Prospective Analysis of Incidence and Risk Factors of Infection of Midline Catheter

NCT ID: NCT03373630

Last Updated: 2019-12-23

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

COMPLETED

Clinical Phase

NA

Total Enrollment

250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-01-16

Study Completion Date

2019-10-21

Brief Summary

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The Midline catheter is a peripherally-inserted catheter, with the distal tip being placed at or below the level of the axilla. It is a relevant alternative to other catheters in case of limited venous access and long-run perfusions. Moreover, another significant advantage may be the reduction of the risk of infection.

However, the Midline catheter is poorly described in scientific literature, essentially through retrospective and meta analyses including multiple types of catheters (Piccline, CVC, PAC). Therefore, the TIM-GHM study aims to prospectively assess the rate of infections in case of the Midline catheter.

The results of this study could bring a collective benefit in terms of knowledge and reliability of these intravascular devices.

Depending on these results, a randomized, controlled study will be considered, in order to compare the Midline catheter to its main alternative : the Piccline.

Detailed Description

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Conditions

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Intravascular Device

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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Midline catheter

Group Type EXPERIMENTAL

Midline catheter

Intervention Type DEVICE

The catheter will be inserted according to usual practices, after the enrollment of the patient in the study. The follow-up will last until the removal of the catheter, which will also be done according to usual practices. Following the removal, bacteriologic analyses will be performed in order to diagnose any prospective infection.

Interventions

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Midline catheter

The catheter will be inserted according to usual practices, after the enrollment of the patient in the study. The follow-up will last until the removal of the catheter, which will also be done according to usual practices. Following the removal, bacteriologic analyses will be performed in order to diagnose any prospective infection.

Intervention Type DEVICE

Eligibility Criteria

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Inclusion Criteria

* Age superior or equal to 18 years old
* Intravascular treatment planned for more than 6 days

Exclusion Criteria

* Medical history of mastectomy with bilateral lymphadenectomy
* Peripheral neuropathy
* Upper-Extremity Deep Vein Thrombosis
* Arteriovenous fistula
* Poor condition of the skin of the upper limbs
* Patient in palliative care
* Patient in emergency care
* Patient under guardianship/curatorship
* Pregnant or breastfeeding women
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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TIMC-IMAG

OTHER

Sponsor Role collaborator

Vygon GmbH & Co. KG

INDUSTRY

Sponsor Role collaborator

Groupe Hospitalier Mutualiste de Grenoble

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Groupe Hospitalier Mutualiste de Grenoble

Grenoble, , France

Site Status

Countries

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France

References

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Goetz AM, Miller J, Wagener MM, Muder RR. Complications related to intravenous midline catheter usage. A 2-year study. J Intraven Nurs. 1998 Mar-Apr;21(2):76-80.

Reference Type BACKGROUND
PMID: 9601314 (View on PubMed)

Chopra V, Ratz D, Kuhn L, Lopus T, Chenoweth C, Krein S. PICC-associated bloodstream infections: prevalence, patterns, and predictors. Am J Med. 2014 Apr;127(4):319-28. doi: 10.1016/j.amjmed.2014.01.001. Epub 2014 Jan 17.

Reference Type BACKGROUND
PMID: 24440542 (View on PubMed)

Timsit JF, Dubois Y, Minet C, Bonadona A, Lugosi M, Ara-Somohano C, Hamidfar-Roy R, Schwebel C. New materials and devices for preventing catheter-related infections. Ann Intensive Care. 2011 Aug 18;1:34. doi: 10.1186/2110-5820-1-34.

Reference Type BACKGROUND
PMID: 21906266 (View on PubMed)

Ugas MA, Cho H, Trilling GM, Tahir Z, Raja HF, Ramadan S, Jerjes W, Giannoudis PV. Central and peripheral venous lines-associated blood stream infections in the critically ill surgical patients. Ann Surg Innov Res. 2012 Sep 4;6(1):8. doi: 10.1186/1750-1164-6-8.

Reference Type BACKGROUND
PMID: 22947496 (View on PubMed)

Ziegler MJ, Pellegrini DC, Safdar N. Attributable mortality of central line associated bloodstream infection: systematic review and meta-analysis. Infection. 2015 Feb;43(1):29-36. doi: 10.1007/s15010-014-0689-y. Epub 2014 Oct 21.

Reference Type BACKGROUND
PMID: 25331552 (View on PubMed)

Zochios V, Umar I, Simpson N, Jones N. Peripherally inserted central catheter (PICC)-related thrombosis in critically ill patients. J Vasc Access. 2014 Sep-Oct;15(5):329-37. doi: 10.5301/jva.5000239. Epub 2014 Apr 25.

Reference Type BACKGROUND
PMID: 24811591 (View on PubMed)

Mermel LA, Parenteau S, Tow SM. The risk of midline catheterization in hospitalized patients. A prospective study. Ann Intern Med. 1995 Dec 1;123(11):841-4. doi: 10.7326/0003-4819-123-11-199512010-00005.

Reference Type BACKGROUND
PMID: 7486466 (View on PubMed)

Pongruangporn M, Ajenjo MC, Russo AJ, McMullen KM, Robinson C, Williams RC, Warren DK. Patient- and device-specific risk factors for peripherally inserted central venous catheter-related bloodstream infections. Infect Control Hosp Epidemiol. 2013 Feb;34(2):184-9. doi: 10.1086/669083. Epub 2012 Dec 14.

Reference Type BACKGROUND
PMID: 23295565 (View on PubMed)

Other Identifiers

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2017/11-DFO-GHMG

Identifier Type: -

Identifier Source: org_study_id