MedPath

Multiperfusion Neonatal System

Completed
Conditions
Preterm Birth
Interventions
Device: Multiline Neo®
Registration Number
NCT05058534
Lead Sponsor
Hospices Civils de Lyon
Brief Summary

Infusion and parenteral nutrition play an important role in the management of neonatal intensive care patients. Administration of drugs and parenteral nutrition solutions to the patient is performed via different systems including a catheter and a perfusion system. In critically ill, high risk neonates, use of these systems is associated with complications such as infections, interactions between drugs simultaneously infused on the same route (precipitates, catheter obstruction), less effective treatment due to modified amount of drug administered compared to expected or to compatibility issues between drugs. Sepsis and reduction of treatment efficacy can have an impact on survival or subsequent neurodevelopment. Late onset sepsis is one of the most frequent complications in very premature infants born before 33 weeks gestational age and most of those infections occur in infants requiring a perfusion system and an intravenous catheter.

In this context, a new multiperfusion device was developed (Multiline Néo®, Doran, France) to remove access to the infusion system from the incubator where high temperature and humidity favour bacterial growth. But also to allow the administration of several drug solutions simultaneously avoiding contact between drugs.

Our hypothesis is that the new perfusion system helps to reduce the risk of infections, without increase in costs.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
640
Inclusion Criteria
  • Born between November 30, 2018 and December 31, 2022,
  • Gestational age below 33 weeks
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Exclusion Criteria
  • Severe malformation and / or disease requiring heavy surgical management in the neonatal period
  • Admitted at croix rousse hospital after the third day of life
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Very preterm infants born between December 1st, 2019 and December 31st, 2022Multiline Neo®Infants born between January 1rst, 2019 - December 31st, 2022, after implementation of the new multiperfusion neonatal system
Primary Outcome Measures
NameTimeMethod
Occurence of infectionthrough study completion, an average of 60 days

Number of infections per 1000 catheter days, per patient during hospital stay

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Hospices Civil de Lyon

🇫🇷

Lyon, Rhone Alpes, France

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