CClinicalTrials.gg
CompletedNCT06514131IGIENE-FASTUpdated Aug 4, 2026

Water Hygiene Versus Waterless Hygiene Technology for Totally Dependent Hospitalized Patients

An interventional study of Pre-moistened wipes in Health Care Associated Infection, sponsored by IRCCS Azienda Ospedaliero-Universitaria di Bologna. Completed at 4 sites in Italy. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-04.

Sponsored by IRCCS Azienda Ospedaliero-Universitaria di Bologna · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
468
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The aim of this randomized controlled trial is to verify whether the efficacy of perineal hygiene procedures performed in dependent patients admitted to medical or geriatric wards with pre-moistened wipes without water is higher than that found after procedures performed with disposable hand grips, soap, and water.

Read the detailed description

Patients hospitalized in medicine and geriatrics wards will be admitted, both for scheduled and urgent hospitalizations. If the patient meets the study inclusion criteria, we will proceed with the description of the study, the delivery of the information form and the collection of informed consent. Only after signing the consent, the patient can be enrolled in the study. The day following enrollment, the first perineal hygiene in the morning will be performed with pre-moistened wipes without water or with disposable hand grips, soap and water depending on the study group to which the patient has been randomly assigned.

In both groups, a skin swab will be performed before and after the hygiene practice, after which the patient will leave the study.

02

Conditions studied

  • Health Care Associated Infection

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Keywords

  • hygiene
03

In context

Cross Infection

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

This study's enrollment of 468 is above the median of 210 across 142 interventional studies indexed under Cross Infection.

Browse Cross Infection studies →

Lead sponsor

IRCCS Azienda Ospedaliero-Universitaria di Bologna is the lead sponsor of 493 studies on the registry; 273 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

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

Inclusion criteria

  • Patients over 18 years of age inclusive at the time of the study;
  • Patients admitted to medical or geriatric wards with scheduled or urgent hospitalization;
  • Hypothesis of hospitalization of at least 48 hours
  • Totally dependent patients who are bedridden and unable to independently provide for their own personal hygiene.
  • Patient-oriented in time and space/cognitively cooperative.
  • Acquisition of written informed consent.

Exclusion criteria

Exclusion Criteria:

  • Patients who have performed perineal hygiene with wipes or other methods containing antiseptic solutions in the 12-24 hours preceding the execution of the swab for the bacteriological examination.
  • Patients who have undergone a treatment procedure in the groin and/or perineal area that required skin antisepsis (e.g. femoral blood sampling, bladder catheter insertion, etc.).
  • Patients with known allergies to one of the components of the products used.
  • Patients diagnosed with dermatological pathologies.
  • Patients colonized or infected with microorganisms transmissible by contact.
  • Patients in bowel cleansing preparation for diagnostic procedures e therapeutic.
  • Patients with diarrheal bowel.
  • Patients hospitalized on Saturdays and Sundays due to the difficulty of illustrating information and acquiring informed consent since healthcare professionals are small in number.
  • Patient enrolled and then transferred to another ward or discharged before 48 hours.
05

Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
468 participants (actual)

Study arms

  • Experimental
    Experimental group

    Participants enrolled in the experimental arm will receive a perineal hygiene with pre-moistened wipes without water.

    Procedure: Pre-moistened wipes

  • No intervention
    Control group

    Participants enrolled in the no intervention arm will receive perineal hygiene with soapy disposable knobs and water.

Interventions

  • ProcedurePre-moistened wipes

    Patients receiving the experimental treatment will have perineal hygiene performed with the pre-moistened wipes without water

06

What researchers measure

Primary outcomes

  1. Microbial load : effectiveness of the perineal hygiene with pre-moistened wipes

    The primary objective is to verify whether the effectiveness of perineal hygiene procedures performed in hospitalized dependent patients admitted to medical or geriatric wards using pre-moistened waterless wipes (experimental treatment) is superior to that achieved with standard soap-and-water hygiene. Each participant undergoes one pre-procedure (T0) and one post-procedure (T1) perineal swab for microbiological assessment. According to the prospectively approved study protocol, microbiological success is predefined as achievement of a ≥90% reduction in total viable microbial load (CFU) from baseline (T0) to post-procedure (T1). The primary analysis compares the proportion of participants achieving this predefined endpoint between study groups.

    Time frame: One day

Secondary outcomes

  1. Compare the total costs of the aids used in the two hygiene methods

    Cost of materials and personnel

    Time frame: One day

  2. Compare the working times referred to the two hygiene methods

    Time expressed in minutes, required for the completion of perineal hygiene for each methodology

    Time frame: One day

  3. Compare the patients' satisfaction with the two hygiene methods

    Assessed by a specific ad hoc questionnaire ranging from 2 to 10 (higher scores mean a better outcome)

    Time frame: One day

  4. Compare the approval of health professionals for the two hygiene methods

    Assessed by a specific ad hoc questionnaire ranging from 2 to 10 (higher scores mean a better outcome)

    Time frame: One day

  5. Examine the patient-operator concordance regarding the different aspects relating to the liking for the two hygiene methodologies

    Assessed by a specific ad hoc questionnaire (list of items)

    Time frame: One day

07

Study locations

4 sites
  • Azienda Ospedaliera, Ospedale Civile di Legnano
    Legnano, Milano 20025, Italy
  • IRCCS AOU di Bologna
    Bologna, 40138, Italy
  • Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico
    Milan, 20122, Italy
  • Azienda USL-IRCCS di Reggio Emilia
    Reggio Emilia, 42123, Italy
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 4, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06514131
Lead sponsor
IRCCS Azienda Ospedaliero-Universitaria di Bologna
Collaborators
Azienda USL - IRCCS di Reggio Emilia, Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Azienda Ospedaliera, Ospedale Civile di Legnano
Responsible party
Lea Godino (Principal Investigator - Research Nurse, IRCCS Azienda Ospedaliero-Universitaria di Bologna) — Principal investigator
First posted
Jul 23, 2024
Start date
Feb 20, 2024
Primary completion
May 29, 2025
Completion
May 29, 2025
Last update
Aug 4, 2026

Oversight

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

Not currently enrolling

This study is completed, as verified in Aug 2026. You cannot join it, but the record below documents what was studied.

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