Preventability of Infections in Residents of French Nursing Homes

NCT01069497 | Unknown DMC

• 1 other identifier: V15
• Study Type: interventional
• Target: 3,500
• Locations: 0 countries
• Sites: N/A

Brief Summary

STUDY HYPOTHESIS : An infection prevention program adapted for the nursing home context can reduce by 5% the number of infections (urinary, upper and lower respiratory and gastrointestinal) in elderly residents in nursing homes. STUDY DESIGN : The proposal is for an interventional cluster (nursing home) study comprising 2 randomized groups: group 1 (interventional), comprising 25 nursing homes implementing a specific infection prevention program; and group 2 (control), 25 nursing homes continuing to implement their routine prevention measures.

Conditions

Infection Control

Keywords

Infection control; Urinary Tract Infections; Respiratory Tract Infections

Outcome Measures

Primary Outcomes (1)

• Number of infections (urinary, upper and lower respiratory and gastrointestinal) in elderly residents in nursing homes

  every month

Secondary Outcomes (3)

• Number of death

  every month

• Number of hospitalizations

  every month

• Number of of prescriptions for antimicrobials

  every month

Study Arms (2)

Intervention Nursing Homes

EXPERIMENTAL

Comprising 24 nursing homes implementing a specific infection prevention program

Other: Prevention of infections program

Usual care Nursing Homes

NO INTERVENTION

Interventions

Prevention of infections program OTHER

The intervention mainly involves implementing urinary, respiratory and gastrointestinal infection prevention measures. Study nursing home medical coordinators will be in charge of training their own teams. For this, they will be provided with: * a slide-show of recommendations (commented by an expert), * recommendations guides (on paper and on computer) to be shown to their teams. Means will be provided to the intervention nursing homes : Hydro-alcoholic solutions, disinfectant detergent-impregnated tissues, mouth care kits, tec.

Intervention Nursing Homes

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Nursing homes which contain a medical coordinator and at least one nurse and/or nursing auxiliary.
• Nursing Homes located in France (North-West)
• All the residents present or entering the facility during the study period

You may not qualify if:

• Nursing homes where a prevention program has already been implemented

Sponsors & Collaborators

• Observatoire du Risque Infectieux en Gériatrie: lead
• Ministry of Health, France: collaborator
• Pierre Fabre Laboratories: collaborator
• Gaba Laboratories: collaborator

Related Publications (1)

• Chami K, Gavazzi G, Bar-Hen A, Carrat F, de Wazieres B, Lejeune B, Armand N, Rainfray M, Hajjar J, Piette F, Rothan Tondeur M. A short-term, multicomponent infection control program in nursing homes: a cluster randomized controlled trial. J Am Med Dir Assoc. 2012 Jul;13(6):569.e9-17. doi: 10.1016/j.jamda.2012.04.008. Epub 2012 Jun 7.

  PMID: 22682697 DERIVED

MeSH Terms

Conditions

Urinary Tract Infections; Respiratory Tract Infections

Condition Hierarchy (Ancestors)

Infections; Urologic Diseases; Female Urogenital Diseases; Female Urogenital Diseases and Pregnancy Complications; Urogenital Diseases; Male Urogenital Diseases; Respiratory Tract Diseases

Study Officials

• Monique Rothan Tondeur, PhD

  ORIG, EHESP

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: February 16, 2010
• First Posted: February 17, 2010
• Study Start: November 1, 2009
• Primary Completion: April 1, 2010
• Study Completion: April 1, 2010
• Last Updated: February 17, 2010

Record last verified: 2009-09