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Phase 4 Completed N=13,952 Randomized Prevention

Project PROTECT: Protecting Nursing Homes From Infections and Hospitalization

Hospitalization · Infections
Source: ClinicalTrials.gov NCT03118232 ↗
Enrolled (actual)
13,952
Serious AEs
0.0%
Results posted
Dec 2023
Primary outcomePrimary: Hospital Transfers Due to Infection — 1243; 1780 Transfers — p=<0.001
◆ Published Evidence
Established
41citations · ~14 / year
Decolonization in Nursing Homes to Prevent Infection and Hospitalization.
The New England journal of medicine · 2023 · Open access · Likely link

Summary

This is a cluster-randomized trial of nursing homes to assess whether decolonization with routine chlorhexidine bathing and periodic use of nasal antiseptics can reduce hospitalizations associated with infections, antibiotic utilization, and multi-drug resistant organism (MDRO) prevalence. The comparator arm will be routine bathing care.

Linked Publications

  • Decolonization in Nursing Homes to Prevent Infection and Hospitalization.
    The New England journal of medicine · 2023 · 41 citations · Open access · Likely link

Outcome Measures

OutcomeResultp-value
PRIMARY
Hospital Transfers Due to Infection
1243; 1780 <0.001 sig
SECONDARY
All Hospital Transfers
2388; 2857 <0.001 sig

Eligibility Criteria

Inclusion Criteria

Nursing homes will be eligible to participate if they meet the following criteria:

  • Licensed nursing home in Orange County or Southern Los Angeles County serving adults
  • Minimal use of chlorhexidine bathing*
  • Minimal use of nasal decolonization* *Minimal use defined as =20% combative patients
  • Pediatric facilities

Note: in any participating nursing home, residents with active end-of-life comfort care only measures are excluded

View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03118232) and the linked publication. Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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