- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT00719329
Impact of Chlorhexidine Cleansing on Bacteria Colonizing the Umbilical Cord of Infants in Bangladesh
Bacterial Colonization of the Neonatal Umbilical Cord and Impact of 4.0% Chlorhexidine Cleansing on the Bacteriological Profile of the Umbilical Cord of Newborns in Sylhet District, Bangladesh
Background: In developing countries, many babies are born at home and the umbilical cord commonly becomes infected during the first week after birth, and can be deadly. Cleansing of the cord with a low-cost antiseptic like chlorhexidine may reduce the risk of these infections. Little is known, however, about the frequency of chlorhexidine cleansing needed to impact upon the overall presence of bacteria on the stump, or regarding the changes in bacteria during the first week of life when most cord infections occur.
Objectives: We will describe the profile of bacteria colonizing the umbilical cord stump of infants in rural Bangladesh and examine the role of topical chlorhexidine in altering colonization and progress of infection. We will compare the overall and bacteria-specific rate of colonization of the cord stump between infants receiving chlorhexidine cleansing of their cord through the first day or first week of life. We will also quantify the relationship between colonization of the cord stump with specific pathogens and the presence and severity of signs of umbilical cord infection (pus, redness, swelling) among these newborns.
Potential Impact: More information is needed on the impact of single versus repeated applications of chlorhexidine to the cord stump, as the number of cleansing may substantially influence the feasibility of widespread scale-up in many populations. The data generated from this proposed study will guide the most appropriate design of this simple intervention and will help inform specific treatment protocols for effective management of infants with signs of umbilical cord infections.
Studieöversikt
Status
Betingelser
Intervention / Behandling
Studietyp
Inskrivning (Faktisk)
Fas
- Inte tillämpbar
Kontakter och platser
Studieorter
-
-
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Dhaka, Bangladesh
- Dhaka Shishu Hospital
-
-
Sylhet
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Sylhet City, Sylhet, Bangladesh
- Projahnmo
-
-
-
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Maryland
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Baltimore, Maryland, Förenta staterna, 21205
- Johns Hopkins Bloomberg School of Public Health
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
Inclusion Criteria:
- Enrolled in parent chlorhexidine cleansing trial
Exclusion Criteria:
- Not enrolled in parent trial
- First visited after 48 hours of life
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Förebyggande
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
---|---|
Experimentell: A
Chlorhexidine cleansing of the cord for seven days
|
Solution (4.0%, 7.1% CHX-D)
|
Experimentell: B
Chlorhexidine cleansing of the cord for 1 day
|
Solution (4.0%, 7.1% CHX-D)
|
Placebo-jämförare: C
Dry cord care, as recommended by WHO
|
Educational messages regarding clean cord care
|
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
---|---|---|
Colonization at Day 1 Swab
Tidsram: First week of life
|
Was the swab collected on the day 1 visit (usually within 24 hours of birth) positive for any organism?
If so, this is defined as positive.
|
First week of life
|
Colonization at Day 3 Swab
Tidsram: First Week of Life
|
Were any organisms found on the swab collected on at Day 03
|
First Week of Life
|
Colonization at Day 7 Swab
Tidsram: First Week of Life
|
Were any organisms found on the swab collected on the day 07 visit?
|
First Week of Life
|
Samarbetspartners och utredare
Utredare
- Studierektor: Luke C Mullany, PhD, Johns Hopkins Bloomberg School of Public Health
Studieavstämningsdatum
Studera stora datum
Studiestart
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
- THRASHER-02827-0
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