ClinicalTrials.gg
CompletedNCT03391960Updated Oct 2, 2024Results posted

Passive Disinfection Cap Compliance Study

An interventional study of Passive disinfection device in Infection, Hospital, sponsored by Solventum US LLC. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-10-02.

Sponsored by Solventum US LLC · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
165
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 60 studies in Cross Infection with a site in United States — 5 open to participants now, 6 under way, none of them phase 3. Cross Infection · United States.

Enrollment
21st of 40
165 · median 167
Started
2018
with 2 others
No phase
20 of 60
2 open now
Registered
41st of 60
by date

Among the 60 studies in Cross Infection with a site in United States, this one is the 21st largest by enrollment of the 40 interventional ones that give a count, is one of 3 that started in 2018, is one of 20 with no phase, and was the 41st registered.

Cross Infection

285 studies on the registry are indexed under Cross Infection; 48 are open to participants now.

Browse Cross Infection studies →

Open to participants now

5 of the 60 studies in Cross Infection with a site in United States are open now. Recruiting first, the newest first:

All 5 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 27 Cross Infection studies recruiting now, 22 (81%) set no upper age limit and 3 (11%) stop at 75 or younger; 5 take children under 18; 6 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

Insertion and maintenance of central venous catheter (CVC) lines are common hospital procedures in patients, including those being treated for cancer. CVCs allow clinicians an access point for infusion of fluids, blood sampling, and measurements, decreasing the need for repeated needle sticks to the patient. However, bloodstream infections associated with CVCs (CLABSIs) are a serious complication, leading to significantly longer hospital stays, morbidity, and mortality. Keeping catheter ports disinfected reduces the risk of bloodstream infection; however, consistent and adequate maintenance and disinfection of the line can be difficult.

The purpose of this study is to demonstrate that passive disinfecting caps can provide a patient safety practice that is easy for clinicians to follow, as well as providing easily auditable compliance, which may lead to lower CLABSI rates.

The compliance rate for needleless connector disinfection will be evaluated after implementation of the passive disinfecting cap, and compared to the pre-intervention rate. The CLABSI rates before and after cap implementation will also be compared.

Read the detailed description

Insertion and maintenance of central venous catheter (CVC) lines are common hospital procedures in patients, including those being treated for cancer. CVCs allow clinicians an access point for infusion of fluids, blood sampling, and measurements, decreasing the need for repeated needle sticks to the patient. However, bloodstream infections associated with CVCs (CLABSIs) are a serious complication, leading to significantly longer hospital stays, morbidity, and mortality. Keeping catheter ports disinfected reduces the risk of bloodstream infection; however, consistent and adequate maintenance and disinfection of the line can be difficult.

The purpose of this study is to demonstrate that passive disinfecting caps can provide a patient safety practice that is easy for clinicians to follow, as well as providing easily auditable compliance, which may lead to lower CLABSI rates.

Compliance is defined as following the protocol for disinfection of the catheter port. In the pre-intervention period, the disinfection protocol will utilize existing institution scrub-the-hub method. Compliance in the pre-intervention period will be determined by survey.

After the pre-intervention period is complete, passive disinfecting devices (caps) will be implemented hospital-wide for any adult patient using CVC ports.

In the intervention period, the disinfection protocol consists of using the disinfecting barrier cap on every needless connector (catheter port) used for accessing CVC IV lines per protocol. Compliance will be measured using observations, according to a schedule to ensure the absence of a shift bias. Observations will contain the number of needless connectors on CVCs with, and the number of needleless connectors without, disinfecting barrier caps attached.

The compliance rate for needleless connector disinfection will be evaluated after implementation of the passive disinfecting cap, and compared to the pre-intervention rate. The CLABSI rates before and after cap implementation will also be compared.

Incidence of CLABSI will be noted from existing aggregate hospital surveillance system data. The incidence, in terms of catheter days, will be recorded for each assigned intervention ward and for intervention ward overall by month, in the six months before the intervention and in the six-month intervention recording period.

