completion Date

2012-10-31

Brief Summary

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TegaCHG is a multicentric randomized study aimed at evaluating the possibility that the use of TegaDerm CHG dressing may reduce the incidence of catheter related blood stream infections (CRBSI). It implies the comparison between the incidence of CRBSI in patients with central venous catheter dressed with TegaDerm without chlorhexidine gluconate (CHG) and with CHG. The primary endpoint is the occurrence of CRBSI and the secondary endpoints are:

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.

Detailed Description

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Conditions

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Catheterization Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

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).

Group Type OTHER

Transparent adhesive dressing with an integrated gel pad containing 2% w/w chlorhexidine gluconate (CHG) (TegaDerm CHG)

Intervention Type DEVICE

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.

Intervention Type DEVICE

Other Intervention Names

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TegaDerm CHG

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 18 years
* 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

* Age \< 18 years
* 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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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3M

INDUSTRY

Sponsor Role collaborator

Fondazione C.N.R./Regione Toscana "G. Monasterio", Pisa, Italy

OTHER_GOV

Sponsor Role collaborator

Catholic University of the Sacred Heart

OTHER

Sponsor Role lead

Responsible Party

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Giancarlo Scoppettuolo

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

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

Site Status RECRUITING

Dpt. Infectious Diseases, Rome Catholic University

Rome, RM, Italy

Site Status RECRUITING

I.C.U. Rome Catholic University

Rome, RM, Italy

Site Status RECRUITING

General Surgery Policlinico Umberto I

Rome, RM, Italy

Site Status RECRUITING

I.C.U. Heart Surgery Policlinico Umberto I

Rome, RM, Italy

Site Status RECRUITING

I.C.U. Neurosurgery Policlinico Umberto I

Rome, RM, Italy

Site Status RECRUITING

I.C.U. Policlinico Umberto I

Rome, RM, Italy

Site Status RECRUITING

Palliative Car Unit - Ospedale di Circolo

Varese, VA, Italy

Site Status RECRUITING

Countries

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Italy

Central Contacts

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Giancarlo Scoppettuolo, MD

Role: CONTACT

+393498380576

Mauro Pittiruti, MD

Role: CONTACT

+393388514032

Facility Contacts

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Zina Picciuca, RN

Role: primary

Giancarlo Scoppettuolo, MD

Role: primary

+393498380576

Laura Dolcetti, RN

Role: backup

+393336157080

Vincenzo Mencio, RN

Role: primary

Susanna Sodo, RN

Role: primary

Susanna Sodo, RN

Role: primary

Susanna Sodo, RN

Role: primary

Susanna Sodo, RN

Role: primary

Daniele Bertollo, MD

Role: primary

Related Links

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http://www.gavecelt.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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