Care Bundle to Limit External Ventricular Drain Associated iNfections
NCT07619625 · Status: NOT_YET_RECRUITING · Type: OBSERVATIONAL · Enrollment: 248
Last updated 2026-06-02
Summary
The aim of our study is to reduce the incidence of External ventricular drain (EVD)-related infections by implementing a bundle of measures including updated care protocoles and training of residents, nurses and nurses assistants. At Nice University Hospital, we are conducting a retrospective study showing a 22% infection rate associated with EVD. The identified pathogens are mainly transmitted by manual contact. Additionnally, high turnover among paramedical staff and sometimes rapid training may contribute to infection ocurrence. We hypothesize that a significant proportion of patients with EVD develop nosocomial ventriculitis, primarily due to modificable risk factors such as catheter handling and breaches in aseptic technique.
Conditions
- Health Care Associated Infection
Interventions
- OTHER
-
Bundle of measures including updated care protocoles and training of residents, nurses and nurses assistants
Preventive measures are structured around several key areas : updating the EVD insertion protocol and the EVD care protocol, optimizing dressing changes and scalp cleansing ; ; creation of reminder signage displayed outside the rooms of patients with an EVD outlining key hygiene rules ; implementation of theoretical teaching and simulation sessions for residents and nurses, covering EVD management, infectious complications, their treatment, and prevention ; assessment through a questionnaire on EVD management before implementation of preventive measures and after.
Sponsors & Collaborators
-
Centre Hospitalier Universitaire de Nice
lead OTHER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2026-06-01
- Primary Completion
- 2028-10-01
- Completion
- 2028-12-01
More Related Trials
-
Biofilm-induced Antimicrobial Resistance RIsk ERadication in Critical Care Central Venous Catheters
NCT07546994 ·Status: NOT_YET_RECRUITING
-
External Ventricular Drain Placement Stealth Study
NCT03696043 ·Status: TERMINATED ·Phase: NA
-
Prospective Randomised Study for Use of CHG Dressing at Entry Site of EVD's to Reduce EVD-associated Infections
NCT02078830 ·Status: COMPLETED ·Phase: NA
-
Infections Related Central Venous Catheters
NCT00554021 ·Status: COMPLETED
-
Recent Techniques for Diagnosing Central Venous Catheter-related Bloodstream Infections in Children
NCT01249976 ·Status: COMPLETED ·Phase: NA
-
Safety Study of Subclavian and Internal Jugular Venous Catheterization
NCT01196962 ·Status: UNKNOWN ·Phase: NA
-
Study on the Infection Risk of Long Dwell Period Catheters in High Risk Intensive Care Unit (ICU) Patients
NCT00136097 ·Status: TERMINATED ·Phase: NA
-
Value of PET/CT Imaging in the Diagnosis of Permanent Central Venous Catheters Infection
NCT01434797 ·Status: COMPLETED
-
Dressing Impregnated With Chlorhexidine and Vancomycin for the Prophylaxis of Central Venous Catheter-related Infections - a Randomized Trial
NCT07001527 ·Status: COMPLETED ·Phase: PHASE3
-
Implementing an Evidence-based, Standardized Care Bundle Targeting Register Nurses and Anaesthesiologists, to Enhance Patient Safety and Quality of Intravascular Access Devices Care Management - The Safe-IVADs Project. A Longitudinell Implementation Intervention With an Embedded Process Evaluation.
NCT07524608 ·Status: NOT_YET_RECRUITING
-
Chest Drain Regular Flushing in Complicated Parapneumonic Effusions and Empyemas
NCT06427538 ·Status: RECRUITING ·Phase: NA
-
Central Venous Catheter-Related Infection
NCT00533988 ·Status: COMPLETED ·Phase: PHASE4
-
Assessment of Diagnostic and Therapeutic Practices for Cardiac Implantable Electronic Devices Suspected Infections in Nancy University Hospital
NCT04501835 ·Status: COMPLETED
-
Preventing Central Catheter-Associated Bloodstream Infections
NCT04920877 ·Status: UNKNOWN ·Phase: NA
-
Interest of Nurse Participation During Epicutaneous-cavity Catheter Placement in Neonatal Intensive Care
NCT06813326 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Implementation of Ultrasound Guided Central Venous Catheter Confirmation Protocol
NCT04324762 ·Status: RECRUITING
-
Cutaneous Microbiota Evolution in ICU Patients With CVC (ICMc)
NCT06095076 ·Status: UNKNOWN
-
Lock sOlutiOnS for Epicutaneo-caval Catheters in Neonates: a "LOOSEN" Pilot Study
NCT05729321 ·Status: UNKNOWN
-
Effect of Chlorhexidine Solution in Preventing Peripheral Venous Catheter Associated-Infection
NCT05441605 ·Status: COMPLETED ·Phase: NA
-
Comparison of EVD Catheter Diameter on Occlusion and Replacement
NCT03248739 ·Status: TERMINATED ·Phase: NA
-
Novel Antimicrobial Dressing in Peripheral Intravenous Catheters (PIVCs)
NCT05741866 ·Status: COMPLETED ·Phase: NA
-
Complications and Failure of Centrally Inserted Central Catheters in Cardiac Surgical Patients
NCT07138690 ·Status: COMPLETED
-
Dynamic Full-Field Optical Coherence Tomography for Structural and Microbiological Characterization of Central Venous Catheter-deposited Biofilm in Critically Ill Patients
NCT06216080 ·Status: COMPLETED
-
Comparison of Central and Peripheral Venous Catheters
NCT00122707 ·Status: COMPLETED ·Phase: NA
-
Incidence and Characteristic of CRT Persistent After Catheter Extraction in ICU Patients
NCT07473284 ·Status: NOT_YET_RECRUITING