03

Conditions studied

  • Infection, Hospital

Keywords

  • CLABSI
  • Septicemia
  • Bloodstream infection
  • Central line associated bloodstream infection
  • Catheter related bloodstream infection
  • Intravascular device
  • Catheter port
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Adult patients admitted to the participant oncologic hospital
  • Adult patients in the assigned intervention units during the seven month intervention period who require needleless connectors for CVC IV tubing access.

Exclusion criteria

Exclusion Criteria:

  • Adult patients admitted to the participant oncologic hospital during the seven month intervention period that do not require needleless connectors for CVC IV access during their hospital stay.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
165 participants (actual)

Study arms

  • Other
    Disinfecting barrier cap

    In the participating wards, disinfecting barrier cap was used on every needless connector used for accessing CVC IV lines. Compliance with disinfecting barrier cap was observed weekly.

    Device: Passive disinfection device

Interventions

  • DevicePassive disinfection device

    Add use of passive disinfection cap to existing central line needleless connector infection control procedure

    Also known as: Passive disinfecting cap, Disinfecting cap, Curos disinfecting cap, Curos cap

06

What researchers measure

Primary outcomes

  1. Disinfecting Barrier Cap Compliance

    Compliance to disinfection protocol for central line needleless connectors. Compliance will be measured by periodic audits, where the number of disinfecting caps on central line needleless connectors is compared to the total number of central line needleless connectors to determine compliance percentage.

    Time frame: 6-month prospective period

  2. Scrub the Hub Protocol Compliance

    Compliance with Scrub the hub protocol Data collected retrospectively by survey

    Time frame: 6-month retrospective period

Secondary outcomes

  1. CLABSI Rate

    Central-line associated blood stream infection assessments were performed once a month per ward during the pre-intervention and post-intervention periods. The total number of CLABSI infections and CVC/day were recorded in all assessments to determine the CLABSI rate per 1000 CVC/days. Infections from patients without CVC IV access (those using a three-lumen dialysis catheter with a needleless connector on the third lumen and those using two-lumen dialysis catheters) were also recorded as part of the aggregated data, due to the impossibility of separating the infections in these patients from the ones with CVC access

    Time frame: 6-month retrospective period and 6-month prospective period

  2. Catheter-associated Urinary Tract Infection (CAUTI) Rate

    Rate of CAUTI per 1000 indwelling urinary catheter days. CAUTI data was recorded to control for possible seasonal and/or environmental effects that could also influence CLABSI and hospital infection rates overall. Data on this type of infection was only available for the ICU, as recording of CAUTI is only mandatory in the intensive care setting in Brazil.

    Time frame: 6 months pre-intervention and 6 months post intervention

  3. Ventilator-associated Pneumonia (VAP) Rate

    Rate of VAP per 1000 ventilator days. VAP data was recorded to control for possible seasonal and/or environmental effects that could also influence CLABSI and hospital infection rates overall. Data on this type of infection was only available for the ICU, as recording of VAP is only mandatory in the intensive care setting in Brazil.

    Time frame: 6-month retrospective period and 6-month prospective period

  4. MBI-Related CLABSI Rate

    Central-line associated blood stream infection assessments were performed once a month per ward during the pre-intervention and post-intervention periods. The total number of CLABSI infections and CVC/day were recorded in all assessments. Lastly, CLABSIs were divided into mucosal-barrier injury (MBI)-related and non-MBI-related and recorded separately in the eCRF. MBI-related CLABSIs and CVC/day were used to determine MBI CLABSI rate per 1000 CVC/days. Infections from patients without CVC IV access (those using a three-lumen dialysis catheter with a needleless connector on the third lumen and those using two-lumen dialysis catheters) were also recorded as part of the aggregated data, due to the impossibility of separating the infections in these patients from the ones with CVC access.

    Time frame: 6-month retrospective period and 6-month prospective period

  5. Non MBI-related CLABSI Rate

    Central-line associated blood stream infection assessments were performed once a month per ward during the pre-intervention and post-intervention periods. The total number of CLABSI infections and CVC/day were recorded in all assessments. Lastly, CLABSIs were divided into mucosal-barrier injury (MBI)-related and non-MBI-related and recorded separately in the eCRF. Non MBI-related CLABSIs and CVC/day were used to determine Non-MBI CLABSI rate per 1000 CVC/days. Infections from patients without CVC IV access (those using a three-lumen dialysis catheter with a needleless connector on the third lumen and those using two-lumen dialysis catheters) were also recorded as part of the aggregated data, due to the impossibility of separating the infections in these patients from the ones with CVC access.

