Ethanol in the Prevention of Central Venous Catheter Infections

NCT ID: NCT01229592

Last Updated: 2012-07-17

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

TERMINATED

Clinical Phase

NA

Total Enrollment

200 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-12-31

Study Completion Date

2012-02-29

Brief Summary

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In recent years, several new methods for treatment of catheter-related bloodstream infections (CRBSI) such as antibiotic or antiseptic lock-therapy have been developed with variable success \[1-10\].

Long-term tunnelled central venous catheters provide a reliable access for administration of chemotherapy, parenteral nutrition or haemodialysis. However, they are not free of complications such as bacteremia. The need to preserve these intra-vascular devices as long as is possible in patients in whom conventional treatment was failed makes emerge antibiotic lock-technique.

Ethanol lock-therapy was demonstrate her utility in this cases. But no study has yet been published using the ethanol lock-therapy as a prophylactic therapy in catheter related infections, neither her application in short-term CVCs.

Objectives: To investigate the value of a ethanol-lock solution in the prophylaxis of non-tunnelled short-term CVC related infections in a heart post-surgical intensive care unit (HPSICU).

Methods: An academic, prospective, randomized and controlled clinical trial is proposed. Patients at HPSICU who have a CVC more than 48 h will be randomized in two arms (ethanol-lock or control group with conventional measurements such as anticoagulants). In the follow-up period, we will register all necessary data to evaluate the end-points of study (CBRSI rate, catheter colonization rate, hospital stay, antimicrobial consume and adverse events due to ethanol).

Detailed Description

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Conditions

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Catheter Related Infection

Keywords

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infection catheter bacteriaemia ethanol

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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Ethanol

Every three day lock using Ethanol in all the lumen of the Catheter

Group Type EXPERIMENTAL

Ethanol

Intervention Type DRUG

Every three day lock using Ethanol(70%)in all the lumen(1ml/per lumen) of the Catheter

Heparine

Every three day lock using Heparine in all the lumen of the Catheter

Group Type ACTIVE_COMPARATOR

Heparine

Intervention Type DRUG

Every three day lock using Heparin(Fibrilin TM) 3ml in all the lumen of the Catheter

Interventions

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Ethanol

Every three day lock using Ethanol(70%)in all the lumen(1ml/per lumen) of the Catheter

Intervention Type DRUG

Heparine

Every three day lock using Heparin(Fibrilin TM) 3ml in all the lumen of the Catheter

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* older than 18 years old
* Signed informed consent
* central Venous catheter more than 48 hours placed

Exclusion Criteria

* pregnancy
* denial Informed consent Form
* ethanol intolerance
* Liver cirrhosis
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hospital General Universitario Gregorio Marañon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Servicio de Microbiología y Enfermedades Infecciosas. Hospital GU Gregorio Marañon

Madrid, Madrid, Spain

Site Status

Countries

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Spain

References

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Perez-Granda MJ, Barrio JM, Munoz P, Hortal J, Rincon C, Rabadan PM, Pernia MS, Bouza E. Ethanol lock therapy (E-Lock) in the prevention of catheter-related bloodstream infections (CR-BSI) after major heart surgery (MHS): a randomized clinical trial. PLoS One. 2014 Mar 27;9(3):e91838. doi: 10.1371/journal.pone.0091838. eCollection 2014.

Reference Type DERIVED
PMID: 24675993 (View on PubMed)

Other Identifiers

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2007-007063-24

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

EC07/90653

Identifier Type: -

Identifier Source: org_study_id