Acute Renal Failure, Infection
Conditions
Keywords
Nosocomial infection, Catheterization, Central Venous Ethanol, lock solution, intensive care units, Renal replacement therapy in ICU
Brief summary
The primary objective of the study is to demonstrate the efficacy of 60% ethanol lock solution in preventing major catheter related infections in critically ill patients.
Detailed description
The primary objective of the study is to demonstrate the efficacy of 60% ethanol lock solution in preventing major catheter related infections in critically ill patients
Interventions
Dialysis catheter lock performed after renal replacement therapy session. Lock is instilling ethanol (or placebo) in each catheter lumen for 2 minutes before being withdrawn.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients of both genders, over 18 years, * Patients admitted in ICU * Dialysis catheter insertion for renal replacement therapy * At least two renal replacement therapy sessions * Written informed consent * Social security
Exclusion criteria
* Pregnant or breastfeeding women * Patient requiring dialysis on arteriovenous fistula or permanent catheter * Known allergy to ethanol * Dialysis catheter covered or impregnated with antimicrobial agent * Dialysis catheter insertion before ICU admission * Single-lumen dialysis catheters * Patient whose death is likely to occur within hours after admission to ICU
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The number of major catheter-related infections (CRI) defined as either catheter-related clinical sepsis without bloodstream infection or catheter-related bloodstream infection (CRBSI), during the ICU stay | after renal replacement therapy session |
Secondary
| Measure | Time frame |
|---|---|
| frequencies of catheter colonization, severe mechanical complications, and adverse events | for two minutes before being withdrawn |
Countries
France
Contacts
University Hospital, Clermont-Ferrand