Chlorhexidine Impregnated Cloths to Prevent Skin and Soft Tissue Infections in Marine Officer Candidates
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Purpose
Outbreaks of skin and soft tissue infections (SSTI) related to community associated Methicillin-resistant Staphylococcus aureus (MRSA) have become increasingly common in military training units. Risk factors for MRSA related SSTI such as crowding, poor hygiene and shared equipment are often hard to avoid in a military training environment, often designed to simulate battlefield conditions.
It has recently been demonstrated that military recruits colonized with MRSA may be at increased risk of developing SSTI. Studies in the hospital environment have shown that decolonizing inpatients known to carry MRSA decreases the rates of MRSA related infections in the treated individuals and also in their inpatient unit as a whole.
The investigators propose a randomized, double blind, placebo controlled trial to:
- Evaluate the effectiveness, feasibility, and safety of chlorhexidine body cloths, self-administered three times weekly, in preventing SSTI among recruits in military training facilities; and
- Evaluate the effectiveness of chlorhexidine body cloths in decreasing rates of Staphylococcus aureus colonization among military recruits.
| Condition | Intervention |
|---|---|
|
Staphylococcus Aureus Community-Acquired Infections Staphylococcal Skin Infections |
Drug: 2% chlorhexidine gluconate (CHG) impregnated cloths Drug: Comfort Bath cloths (placebo cloths) |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Prevention |
| Official Title: | Chlorhexidine Impregnated Cloths to Prevent Skin and Soft Tissue Infections in Marine Officer Candidates: A Randomized, Double-Blind, Placebo-Controlled Trial |
- The rate of skin and soft tissue infections among platoons enrolled in OCS. [ Time Frame: May - Nov 2007 ] [ Designated as safety issue: No ]
- The rate of new S. aureus colonization of the nares and axilla among platoons enrolled in OCS. [ Time Frame: May- Nov 2007 ] [ Designated as safety issue: No ]
| Enrollment: | 1563 |
| Study Start Date: | May 2007 |
| Study Completion Date: | November 2007 |
| Primary Completion Date: | November 2007 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
2% chlorhexidine gluconate impregnated cloths, self applied three times weekly
|
Drug: 2% chlorhexidine gluconate (CHG) impregnated cloths
self applied three times per week
Other Name: Sage Products Inc.
|
|
Placebo Comparator: 2
Comfort Bath cloths, self applied three times weekly
|
Drug: Comfort Bath cloths (placebo cloths)
self applied three times weekly
Other Name: Sage Products Inc.
|
Eligibility| Ages Eligible for Study: | 18 Years to 35 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Enrolled in US Marine Officer Candidates School
- Age 18-35 years
- Provide documented informed consent and HIPAA authorization
Exclusion Criteria:
- Is currently taking oral antibiotics and will continue to take antibiotics during the study (such as antibiotics used to treat acne)
- Has a known or suspected allergy or intolerance to chlorhexidine (Hibistat, Hibiclens)
- Is currently using certain skin products and is uninterested in stopping use of the products during the study
- Pregnant or breastfeeding
Contacts and Locations| United States, Virginia | |
| Officer Candidates School - Marine Corps Base Quantico | |
| Quantico, Virginia, United States, 22134 | |
| Principal Investigator: | Timothy J Whitman, DO | National Naval Medical Center |
More Information
No publications provided by Uniformed Services University of the Health Sciences
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | IDCRP, USUHS |
| ClinicalTrials.gov Identifier: | NCT00475930 History of Changes |
| Other Study ID Numbers: | HU87F7 |
| Study First Received: | May 18, 2007 |
| Last Updated: | September 1, 2009 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Uniformed Services University of the Health Sciences:
|
MRSA Staphylococcus aureus |
Additional relevant MeSH terms:
|
Skin Diseases, Infectious Staphylococcal Skin Infections Staphylococcal Infections Soft Tissue Infections Community-Acquired Infections Infection Skin Diseases Gram-Positive Bacterial Infections Bacterial Infections |
Skin Diseases, Bacterial Chlorhexidine Chlorhexidine gluconate Anti-Infective Agents, Local Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Disinfectants Dermatologic Agents |
ClinicalTrials.gov processed this record on May 23, 2013