    Time frame: 6-month retrospective period and 6-month prospective period

07

Results

Posted Feb 9, 2022
Limitations and caveats
The rate of CLABSI per 1000 central line days was determined by using aggregated data on infections and on CVC/day during the study period. Infections from patients without CVC IV access were also part of the aggregated data recorded. However, as these patients did not have CVC access, they did not contribute to the CVC/day data collected throughout the study. As a result, the rate of CLABSI may have been overestimated.

Participant flow

No individual patient was recruited into the study.

Participant flow — Overall Study
MilestoneCompliance With Scrub the Hub ProtocolCompliance With Disinfecting Barrier Cap Ptotocol
Started165NA
Completed165NA
Not completed0NA
Withdrew: Protocol violation0NA

Outcome measures

PrimaryDisinfecting Barrier Cap Compliance

Compliance to disinfection protocol for central line needleless connectors. Compliance will be measured by periodic audits, where the number of disinfecting caps on central line needleless connectors is compared to the total number of central line needleless connectors to determine compliance percentage.

Time frame:
6-month prospective period
Reported as:
Mean · percentage of connector with compliance
Disinfecting Barrier Cap Compliance
percentage of connector with complianceDisinfecting Barrier Cap Compliance
Disinfecting Barrier Cap Compliance98.43 ± 4.18
PrimaryScrub the Hub Protocol Compliance

Compliance with Scrub the hub protocol Data collected retrospectively by survey

Time frame:
6-month retrospective period
Reported as:
Mean · percentage of protocol compliance
Scrub the Hub Protocol Compliance
percentage of protocol complianceScrub the Hub Protocol Compliance
Scrub the Hub Protocol Compliance5.95 ± 21.36
SecondaryCLABSI Rate

Central-line associated blood stream infection assessments were performed once a month per ward during the pre-intervention and post-intervention periods. The total number of CLABSI infections and CVC/day were recorded in all assessments to determine the CLABSI rate per 1000 CVC/days. Infections from patients without CVC IV access (those using a three-lumen dialysis catheter with a needleless connector on the third lumen and those using two-lumen dialysis catheters) were also recorded as part of the aggregated data, due to the impossibility of separating the infections in these patients from the ones with CVC access

Time frame:
6-month retrospective period and 6-month prospective period
Reported as:
Number · CLABSI rate per 1000 catheter days
CLABSI Rate
CLABSI rate per 1000 catheter daysCLABSI Rate for Pre-intervention PeriodCLABSI Rate for Post-intervention Period
CLABSI Rate2.93.2
SecondaryCatheter-associated Urinary Tract Infection (CAUTI) Rate

Rate of CAUTI per 1000 indwelling urinary catheter days. CAUTI data was recorded to control for possible seasonal and/or environmental effects that could also influence CLABSI and hospital infection rates overall. Data on this type of infection was only available for the ICU, as recording of CAUTI is only mandatory in the intensive care setting in Brazil.

Time frame:
6 months pre-intervention and 6 months post intervention
Reported as:
Number · CAUTI rate per 1000 catheter days
Catheter-associated Urinary Tract Infection (CAUTI) Rate
CAUTI rate per 1000 catheter daysCAUTI Rate 6 Months Pre-interventionCAUTI Rate 6 Months Post-intervention
Catheter-associated Urinary Tract Infection (CAUTI) Rate0.782.26
SecondaryVentilator-associated Pneumonia (VAP) Rate

Rate of VAP per 1000 ventilator days. VAP data was recorded to control for possible seasonal and/or environmental effects that could also influence CLABSI and hospital infection rates overall. Data on this type of infection was only available for the ICU, as recording of VAP is only mandatory in the intensive care setting in Brazil.

