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Evaluation of Antibacterial Soap for Treatment of Lymphedema in a Filariasis-Endemic Area

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ClinicalTrials.gov Identifier: NCT00139100
Recruitment Status : Completed
First Posted : August 31, 2005
Last Update Posted : October 24, 2008
Sponsor:
Collaborators:
Procter and Gamble
Ste. Croix Hospital, Leogane, Haiti
Information provided by:
Centers for Disease Control and Prevention

Brief Summary:

Introduction. Lymphatic filariasis is a devastating mosquito-transmitted parasitic disease that causes lymphedema or elephantiasis of the leg in 15 million persons, the majority of whom are women. In these persons, frequent bacterial infections ("acute attacks") of the legs adversely affect physical health, economic well-being, and quality of life. Prevention of bacterial infections through hygiene and skin care can result in significant improvements in lymphedema and patient well-being.

Methods. To determine the extent to which antibacterial soap can help reduce the incidence of acute bacterial infections of the lower limbs in persons with filarial lymphedema, 200 patients of the Ste. Croix Hospital lymphedema treatment clinic in Leogane, Haiti randomly assigned to receive either antibacterial (Safeguard) or placebo (Camay) soap and acute attacks monitored monthly for 12 months. Both groups received specific instructions on washing and skin care.


Condition or disease Intervention/treatment Phase
Lymphedema Cellulitis Drug: antimicrobial agent in soap Not Applicable

Study Type : Interventional  (Clinical Trial)
Enrollment : 200 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Double
Primary Purpose: Prevention
Official Title: Evaluation of Antibacterial Soap for Treatment of Lymphedema and Elephantiasis in an Area Endemic for Lymphatic Filariasis
Study Start Date : February 2001
Study Completion Date : March 2002





Primary Outcome Measures :
  1. Incidence of bacterial "acute attacks", assessed monthly.
  2. Reported or observed severity of these acute attacks.
  3. Duration of acute attacks.

Secondary Outcome Measures :
  1. Process measures
  2. Number of bars of soap used per patient per month.
  3. Demonstrated knowledge and ability to wash leg appropriately during home visits.
  4. Reported patient satisfaction with soap.
  5. Reported frequency of leg washing.


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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

Patients eligible for participation include those who are currently enrolled in the lymphedema treatment program in Leogane who 1) have been trained in the techniques of self-care, 2) who live in a 10-km radius of the hospital, and 3) for whom we have adequate data on incidence of acute bacterial infections, risk factors for infection, and ability to comply with the treatment protocol (particularly hygiene).

Exclusion Criteria: Don't meet inclusion criteria.


Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00139100


Locations
Haiti
Hopital Ste. Croix
Leogane, Haiti
Sponsors and Collaborators
Centers for Disease Control and Prevention
Procter and Gamble
Ste. Croix Hospital, Leogane, Haiti
Investigators
Principal Investigator: David G Addiss, MD CDC/NCID/DPD

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
ClinicalTrials.gov Identifier: NCT00139100     History of Changes
Other Study ID Numbers: CDC-NCID-2822
First Posted: August 31, 2005    Key Record Dates
Last Update Posted: October 24, 2008
Last Verified: August 2005

Additional relevant MeSH terms:
Lymphedema
Cellulitis
Filariasis
Lymphatic Diseases
Skin Diseases, Infectious
Infection
Suppuration
Connective Tissue Diseases
Inflammation
Pathologic Processes
Spirurida Infections
Secernentea Infections
Nematode Infections
Helminthiasis
Parasitic Diseases
Anti-Infective Agents
Anti-Bacterial Agents