Comparison of an Antibiotic Impregnated PICC Catheter Versus a Regular PICC Catheter in a Tertiary Care Setting
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Purpose
To determine whether antibiotic impregnated PICC catheters have a lower infection rate than a conventional PICC catheter in a tertiary care patient population. Secondary goals will be to determine if there is a difference between the two catheters with early and late infections, to determine the cost comparison including extra cost of treatment for a line related infection, to determine if there are any non-infectious related complication differences between the two catheters.
| Condition | Intervention | Phase |
|---|---|---|
|
Peripherally Inserted Central Catheters |
Device: PICC (Cook, Bard) |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | Randomized Double Blind Comparison of an Antibiotic Impregnated PICC Catheter Versus a Regular PICC Catheter in a Tertiary Care Setting |
- Infection rate [ Time Frame: 60 days ] [ Designated as safety issue: Yes ]Records will be reviewed up to 60 days post PICC line procedure to assess whether catheter was removed prematurely for infection and results of cultures on any catheters removed.
| Estimated Enrollment: | 200 |
| Study Start Date: | February 2013 |
| Estimated Study Completion Date: | July 2014 |
| Estimated Primary Completion Date: | January 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Active Comparator: Antibiotic coated PICC
Cook Medical Spectrum Turbo-Ject Minocycline/Rifampin Power-Injectable PICC (5fr double lumen or 6fr triple lumen)
|
Device: PICC (Cook, Bard)
Comparison of antibiotic coated PICC vs. non-coated PICC
Other Names:
|
|
Active Comparator: Non-antibiotic coated PICC
Bard Access PowerPICC Power Injection PICCs (6fr double lumen or 6fr. triple lumen)
|
Device: PICC (Cook, Bard)
Comparison of antibiotic coated PICC vs. non-coated PICC
Other Names:
|
Detailed Description:
All patients who are referred to VIR for a PICC line will be evaluated to see if they satisfy the inclusion/exclusion criteria. The study will be discussed with those who do and informed consent will be obtained from those wishing to participate. The patient will then be randomized to one of two types of PICC lines. All lines will be placed by identical technique. This will include sterile technique, placement via a vein of the upper arm using ultrasound guidance, and positioning of the catheter tip under fluoroscopic guidance. A database of all catheters placed will be kept. Records will be reviewed at 1 week, 30 days, and 60 days by the Interventional Radiology Fellow.Review will include length of time catheter was in place, whether treatment was completed, whether catheter was removed prematurely, the clinical reason for removal, results of other imaging tests, and results of cultures on any catheters removed for suspicion of infection. Any non-infectious complications related to the catheter will also be noted. The reviewer will be blinded to which catheter was used during the procedure.
Eligibility| Ages Eligible for Study: | 18 Years to 90 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Greater than or equal to 18 years of age
- Have been scheduled for a medically necessary PICC placement
Exclusion Criteria:
- Less than 18 years of age
Contacts and Locations| United States, South Carolina | |
| Medical University of South Carolina | Not yet recruiting |
| Charleston, South Carolina, United States, 29425 | |
| Contact: Tina Cooper, BA 843-792-1930 cooperti@musc.edu | |
| Sub-Investigator: Chris Erikson, MD | |
| Principal Investigator: | J. Bayne Selby, MD | Medical University of South Carolina |
More Information
No publications provided
| Responsible Party: | J. Bayne Selby, Jr., Principal Investigator, Medical University of South Carolina |
| ClinicalTrials.gov Identifier: | NCT01765738 History of Changes |
| Other Study ID Numbers: | PICC Line Comparison |
| Study First Received: | January 8, 2013 |
| Last Updated: | January 9, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by Medical University of South Carolina:
|
PICC |
Additional relevant MeSH terms:
|
Anti-Bacterial Agents Minocycline Anti-Infective Agents Therapeutic Uses Pharmacologic Actions |
ClinicalTrials.gov processed this record on June 18, 2013