Time frame:
6-month retrospective period and 6-month prospective period
Reported as:
Number · VAP rate per 1000 ventilator days
Ventilator-associated Pneumonia (VAP) Rate
VAP rate per 1000 ventilator daysVAP Rate Pre-interventionVAP Rate Post Intervention
Ventilator-associated Pneumonia (VAP) Rate6.25.35
SecondaryMBI-Related CLABSI Rate

Central-line associated blood stream infection assessments were performed once a month per ward during the pre-intervention and post-intervention periods. The total number of CLABSI infections and CVC/day were recorded in all assessments. Lastly, CLABSIs were divided into mucosal-barrier injury (MBI)-related and non-MBI-related and recorded separately in the eCRF. MBI-related CLABSIs and CVC/day were used to determine MBI CLABSI rate per 1000 CVC/days. Infections from patients without CVC IV access (those using a three-lumen dialysis catheter with a needleless connector on the third lumen and those using two-lumen dialysis catheters) were also recorded as part of the aggregated data, due to the impossibility of separating the infections in these patients from the ones with CVC access.

Time frame:
6-month retrospective period and 6-month prospective period
Reported as:
Number · MBI CLABSI rate per 1000 catheter days
MBI-Related CLABSI Rate
MBI CLABSI rate per 1000 catheter daysMBI-related CLABSI Rate for Pre-intervention PeriodMBI-related CLABSI Rate for Prospective Period
MBI-Related CLABSI Rate11.28
SecondaryNon MBI-related CLABSI Rate

Central-line associated blood stream infection assessments were performed once a month per ward during the pre-intervention and post-intervention periods. The total number of CLABSI infections and CVC/day were recorded in all assessments. Lastly, CLABSIs were divided into mucosal-barrier injury (MBI)-related and non-MBI-related and recorded separately in the eCRF. Non MBI-related CLABSIs and CVC/day were used to determine Non-MBI CLABSI rate per 1000 CVC/days. Infections from patients without CVC IV access (those using a three-lumen dialysis catheter with a needleless connector on the third lumen and those using two-lumen dialysis catheters) were also recorded as part of the aggregated data, due to the impossibility of separating the infections in these patients from the ones with CVC access.

Time frame:
6-month retrospective period and 6-month prospective period
Reported as:
Number · CLABSI rate per 1000 catheter days
Non MBI-related CLABSI Rate
CLABSI rate per 1000 catheter daysNon-MBI CLABSI Rate for Pre-intervention PeriodNon-MBI CLABSI Rate for Prospective Period
Non MBI-related CLABSI Rate1.931.92

Adverse events

Collected over No individual patient data (including adverse events [AEs]) were recorded during this study.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Group———

Baseline characteristics

Baseline data were not collected for the health care workers. No individual patient was consented in the study.

Age, Customized
Age, CustomizedNot Applicable
Sex: Female, Male
Sex: Female, MaleNot Applicable
Female—
Male—
Race (NIH/OMB)
Race (NIH/OMB)Not Applicable
American Indian or Alaska Native—
Asian—
Native Hawaiian or Other Pacific Islander—
Black or African American—
White—
More than one race—
Unknown or Not Reported—
Study-Specific Measure
Study-Specific MeasureNot Applicable
08

Study locations

1 site
  • 3M HealthCare
    Maplewood, Minnesota 55144, United States
09

References and documents

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: No — No individual participant data will be recorded in the study.

10

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2018 to primary completion in Oct 2018, 6 months.

Results were first posted in Feb 2022, 3 years 3 months after primary completion.

Of 59 interventional studies with no phase under Cross Infection, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 29. This study's 6 months is below that.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 7, 2017
First posted
Jan 5, 2018
StartActual
Apr 1, 2018
Primary completionActual
Oct 31, 2018
CompletionActual
Oct 31, 2018
Results first posted
Feb 9, 2022
Last update
Oct 2, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 2, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03391960
Lead sponsor
Solventum US LLC
Collaborators
Eurotrials Brasil Consultores Cientificos Ltda, 3M
Responsible party
Sponsor
First posted
Jan 5, 2018
Start date
Apr 1, 2018
Primary completion
Oct 31, 2018
Completion
Oct 31, 2018
Results posted
Feb 9, 2022
Last update
Oct 2, 2024

Study contacts

Ricardo A Zimerman, MD
principal investigator · Irmandade da Santa Casa de Misericordia de Porto Alegre - ISCMPA

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2024. You cannot join it, but the record below documents what was studied.

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