Prevention of MRSA Infection Among Residents of Long-term Care Homes in Canton of Vaud, Switzerland
Recruitment status was Recruiting
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Purpose
The purpose of this study is to determine the better approach between the currently procedure and a reinforced strategy to control and prevent infections due to MRSA in the institutionalized population of nursing homes in Canton of Vaud, Switzerland.
| Condition | Intervention |
|---|---|
|
Methicillin-resistant Staphylococcus Aureus |
Other: intervention |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Prevention |
| Official Title: | Prevention of MRSA Infection Among Residents of Long-term Care Homes in Canton of Vaud, Switzerland. A Prospective, Multicenter, Interventional, Randomised Controlled Study. |
- To determine the effectiveness of the reinforced strategy compared to the standard one, to prevent MRSA transmission among residents of nursing homes [ Time Frame: 1 year ] [ Designated as safety issue: No ]general MRSA screening of all nursing homes residents of Canton Vaud at baseline and 1 year later in both group (control and intervention group)
- To determine the effectiveness of the reinforced strategy to prevent MRSA infection, compared to the standard strategy [ Time Frame: 1 year ] [ Designated as safety issue: No ]In a subpopulation of all nursing homes residents (10% of the whole population), recording of all microbiologically documented MRSA infection, according to CDC nosocomial infection definitions
- To determine MRSA prevalence among residents of nursing homes in Canton Vaud, Switzerland [ Time Frame: 1 year ] [ Designated as safety issue: No ]General MRSA screening of all nursing homes residents in Canton Vaud, Switzerland
| Estimated Enrollment: | 4500 |
| Study Start Date: | June 2010 |
| Estimated Study Completion Date: | April 2012 |
| Estimated Primary Completion Date: | December 2011 (Final data collection date for primary outcome measure) |
-
Other: intervention
5 days topical decolonisation including nasal mupirocine tid, chlorexidine mouth wash tid, chlorhexidine body wash once daily.
Daily direct resident's environmental desinfection during decolonisation.
MRSA carriage among nursing homes residents of Canton Vaud, Switzerland, is increasing, despite use of standard precautions. Recommendation to prevent MRSA transmission in long term care facilities are lacking.
We aim to reinforce the current infection control strategy by general MRSA screening of institutionalised residents and decolonisation of MRSA carriers.
Because the uncertainties in the impact of this reinforced strategy, we aim to compare this action to the policy actually applied.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- all nursing homes of canton Vaud, Switzerland, that give the consent of participation
- all residents living in the nursing home during at least 3 weeks
Exclusion Criteria:
- residents that refuse to participate to the study
- life expectancy shorter of 7 days
- known intolerance of disinfectant/ topical antibiotics used in the protocol
- active MRSA infection
- asymptomatic MRSA bacteriuria
- stage IV wound (according to National Pressure Ulcer Advisory Panel)
Contacts and Locations| Contact: Cristina Bellini, MD | +41 21 314 02 72 | Cristina.Bellini@chuv.ch |
| Contact: Christiane Petignat, MD | +41 21 314 02 54 | Christiane.Petignat@chuv.ch |
| Switzerland | |
| all nursing homes of canton Vaud | Recruiting |
| Canton de Vaud, Canton Vaud, Switzerland | |
| Contact: Christiane Petignant, MD +41 21 314 02 54 Christiane.Petignat@chuv.ch | |
| Contact: Immaculée M. Nahimana, MD +41 21 314 02 55 Immaculee.Nahimana@chuv.ch | |
| Principal Investigator: Cristina Bellini, MD | |
| Study Director: | Giorgio Zanetti, MD | University Hospital of Lausanne, Switzerland |
More Information
No publications provided
| Responsible Party: | Cristina Bellini, MD/ pricipal investigator, Preventive Medicine Service, University Hospital of Lausanne |
| ClinicalTrials.gov Identifier: | NCT01138462 History of Changes |
| Other Study ID Numbers: | Protocole 96/10 |
| Study First Received: | June 4, 2010 |
| Last Updated: | June 4, 2010 |
| Health Authority: | Switzerland: Federal Office of Public Health |
Keywords provided by University of Lausanne Hospitals:
|
Methicillin-Resistant Staphylococcus aureus Decolonisation Nursing homes Infection Control |
Additional relevant MeSH terms:
|
Staphylococcal Infections Gram-Positive Bacterial Infections Bacterial Infections |
ClinicalTrials.gov processed this record on May 22, 2013