Preventing Catheter-related Bacteremia When Administering Injectable Medications in Premature Infants.

NCT ID: NCT02633124

Last Updated: 2020-11-20

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

87 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-31

Study Completion Date

2020-05-31

Brief Summary

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This study evaluates the potential interest of a new multi-lumen infusion access device (Edelvaiss® Multiline NEO) in the prevention of catheter-related bacteremia when administering injectable drugs in premature infants. This device will be compared to the standard infusion set of each center.

Detailed Description

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Edelvaiss® Multiline NEO is a multi-lumen infusion access device, adapted to the neonatal population. It has five ports connected to five lumens separated in a single tube of 90 cm, combined with a small single tube called annex port. Four ports numbered 1 to 4 are connected to four peripheral lumens (residual volume per lumen: 0.6 mL). The fifth port, called central access (indicated by the HF icon (High Flow)), is reserved to the administration of parenteral nutrition. It is connected to the central lumen (residual volume: 4.5 mL). The sixth port on the annex way allows an administration closer to the infant (residual volume: 0.40 mL). It is thus reserved for emergencies and direct intravenous injections.

The innovative technological design of Edelvaiss® Multiline NEO device should enable secure administration of injectable drugs by preventing variations in drug mass flow rate and the occurrence of drug incompatibilities. This device would reduce the number of perfusion incidents and therefore, the frequency of manipulations of infusion lines within the incubator, direct source of occurrence of bacteremia.

Moreover, its main interest lies in neonatology in the possibility of being positioned outside of the incubator and to have a lifetime of 21 days, contributing to the prevention of catheter-related bacteremia. All manipulations are therefore made outside the incubator at the room temperature and the relative humidity, and at a distance from the device/catheter junction.

Conditions

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Bacteremia Infant, Very Low Birth Weight

Keywords

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Premature infants Catheter-related bacteremia Infusion device Neonatal intensive care Central Venous Catheter Drug Infusion Systems

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Participants

Study Groups

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Edelvaiss Multiline NEO

The Edelvaiss Multiline NEO design allows to position the access to the infusion line outside of the incubator, without increasing the residual volume and this device has been validated by the manufacturer as part of CE marking for a period of 21 days.

Group Type EXPERIMENTAL

Edelvaiss Multiline NEO

Intervention Type DEVICE

Use of Edelvaiss Multiline NEO to infuse the parenteral nutrition and drugs during the study period

Standard Infusion Set

The infusion set used for the standard group is the infusion set usually used.

Group Type OTHER

Standard Infusion Set

Intervention Type DEVICE

Use of Standard Infusion Set to infuse the parenteral nutrition and drugs during the study period

Interventions

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Edelvaiss Multiline NEO

Use of Edelvaiss Multiline NEO to infuse the parenteral nutrition and drugs during the study period

Intervention Type DEVICE

Standard Infusion Set

Use of Standard Infusion Set to infuse the parenteral nutrition and drugs during the study period

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Infants with gestational ages between 24 and 29 weeks.
* Infants carrying a single-lumen central venous catheter.
* Obtaining the informed parental consent.

Exclusion Criteria

* Infants carrying a multi-lumen central venous catheter.
* Infants carrying a umbilical venous catheter.
* Infants carrying two central venous catheters.
* Refusal of informed parental consent.
Minimum Eligible Age

24 Weeks

Maximum Eligible Age

29 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Ministry of Health, France

OTHER_GOV

Sponsor Role collaborator

University Hospital, Lille

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Laurent Storme, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Lille

Locations

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Chu Amiens Picardie

Amiens, , France

Site Status

Hôpital Côte de Nacre - CHU de Caen

Caen, , France

Site Status

Hôpital Jeanne de Flandre - CHRU de Lille

Lille, , France

Site Status

Hôpital Charles Nicolle - CHU de Rouen

Rouen, , France

Site Status

Countries

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France

References

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Mahieu LM, De Dooy JJ, Lenaerts AE, Ieven MM, De Muynck AO. Catheter manipulations and the risk of catheter-associated bloodstream infection in neonatal intensive care unit patients. J Hosp Infect. 2001 May;48(1):20-6. doi: 10.1053/jhin.2000.0930.

Reference Type RESULT
PMID: 11358467 (View on PubMed)

Erdei C, McAvoy LL, Gupta M, Pereira S, McGowan EC. Is zero central line-associated bloodstream infection rate sustainable? A 5-year perspective. Pediatrics. 2015 Jun;135(6):e1485-93. doi: 10.1542/peds.2014-2523. Epub 2015 May 18.

Reference Type RESULT
PMID: 25986020 (View on PubMed)

Maiguy-Foinard A, Decaudin B, Tourneux P, Guillois B, Blanc T, Galene-Gromez S, Masse M, Odou P, Denies F, Dervaux B, Duhamel A, Storme L. Effect of multi-lumen perfusion line on catheter-related bacteremia in premature infants: study protocol for a cluster-randomized crossover trial. Trials. 2019 Feb 11;20(1):115. doi: 10.1186/s13063-019-3218-6.

Reference Type DERIVED
PMID: 30744679 (View on PubMed)

Related Links

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http://www.doran-int.com/

Website of the Multiline NEO manufacturer (Doran International)

Other Identifiers

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2015-A00585-44

Identifier Type: OTHER

Identifier Source: secondary_id

2014_67

Identifier Type: -

Identifier Source: org_study_id