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Isopropyl Alcohol Against Chlorhexidine - Isopropyl Alcohol as Antiseptics to Prevent Hemoculture's Contamination

Phase 3
Completed
Conditions
Infectious Diseases
Interventions
Biological: chlorhexidine in isopropyl alcohol
Biological: Isopropyl alcohol
Registration Number
NCT01361997
Lead Sponsor
Universidad de Guanajuato
Brief Summary

The purpose of this study is to determinate if 70% isopropyl alcohol is not inferior preventing contamination of peripheral hemocultures, compared with 2% chlorhexidine in 70% isopropyl alcohol.

Detailed Description

The develop of contaminants in blood cultures is a problem of great impact to health institutions and patients, as they represent a waste of resources, and additionally increases the patient's hospital stay. The principal source of contaminant is the bacteria in the skin flora, so the greatest way to improve the sensibility of this test is to do an optimal skin antisepsis. It has been reported that 2% chlorhexidine gluconate in 70% isopropyl alcohol is superior that other skin disinfectants, and that 70% isopropyl alcohol has a high efficacy reducing the presence of bacteria on the skin, so both antiseptics are good options for skin antisepsis.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
1102
Inclusion Criteria
  • Patients with suspected blood stream infection.
  • Patients allocated in admission, hospitalization and intensive care units.
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Exclusion Criteria
  • Patients with a single peripheral hemoculture.
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Study & Design

Study Type
INTERVENTIONAL
Study Design
FACTORIAL
Arm && Interventions
GroupInterventionDescription
Chlorhexidine in isopropyl alcoholchlorhexidine in isopropyl alcoholThis arm is composed of 545 hospitalized patients with suspected blood stream infection, to test 2% chlorhexidine gluconate in 70% isopropyl alcohol.
Isopropyl alcoholIsopropyl alcoholThis arm is composed of 572 hospitalized patients with suspected blood stream infection, to test 70% isopropyl alcohol.
Primary Outcome Measures
NameTimeMethod
Determine if 70% isopropyl alcohol is not inferior preventing contamination of peripheral hemoculture, compared with 2% chlorhexidine in 70% isopropyl alcohol.120 hours

It will determine the growth of contaminating germs in hemocultures taken with each antiseptic tested.

Secondary Outcome Measures
NameTimeMethod
Determine the rate of contamination of each antiseptic used.1 year

It will determine the rate of contamination at the date of primary completion and the date of study completion. We will consider contaminants the development of Staphylococcus coagulase negative and gram positive bacilli.

Description of the most frequent bacterial contaminants.1 year

It will determine the rate of contamination at the date of primary completion and the date of study completion. We will consider contaminants the development of Staphylococcus coagulase negative and gram positive bacilli.

Trial Locations

Locations (1)

University of Guanajuato School of Medicine

🇲🇽

Leon, Guanajuato, Mexico

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