4% Chlorhexidine Gluconate Daily Bathing for Prevention of Hospital-acquired Infections in Intensive Care Settings (Duclorexint)

August 17, 2018 updated by: Carlo Pallotto, University Of Perugia

Study on the Effect of the Universal Decontamination With Daily Bathing With 4% Chlorhexidine Gluconate on the Incidence of Hospital Acquired Infections in Intensive Care Units

The study will assess the utility of 4% chlorhexidine gluconate (CHG) daily bathing to reduce hospital acquired infections in patients admitted to intensive care units. One group will be daily bathed with 4% CHG and the other group with standard soap.

Study Overview

Study Type

Interventional

Enrollment (Actual)

449

Phase

  • Phase 4

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:

  • admission to the intensive care unit (ICU) or to the post-operative cardiosurgical ICU (PC-ICU)
  • ICU/PC-ICU stay for at least 1 night

Exclusion Criteria:

  • known allergy to chlorhexidine
  • burns, toxic epidermal necrolysis or Stevens-Johnson syndrome as admission diagnosis
  • pregnancy

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: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Double

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Intervention Arm
daily bathing with 4% chlorhexidine gluconate soap-like solution followed by water rinsing
  1. humidify the whole body surface with the exception of the face using water-impregnated washcloths
  2. use 4% CHG-impregnated washcloths to bath the whole body surface with the exception of the face; use at least 30 ml of 4% CHG
  3. wait for at least 30 seconds
  4. rinse using water-impregnated washcloths
Active Comparator: Control Arm
daily bathing with standard soap
  1. humidify the whole body surface with the exception of the face using water-impregnated washcloths
  2. use standard soap-impregnated washcloths to bath the whole body surface with the exception of the face
  3. wait for at least 30 seconds
  4. rinse using water-impregnated washcloths

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
hospital acquired infections incidence
Time Frame: infections occured 48 hours after admission to ICU/PC-ICU
cumulative incidence of bloodstream infections (BSI), central line-associates BSI (CLABSI), urinary tract infections (UTI), catheter-associated UTI (CAUTI) and ventilator-associated pneumonias (VAP)
infections occured 48 hours after admission to ICU/PC-ICU

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Ventilator-associated pnemonias (VAP) incidence
Time Frame: infections occured 48 hours after admission to ICU/PC-ICU
VAP incidence
infections occured 48 hours after admission to ICU/PC-ICU
Bloodstream infections (BSI) incidence
Time Frame: infections occured 48 hours after admission to ICU/PC-ICU
BSI incidence
infections occured 48 hours after admission to ICU/PC-ICU
central-line associated BSI (CLABSI) incidence
Time Frame: infections occured 48 hours after admission to ICU/PC-ICU
CLABSI incidence
infections occured 48 hours after admission to ICU/PC-ICU
urinary tract infections (UTI) incidence
Time Frame: infections occured 48 hours after admission to ICU/PC-ICU
UTI incidence
infections occured 48 hours after admission to ICU/PC-ICU
catheter associated UTI (CAUTI) incidence
Time Frame: infections occured 48 hours after admission to ICU/PC-ICU
CAUTI incidence
infections occured 48 hours after admission to ICU/PC-ICU
4% CHG daily bathing safety
Time Frame: at discharge, approximately up to 10 days
overall mortality in the treatment and control arm
at discharge, approximately up to 10 days
4% CHG daily bathing-related adverse events
Time Frame: at discharge, approximately up to 10 days
4% CHG daily bathing-related adverse events in the treatment arm compared to standard soap-related adverse events
at discharge, approximately up to 10 days
time till infection
Time Frame: at discharge, approximately up to 10 days
time between admission to ICU/PC-ICU and infection occurrence
at discharge, approximately up to 10 days

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Study Chair: franco baldelli, Professor, Infectious Diseases Clinical, University Hospital of Perugia, Perugia, Italy

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 (Actual)

August 10, 2015

Primary Completion (Actual)

April 28, 2016

Study Completion (Actual)

May 2, 2016

Study Registration Dates

First Submitted

August 13, 2018

First Submitted That Met QC Criteria

August 17, 2018

First Posted (Actual)

August 21, 2018

Study Record Updates

Last Update Posted (Actual)

August 21, 2018

Last Update Submitted That Met QC Criteria

August 17, 2018

Last Verified

August 1, 2018

More Information

Terms related to this study

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

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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