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Efficacy of Ultraviolet Germicidal Irradiation (UVGI) Devices to Decrease the Incidence of Respiratory Infections in Nursing Homes : a Cluster Randomized Crossover Trial

Not Applicable
Recruiting
Conditions
Acute Respiratory Infections
Interventions
Device: UVGI (Ultra-Violet Germicidal Irradiation Device)
Registration Number
NCT06569160
Lead Sponsor
Centre Hospitalier Emile Roux
Brief Summary

OTECT is a trial aimed at evaluating the effectiveness of upper room ultraviolet devices in reducing the frequency and severity of respiratory infections in elderly nursing homes. The study takes place in 12 nursing homes in the center of France. It started in October 2024, and its final results will be availble by mid-2026.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
1200
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
CROSSOVER
Arm && Interventions
GroupInterventionDescription
Active then shamUVGI (Ultra-Violet Germicidal Irradiation Device)There are 2 follow-up periods in cross-over. The clusters will be with active UVGI devices during one period and with sham UV-filtered devices during the other.
Sham then activeUVGI (Ultra-Violet Germicidal Irradiation Device)There are 2 follow-up periods in cross-over. The clusters will be with active UVGI devices during one period and with sham UV-filtered devices during the other.
Primary Outcome Measures
NameTimeMethod
Incidence of acute symptomatic upper and lower respiratory infections, all severity grades combinedFrom enrollment to the end of the second follow-up period (19 months later)

Acute symptomatic upper and lower respiratory infections include: sinusitis, otitis media, nasopharyngitis, angina, tracheitis, bronchitis, pneumonia, pulmonary abscesses and COPD exacerbations. Symptomatic infection with SARS-Cov-2 will be considered by default as a respiratory infection, even if extra-respiratory symptoms predominate

Secondary Outcome Measures
NameTimeMethod
Viral and bacterial load on fomites samplesFrom enrollment to the end of the second follow-up period (19 months later)

Samples collected every 7 weeks in 2 common living areas per center

Incremental Cost-effectiveness ratioFrom enrollment to the end of the second follow-up period (19 months later)

Generated/avoided costs

Incidence of adverse events of interest, overall and by severity gradeFrom enrollment to the end of the second follow-up period (19 months later)

Adverse events of interest: keratitis and erythematous skin eruptions in body areas exposed to light

Incidence of severe acute respiratory infectionsFrom enrollment to the end of the second follow-up period (19 months later)

Severe acute respiratory infections are acute respiratory infections leading to oxygenotherapy, hospitalisation or death

Incidence of all-cause hospitalisations or deathFrom enrollment to the end of the second follow-up period (19 months later)

All-cause hospitalisations or death include hospitalisation due to acute respiratory infections, hospitalisations due to any other documented or undocumented cause, death to acute respiratory infections, and deaths from any other documented or undocumented cause

Viral and bacterial load in air samplesFrom enrollment to the end of the second follow-up period (19 months later)

Air samples collected every 7 weeks in 2 common living areas per center

Trial Locations

Locations (12)

EHPAD Notre Dame

🇫🇷

Beaulieu, France

EHPAD du Centre hospitalier du Pays de Craponne sur Arzon

🇫🇷

Craponne sur Arzon, France

EHPAD Paradis

🇫🇷

Espaly Saint Marcel, France

EHPAD du Centre hospitalier Pierre Gallice

🇫🇷

Langeac, France

EHPAD Les Terrasses de la Gazeille

🇫🇷

Le Monastier sur Gazeille, France

EHPAD Nazareth

🇫🇷

Le Puy en Velay, France

EHPAD Saint-Joseph

🇫🇷

Le Puy en Velay, France

EHPAD Les Patios du Velay

🇫🇷

Le Puy-en-Velay, France

EHPAD L'Age d'Or

🇫🇷

Monistrol sur Loire, France

EHPAD Résidence Sigolène

🇫🇷

Sainte Sigolène, France

EHPAD Saint Jacques

🇫🇷

Saugues, France

EHPAD Marie Goy

🇫🇷

Vorey, France

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