Active Bathing to Eliminate Infection (ABATE Infection) Trial
- Conditions
- Healthcare Associated InfectionsMulti Drug Resistant OrganismsMethicillin Resistant Staphylococcus Aureus
- Registration Number
- NCT02063867
- Lead Sponsor
- University of California, Irvine
- Brief Summary
The ABATE Infection Project is a cluster randomized trial of hospitals to compare two quality improvement strategies to reduce multi-drug resistant organisms and healthcare-associated infections in non-critical care units. The two strategies to be evaluated are:
* Arm 1: Routine Care Routine policy for showering/bathing
* Arm 2: Decolonization Use of chlorhexidine as routine soap for showering or bed bathing for all patients Mupirocin x 5 days if MRSA+ by history, culture, or screen
Note that enrolled "subjects" represents 53 individual HCA Hospitals (representing \~190 non-critical care units) that have been randomized.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 53
- All HCA hospitals that reside in the United States
- Note: Unit of randomization is the hospital, but the participants are hospital units
- Non-critical care units where chlorhexidine bathing or decolonization for MRSA+ non-critical care patients is routine
- Pediatric, peri-partum, rehabilitation, psychiatry, and BMT units
- Units with >30% cardiac or hip/knee orthopedic surgeries
- Unit average length of stay <2 days
- Patients <12 years-old
- Patients with known allergy to mupirocin or chlorhexidine
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method MRSA and VRE Clinical Cultures 21 months Methicillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE) clinical cultures attributable to participating units. Defined as occurring \>2 days into a participating unit stay through 2 days following unit discharge
- Secondary Outcome Measures
Name Time Method Gram-negative Multi-drug Resistant Organism Clinical Cultures 21 months Gram-negative (GN) multi-drug resistant organism clinical cultures attributable to participating units. Defined as occurring \>2 days into a participating unit stay through 2 days following unit discharge
All-cause Bloodstream Infections 21 months All-cause bloodstream infections attributable to participating units. Defined as occurring \>2 days into a participating unit stay through 2 days following unit discharge. Includes bacterial and yeast pathogens. Skin commensals require two positive blood cultures.
Trial Locations
- Locations (52)
Blake Medical Center
🇺🇸Bradenton, Florida, United States
Coliseum Northside Hospital
🇺🇸Macon, Georgia, United States
Sunrise Hospital and Medical Center
🇺🇸Las Vegas, Nevada, United States
MountainView Hospital-Las Vegas
🇺🇸Las Vegas, Nevada, United States
Chippenham Johnston Willis Medical Center
🇺🇸Richmond, Virginia, United States
Methodist Specialty and Transplant Hospital
🇺🇸San Antonio, Texas, United States
Methodist Stone Oak Hospital
🇺🇸San Antonio, Texas, United States
Methodist Texsan Hospital
🇺🇸San Antonio, Texas, United States
Methodist Hospital
🇺🇸San Antonio, Texas, United States
North Suburban Medical Center
🇺🇸Thornton, Colorado, United States
Overland Park Regional Medical Center
🇺🇸Overland Park, Kansas, United States
TriStar Horizon Medical Center
🇺🇸Dickson, Tennessee, United States
Osceola Regional Medical Center
🇺🇸Kissimmee, Florida, United States
Northside Hospital
🇺🇸Saint Petersburg, Florida, United States
West Palm Hospital
🇺🇸West Palm Beach, Florida, United States
Parkridge Medical Center
🇺🇸Chattanooga, Tennessee, United States
Timpanogos Regional Hospital
🇺🇸Orem, Utah, United States
Parkridge East Hospital
🇺🇸Chattanooga, Tennessee, United States
West Florida Hospital
🇺🇸Pensacola, Florida, United States
Portsmouth Regional Hospital
🇺🇸Portsmouth, New Hampshire, United States
Palms West Hospital
🇺🇸Loxahatchee Groves, Florida, United States
Orange Park Medical Center
🇺🇸Orange Park, Florida, United States
Garden Park Medical Center
🇺🇸Gulfport, Mississippi, United States
Parkland Medical Center
🇺🇸Derry, New Hampshire, United States
Hendersonville Medical Center
🇺🇸Hendersonville, Tennessee, United States
South Bay Hospital
🇺🇸Sun City Center, Florida, United States
West Hills Hospital & Medical Center
🇺🇸West Hills, California, United States
St. Petersburg General Hospital
🇺🇸Saint Petersburg, Florida, United States
Cartersville Medical Center
🇺🇸Cartersville, Georgia, United States
Eastside Medical Center
🇺🇸Snellville, Georgia, United States
Regional Medical Center of Acadiana
🇺🇸Lafayette, Louisiana, United States
Research Medical Center
🇺🇸Kansas City, Missouri, United States
Lee's Summit Medical Center
🇺🇸Lee's Summit, Missouri, United States
Colleton Medical Center
🇺🇸Walterboro, South Carolina, United States
St. David's Medical Center
🇺🇸Austin, Texas, United States
Summit Medical Center
🇺🇸Hermitage, Tennessee, United States
Corpus Christi Medical Center
🇺🇸Corpus Christi, Texas, United States
Valley Regional Medical Center
🇺🇸Brownsville, Texas, United States
Las Palmas Medical Center
🇺🇸El Paso, Texas, United States
Conroe Regional Medical Center
🇺🇸Conroe, Texas, United States
Las Colinas Medical Center
🇺🇸Irving, Texas, United States
Rio Grande Regional Hospital
🇺🇸McAllen, Texas, United States
Kingwood Medical Center
🇺🇸Kingwood, Texas, United States
Northeast Methodist Hospital
🇺🇸Live Oak, Texas, United States
North Hills Hospital
🇺🇸North Richland Hills, Texas, United States
Medical Center of Plano
🇺🇸Plano, Texas, United States
Clear Lake Regional Medical Center
🇺🇸Webster, Texas, United States
LewisGale Hospital-Alleghany
🇺🇸Low Moor, Virginia, United States
John Randolph Medical Center
🇺🇸Hopewell, Virginia, United States
Henrico Doctors' Hospital
🇺🇸Richmond, Virginia, United States
Reston Hospital Center
🇺🇸Reston, Virginia, United States
Plaza Medical Center of Fort Worth
🇺🇸Fort Worth, Texas, United States