Nosocomial Respiratory Virus Infection

NCT ID: NCT06643039

Last Updated: 2024-12-10

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

RECRUITING

Clinical Phase

NA

Total Enrollment

1000 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-12-05

Study Completion Date

2026-07-05

Brief Summary

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Hospital-acquired Viral Respiratory Infections (HAVRI) are associated with substantial burden on health care systems. The prevention and control of these viral infections rely on multiple measures such as hand hygiene or wearing mask. However, vaccination remains the major preventive measure.

To date, data at French national level are insufficient to describe the epidemiology of these infections, including their burden, and the potential protection of patients if vaccination coverage of health care professionals/patients is satisfactory. In addition, better understanding of the clinical characteristics of HAVRI will make it possible to identify potential sources of transmission as soon as possible and to implement appropriate hygiene measures.

We will set up a hospital-based prospective multicenter study in Bordeaux, Paris-Bichat, Dijon and Lyon, involving four inclusion services (geriatrics, internal medicine and transplantation) per hospital.

The main objective of this study is to calculate the incidence rate of hospital-acquired infections for three respiratory viruses; influenza, SARS-CoV-2 and syncytial respiratory virus (SRV), referred to as HARVI, in participating services.

Volunteered health care professionals or hospitalized patients presenting with influenza-like illness (ILI) at admission or during their stay in the participating centers will be eligible to be enrolled during the two inclusion periods: (mid-October 2024 to mid-April 2025 and mid-October 2025 to mid-April 2026).

For each patient/health care professional, a nasopharyngeal swab will be collected. A questionnaire including demographic data, medical history, vaccination, and clinical and biological data of the viral episode will also be completed by the study team. Patients tested positive for one of the viruses studied will be considered "cases" and patients tested negative as "controls".

The collected data will be pseudonymized before statistical analyses. Statistical analyses will consist of calculating incidence rates, attack rates overall and by causative virus and analysis of factors associated with the occurrence of HARVI.

The prospective design of the study will optimize the quality of the collected data (ex. consolidate the documentation of both the clinical picture and vaccination in patients and health care professionals by reducing memory bias) and allow to calculate the incidence rates, the crude and adjusted relative risks of HARVI according to the studied factors, and to describe multiple outcomes (hospitalization in intensive care units, death, etc.) based on the causative virus.

The results of this research project will allow to:

* obtain epidemiological indicators associated with HARVI;
* estimate the impact of HARVI on the prognosis of patients in hospital;
* assess the impact of HARVI on the total length of hospital stay;
* identify risk factors associated with HARVI;
* use the results as an argument for vaccination in order to increase vaccination coverage of healthcare workers.

Detailed Description

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Conditions

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Nosocomial Infections

Keywords

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Hospital-acquired infection COVID-19 Influenza SRV France

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Patients hospitalized in participating services for more than 24h

Patients hospitalized for more than 24 hours in the participating services (geriatric, internal medicine, transplantation) and who presents an influenza like illness (ILI) on admission or during hospital stay are eligible to participate. Following the signature of the consent, nasopharyngeal sample will be collected. Socio-demographic (questionnaire) and clinical information will be obtained using the study e-CRF.

Group Type OTHER

Nasopharyngeal swab

Intervention Type BIOLOGICAL

Nasopharyngeal swab collection will be carried out in patients and health care professionals presenting an ILI during the study period. This will be done by trained clinical research associates after the signature of the consent. Only one nasopharyngeal sample is expected to be collected from each participant.

Questionnaire

Intervention Type OTHER

questionnaire including demographic data, data on medical history and vaccination, and clinical and biological data on the viral episode.

Volunteered health care professionals

Volunteered health care professionals in the participating services (geriatric, internal medicine, transplantation) and who presents an influenza like illness (ILI) are eligible to participate. Following the signature of the consent, nasopharyngeal sample will be collected. Socio-demographic (questionnaire) and clinical information will be obtained using the study e-CRF

Group Type OTHER

Nasopharyngeal swab

Intervention Type BIOLOGICAL

Nasopharyngeal swab collection will be carried out in patients and health care professionals presenting an ILI during the study period. This will be done by trained clinical research associates after the signature of the consent. Only one nasopharyngeal sample is expected to be collected from each participant.

Questionnaire

Intervention Type OTHER

questionnaire including demographic data, data on medical history and vaccination, and clinical and biological data on the viral episode.

Interventions

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Nasopharyngeal swab

Nasopharyngeal swab collection will be carried out in patients and health care professionals presenting an ILI during the study period. This will be done by trained clinical research associates after the signature of the consent. Only one nasopharyngeal sample is expected to be collected from each participant.

Intervention Type BIOLOGICAL

Questionnaire

questionnaire including demographic data, data on medical history and vaccination, and clinical and biological data on the viral episode.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adults\> 18 years old
* Hospitalized patient or health care professionals presenting an ILI on admission or during the stay, meeting the following definition: fever greater than 37.8° C in the absence of taking antipyretics and/or cough or pharyngeal pain.
* Signed consent form

Exclusion Criteria

* Pregnant, parturient or breastfeeding women
* individuals deprived of their liberty by a judicial or administrative decision
* Individuals subject to psychiatric care
* Individuals admitted to a health or social establishment for purposes other than research
* Individuals under a legal protection measure (guardianship, curatorship)
* Individuals not affiliated to a social security insurance
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Hospices Civils de Lyon

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Pellegrin Hospital

Bordeaux, , France

Site Status NOT_YET_RECRUITING

CHU Dijon

Dijon, , France

Site Status NOT_YET_RECRUITING

Edouard Herriot Hospital

Lyon, , France

Site Status RECRUITING

Bichat Hospital

Paris, , France

Site Status NOT_YET_RECRUITING

Countries

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France

Central Contacts

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Philippe VANHEMS, MD, PhD

Role: CONTACT

Phone: +33 4 72 11 07 20

Email: [email protected]

Mitra SAADATIAN-ELAHI

Role: CONTACT

Phone: +33 4 72 11 07 18

Email: [email protected]

Facility Contacts

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Anne Marie ROGUES, Professor

Role: primary

Ludwig Serge AHO-GLELE, Professor

Role: primary

Philippe VANHEMS, Professor

Role: primary

Solen KERNEIS, Professor

Role: primary

Other Identifiers

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2024-A01267-40

Identifier Type: OTHER

Identifier Source: secondary_id

69HCL23_1091

Identifier Type: -

Identifier Source: org_study_id