The Effectiveness of Antimicrobial Breathing System on the Presence of Multidrug-resistant Organisms
Study Details
Study Description
Brief Summary
The aim of this study is to investigates the effectiveness of antimicrobial breathing system on multidrug-resistant organisms (MDRO).
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Background:
Cross transmission via skin contact and environmental media is the main route for common outbreak of health care-associated infection which more likely to be improved or prevented by infection control program. Silver Knight uses silver ions to disrupt the normal enzymatic activities of bacteria for reducing microbial growth within, and on, the surface of the breathing systems. It functions as a safe, quick and effective catalyst to deactivate pathogenic bacteria and prevent their proliferation. However, there was no study comparing the standard ventilator circuit with Silver Knight. This study focuses on the effectiveness of antimicrobial breathing system in MDRO which including carbapenem-resistant, vancomycin-resistant and multi-drug resistant.
Study Design:
This is a prospective, randomized study in a single hospital in the intensive care unit.
Methods:
In this study, we conduct a cluster-randomized crossover, single-centre trial. There are two groups:
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Control group: standard ventilator circuit in odd number month.
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Experimental group: Silver Knight in even number month This study is expected to recruit 200 subjects. During this period, the ventilator circuits are all routinely used, only the tubing will not be discarded after use for specimen collection.And the MDRO on the surfaces of ventilator circuits will be analyzed and evaluated.
Effect:
We expect the antimicrobial breathing system could be more effectively than the standard ventilator circuit. The policy related to current ventilator circuit will be revised according to the results of this study.
Key words:
Antimicrobial Breathing system, ventilator circuits, multidrug-resistant organisms (MDRO)
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: SilverKnight group Silver Knight is an anti-microbial additive that uses silver ions to disrupt the normal enzymatic activities of bacteria |
Device: Silver Knight
Silver Knight breathing systems are all validated for up to seven days use, and remain active, in unopened packaging, for up to five years. Silver Knight is proven to help reduce the incidence of MRSA infection and other organisms including:
Staphyloccus epidermis
Pseudomonas aeruginosa
Klebsiella pneumoniae
Acinetobacter calcoaceticus
Escherichia coli
|
| No Intervention: Control group The control group uses standard ventilator circuits. |
Outcome Measures
Primary Outcome Measures
- bacterial contamination [one month]
comparison of the two ventilator systems
Secondary Outcome Measures
- bacterial detection rate [one month]
comparison of the two ventilator systems
Eligibility Criteria
Criteria
Inclusion Criteria:
- mechanical ventilators in Medisive CareUnit (MICU)
Exclusion Criteria:
- Using ventilators for less than seven days
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Fu Jen Catholic University Hospital, Fu Jen Catholic University | New Taipei City | Taiwan | 24352 |
Sponsors and Collaborators
- Fu Jen Catholic University
Investigators
- Principal Investigator: Wen-Lun Liu, MD, Department of Emergency and Critical Care Medicine, Fu Jen Catholic University Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
- PL-202108037M