Oral Hygiene With Chlorhexidine and Incidence of Ventilator-Associated Pneumonia in Children Submitted to Heart Surgery
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Purpose
Hospital infections play an important role in the increase of patients' morbimortality and hospitalization costs, especially in the case of individuals admitted to intensive care units (ICU) during postoperative heart surgery. Analysis of the epidemiological profile of the hospital infections in the pediatric-ICU (P-ICU) of Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto, University of São Paulo (HCFMRP-USP) demonstrated a 31.1% incidence of pneumonia (PNM) and a rate of ventilator-associated pneumonia (VAP) of 23.81 per 1000 ventilators-day between March 2004 and February 2005 in the group submitted to cardiac surgery. Knowledge of the pathophysiology and risk factors associated with this infection allows for measures aiming at reducing its incidence. The objective of the present study is to evaluate the effect of oral hygiene with a 0.12% chlorhexidine solution on the incidence of PNM and PAV in children submitted to cardiac surgery.
| Condition | Intervention | Phase |
|---|---|---|
|
Ventilator Associated Pneumonia Nosocomial Pneumonia Heart Surgery |
Other: oral hygiene Other: placebo |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | Evaluation of Oral Hygiene With 0.12% Chlorhexidine Antiseptic Solution on the Incidence of Nosocomial Pneumonia and Ventilator-Associated Pneumonia in Children Submitted to Heart Surgery |
| Enrollment: | 160 |
| Study Start Date: | February 2006 |
| Study Completion Date: | February 2006 |
| Arms | Assigned Interventions |
|---|---|
|
Placebo Comparator: 1
Placebo
|
Other: placebo
oral hygiene placebo
|
| Experimental: 2 |
Other: oral hygiene
oral hygiene with 0.12% chlorexidine
|
Eligibility| Ages Eligible for Study: | up to 18 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- age 0 to 18 years submitted to heart surgery
- parent approval
Exclusion Criteria:
- previous oral intubation
- previous or present pneumonia
- parent refusal
- death during surgery
Contacts and Locations
More Information
No publications provided by University of Sao Paulo
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00829842 History of Changes |
| Other Study ID Numbers: | HCRP 8904/2005 |
| Study First Received: | January 26, 2009 |
| Last Updated: | January 26, 2009 |
| Health Authority: | Brazil: Ministry of Health Brazil: National Committee of Ethics in Research |
Keywords provided by University of Sao Paulo:
|
chlorexidine ventilator-associated pneumonia nosocomial pneumonia heart surgery oral hygiene |
Additional relevant MeSH terms:
|
Pneumonia Pneumonia, Ventilator-Associated Lung Diseases Respiratory Tract Diseases Respiratory Tract Infections Cross Infection Infection Ventilator-Induced Lung Injury Lung Injury |
Chlorhexidine Chlorhexidine gluconate Anti-Infective Agents, Local Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Disinfectants Dermatologic Agents |
ClinicalTrials.gov processed this record on May 21, 2013