- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01820455
MRSA in a Trauma Population: Does Decolonization Prevent Infection?
December 16, 2014 updated by: Laura Brown, University of Tennessee
Methicillin-resistant Staphylococcus Aureus in a Trauma Population: Does Decolonization Prevent Infection?
All trauma patients admitted to certain Intensive Care Units (ICU) will have Methicillin-resistant Staphylococcus aureus (MRSA) nasal swabs performed to determine MRSA colonization status.
Only those patients who are determined to be colonized with MRSA at admission will be included in the study.
All patients must be age 18 and older, admitted directly to the ICU from either the Emergency Department or the operating room with trauma-related injuries, and must not have active or recent known history of MRSA infections.
Once patients have been determined to be colonized with MRSA, they will be randomized to receive "decolonization" treatment or placebo.
"Decolonization" treatment will include Chlorhexidine baths and Mupirocin ointment to both nares for 5 days and placebo will entail "routine" soap baths and Lubricating Jelly.
Both groups will be kept on standard contact precautions throughout the course of the study.
Repeat nasal swabs will be performed at the completion of the treatment regimen to determine the efficacy.
Patients will be screened for invasive MRSA infections as dictated by their clinical course.
The primary outcome measure will be invasive MRSA infection rate (pneumonia, urinary tract infection, bacteremia and soft tissue infection).
Secondary endpoints include hospital lengths of stay, ICU lengths of stay, mechanical ventilatory support requirements, colonization status at the end of treatment, and death rates.
As determined by our power analysis, we aim to enroll 75 patients in each arm over the course of 12-24 months.
Study Overview
Status
Completed
Conditions
Intervention / Treatment
Detailed Description
Partway through the enrollment period, it was determined that in the best interests of the patients, the protocol would be altered to eliminate the randomization process and treat all patients with the decolonization treatment regimen.
Study Type
Interventional
Enrollment (Actual)
55
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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Tennessee
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Chattanooga, Tennessee, United States, 37403
- Erlanger Hospital
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-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- colonized with MRSA at admission
- age of 18 years or older
- admitted directly to the ICU from either the ED or the OR with trauma-related injuries
Exclusion Criteria:
- active or recent known history of MRSA infection
- previous institutionalization
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Chlorhexidine, Mupirocin
Chlorhexidine baths and intranasal Mupirocin ointment daily for 5 days
|
Chlorhexidine baths and intranasal mupirocin ointment once daily for five days
Other Names:
|
Placebo Comparator: Soap baths, Lubricating jelly
Soap and water baths with lubricating jelly to each nare daily for 5 days
|
Soap and water baths with lubricating jelly to the nares, once daily for 5 days
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of patients decolonized following treatment
Time Frame: Up to 24 months
|
Measurement of decolonization of MRSA as determined by polymerase chain reaction (PCR) from the nares of critically ill trauma population following treatment.
|
Up to 24 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Number of decolonized patients who develop further infections versus number of infections developed by patients who remain colonized
Time Frame: up to 24 months
|
Evaluate the difference between the number of patients who are decolonized following treatment who later develop invasive MRSA infections versus those who remain colonized and develop infections.
|
up to 24 months
|
Evaluate the genotype and virulence factors of initial colonization and additional MRSA sources
Time Frame: up to 24 months
|
Evaluate the genotypes of the initial MRSA sampled and additional sources developed by the patient.
This will determine if patients are developing additional infections from outside sources or from the same strain of MRSA with which they were originally colonized.
|
up to 24 months
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Robert A Maxwell, MD, University of Tennessee
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
January 1, 2012
Primary Completion (Actual)
January 1, 2014
Study Completion (Actual)
March 1, 2014
Study Registration Dates
First Submitted
March 20, 2013
First Submitted That Met QC Criteria
March 25, 2013
First Posted (Estimate)
March 28, 2013
Study Record Updates
Last Update Posted (Estimate)
December 18, 2014
Last Update Submitted That Met QC Criteria
December 16, 2014
Last Verified
December 1, 2014
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NTI-TRA-10-020
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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