- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03489512
Comparison Trial for Chloraprep Versus Aqueous Chlorhexidine (2%) for the Prevention of Catheter-related Bacteremia
Clinical Phase IV Comparison Trial for 2% Chlorhexidine Skin Asepsis +70% Alcohol Versus Aqueous Chlorhexidine (2%) for the Prevention of Catheter-related Bacteremia in Critical Patients: Preliminary Study
Study Overview
Status
Intervention / Treatment
Detailed Description
A multicentre, open-label clinical trial of two groups comparing cutaneous asepsis with chlorhexidine gluconate at 2% + isopropyl alcohol 70% in relation to the placement of central venous catheters (Study group) with standard asepsis with aqueous chlorhexidine at 2% (Group Control). The incidence of catheter related bacteremia, the incidence of colonization of the skin and the incidence of colonization of the central venous catheter will be evaluated.
The patients will assigned to the treatment group depending on where and when they are treated (site A or site B) and will continue the treatment until the end (continuous design): the patients of Site A will receive the first treatment option and those of Site B will receive the second treatment option during the first 6 months. After this, a rest period of 1 month will be established, during which patients will not be recruited and any of the two cutaneous aseptic methods will be used indiscriminately, in the opinion of the responsible nursing staff. After the resting period, the treatments will be reversed during the following 6 months.
Study Type
Phase
- Phase 4
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients admitted to the ICU.
- Patients with age greater than or equal to 18 years.
- Patients who require at least one central venous catheters during 48h or more.
- Obtaining informed consent.
Exclusion Criteria:
- Intolerance or known allergy to chlorhexidine, isopropyl alcohol or orange yellow S (E110).
- High probability of death within 48 hours after admission.
- Use of coated catheter.
- Previously included in the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Non-Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: A (Chloraprep)
2% chlorhexidine gluconate with 70% isopropyl alcohol with a sterile 3ml single dose applicator.
Use for the preparation of the skin before insertion of the central venous catheters and at each dressing change.
|
Chloraprep will be used for the insertion and maintenance of the intravascular device while it is in use (Chlorhexidine 2% + alcohol 70%)
Other Names:
|
Active Comparator: B (Clorhexidine 2%)
2% aqueous base chlorhexidine (10 ml single dose containers).
Use for the preparation of the skin before insertion of the central venous catheters and at each dressing change.
|
Aqueous clorhexidine (2%) will be used for the insertion and maintenance of the intravascular device while it is in use
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of catheter-related bacteremia
Time Frame: Up to 48 hours after discharge from the ICU.
|
Measure the effect of cutaneous asepsis with chlorhexidine gluconate 2% + isopropyl gluconate 70% on the incidence of catheter-related bacteremia in the critical patient with respect to the control group.
|
Up to 48 hours after discharge from the ICU.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of pericatheter skin colonization
Time Frame: Through study completion, an average of 1 year
|
Measure the effect that cutaneous asepsis with chlorhexidine gluconate 2% + isopropyl 70% has on the incidence of pericatheter skin colonization with respect to the control group. Measure with a microbiological culture from the skin area |
Through study completion, an average of 1 year
|
Incidence of colonization of the central venous catheter
Time Frame: Through study completion, an average of 1 year
|
Measure the effect of cutaneous asepsis with chlorhexidine gluconate 2% + isopropyl 70% on the incidence of colonization of the central venous catheter with respect to the control group. Culture of the tip of the removed catheter. |
Through study completion, an average of 1 year
|
Collaborators and Investigators
Investigators
- Principal Investigator: Paula Ramirez Galleymore, Hospital la Fe
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- CHLORAPREP
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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