Preventing the Spread of Infection in Nursing Homes

NCT03319368 | Completed Results

• 1 other identifier: HP-00077879
• Study Type: interventional
• Target: 367
• Locations: 1 country
• Sites: 2

Brief Summary

This study evaluates the feasibility of targeting more frequent gown and glove use for specific high risk moments of care in specific nursing home residents in order to prevent Staphylococcus aureus (SA) acquisition and infection.

Conditions

Staphylococcus Aureus

Outcome Measures

Primary Outcomes (1)

• Rates of Staphylococcus Aureus Acquisition: Percentage of Short Stay Participants Who Acquired MRSA or MSSA (or Both) During the Study Period

  Rates of Staphylococcus aureus acquisition in the baseline and intervention periods: Participants were swabbed in the anterior nares and inguinal fold at nursing home admission (or start of study period) and again at discharge (or end of study period). This is the percentage of participants who acquired MRSA or MSSA (or both) during the study period.

  5 months: 2 months in the baseline period, one month to prep the intervention, then 2 months in the intervention period

Secondary Outcomes (1)

• Rates of Staphylococcus Aureus Transmission: Percentage of Short Stay Participants Who Acquired MRSA or MSSA (or Both) From MRSA/MSSA Transmission From Another Study Participant During the Study Period

  5 months

Study Arms (1)

Intervention: Targeted gown and glove use

EXPERIMENTAL

Additional gowns and gloves used for high risk care activities

Other: Targeted gown and glove use

Interventions

Targeted gown and glove use OTHER

Gown and glove use for high risk care activities in high risk residents

Intervention: Targeted gown and glove use

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age ≥18 years
• Reside in a participating nursing home

You may not qualify if:

• Identified by nursing home staff as combative or with other behavioral problems which could lead to agitation if approached by project staff

Sponsors & Collaborators

• University of Maryland, Baltimore: lead

Study Sites (2)

Lorien Riverside

Belcamp, Maryland, 21017, United States

Location

Lorien Mays Chapel

Lutherville-Timonium, Maryland, 21093, United States

Location

Related Publications (1)

• Lydecker AD, Osei PA, Pineles L, Johnson JK, Meisel J, Stine OC, Magder L, Gurses AP, Hebden J, Oruc C, Mody L, Jacobs Slifka K, Stone ND, Roghmann MC. Targeted gown and glove use to prevent Staphylococcus aureus acquisition in community-based nursing homes: A pilot study. Infect Control Hosp Epidemiol. 2021 Apr;42(4):448-454. doi: 10.1017/ice.2020.1219. Epub 2020 Oct 20.

  PMID: 33077004 DERIVED

MeSH Terms

Conditions

Staphylococcal Infections

Condition Hierarchy (Ancestors)

Gram-Positive Bacterial Infections; Bacterial Infections; Bacterial Infections and Mycoses; Infections

Results Point of Contact

• Title: Alison Lydecker, MPH
• Organization: University of Maryland School of Medicine

alydecke@som.umaryland.edu

410-706-0065

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Professor

Study Record Dates

• First Submitted: October 18, 2017
• First Posted: October 24, 2017
• Study Start: December 18, 2017
• Primary Completion: July 26, 2018
• Study Completion: July 26, 2018
• Last Updated: March 21, 2024
• Results First Posted: March 21, 2024

Record last verified: 2023-09

Data Sharing

• IPD Sharing: Will not share

Locations

US (2)