Trial Outcomes & Findings for Post-Operative Colonization Rates of Femoral Nerve Catheters Treated With Chlorhexidine-Impregnated Patch (NCT NCT01411891)

NCT ID: NCT01411891

Last Updated: 2018-09-28

Results Overview

Three cm of the for research purposes only, a 3 cm distal portion will be cut using sterile scissors into a sterile container, and sent to the lab for culture in a sterile container. The catheter segments will be rolled onto blood agar plates at 35°C under aerobic and anaerobic conditions. Number of colonies will be counted at 1 week. The peripheral nerve catheter tip will be considered colonized if the culture yields 15 or greater colony forming units.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

100 participants

Primary outcome timeframe

24-48 hours after placement of femoral nerve catheter.

Results posted on

2018-09-28

Participant Flow

Participant milestones

Participant milestones
Measure
Control
Patients assigned to this study group will not have a chlorhexidine impregnated patch placed at the femoral nerve catheter insertion site.
Chlorhexidine Impregnated Patch.
Patients assigned to this study group will have a chlorhexidine impregnated patch placed at the femoral nerve catheter insertion site.
Overall Study
STARTED
50
50
Overall Study
COMPLETED
47
48
Overall Study
NOT COMPLETED
3
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Control
Patients assigned to this study group will not have a chlorhexidine impregnated patch placed at the femoral nerve catheter insertion site.
Chlorhexidine Impregnated Patch.
Patients assigned to this study group will have a chlorhexidine impregnated patch placed at the femoral nerve catheter insertion site.
Overall Study
Catheter dislodgement or loss to follow-
3
2

Baseline Characteristics

Post-Operative Colonization Rates of Femoral Nerve Catheters Treated With Chlorhexidine-Impregnated Patch

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Control
n=47 Participants
Patients assigned to this study group will not have a chlorhexidine impregnated patch placed at the femoral nerve catheter insertion site.
Chlorhexidine Impregnated Patch.
n=48 Participants
Patients assigned to this study group will have a chlorhexidine impregnated patch placed at the femoral nerve catheter insertion site.
Total
n=95 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
Age, Categorical
Between 18 and 65 years
26 Participants
n=99 Participants
37 Participants
n=107 Participants
63 Participants
n=206 Participants
Age, Categorical
>=65 years
21 Participants
n=99 Participants
11 Participants
n=107 Participants
32 Participants
n=206 Participants
Age, Continuous
63.5 years
STANDARD_DEVIATION 9.6 • n=99 Participants
61.2 years
STANDARD_DEVIATION 8.6 • n=107 Participants
63 years
STANDARD_DEVIATION 9.4 • n=206 Participants
Sex: Female, Male
Female
19 Participants
n=99 Participants
24 Participants
n=107 Participants
43 Participants
n=206 Participants
Sex: Female, Male
Male
28 Participants
n=99 Participants
24 Participants
n=107 Participants
52 Participants
n=206 Participants
Region of Enrollment
United States
47 participants
n=99 Participants
48 participants
n=107 Participants
95 participants
n=206 Participants

PRIMARY outcome

Timeframe: 24-48 hours after placement of femoral nerve catheter.

Population: Patients presenting for elective TKA.

Three cm of the for research purposes only, a 3 cm distal portion will be cut using sterile scissors into a sterile container, and sent to the lab for culture in a sterile container. The catheter segments will be rolled onto blood agar plates at 35°C under aerobic and anaerobic conditions. Number of colonies will be counted at 1 week. The peripheral nerve catheter tip will be considered colonized if the culture yields 15 or greater colony forming units.

Outcome measures

Outcome measures
Measure
Control
n=47 Participants
Patients assigned to this study group will not have a chlorhexidine impregnated patch placed at the femoral nerve catheter insertion site.
Chlorhexidine Impregnated Patch.
n=48 Participants
Patients assigned to this study group will have a chlorhexidine impregnated patch placed at the femoral nerve catheter insertion site.
Catheter Tip Colonization
2 participants
3 participants

SECONDARY outcome

Timeframe: 24-48 hours.

Skin at the FNC insertion site will be swabbed with a sterile cotton tip applicator moistened with sterile normal saline. The swab will be placed in a sterile container. The swab will be inoculated onto a blood agar plate/eosin-methylene blue plate/chocolate agar plate and incubated for 3 days aerobically, then inoculated onto an anaerobic brucella-agar plate and incubated for 7 days anaerobically. Bacterial growth found in the first quadrant of the inoculated plate will be defined as low grade, in the second and/or third will be moderate, and in the fourth quadrant will be heavy.

Outcome measures

Outcome measures
Measure
Control
n=47 Participants
Patients assigned to this study group will not have a chlorhexidine impregnated patch placed at the femoral nerve catheter insertion site.
Chlorhexidine Impregnated Patch.
n=48 Participants
Patients assigned to this study group will have a chlorhexidine impregnated patch placed at the femoral nerve catheter insertion site.
Catheter Insertion Site Colonization.
14 participants
12 participants

Adverse Events

Control

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Chlorhexidine Impregnated Patch.

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Kristopher Schroeder

University of Wisconsin School of Medicine and Public Health, Department of Anesthesiology

Phone: 608-263-8100

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place