UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000028307
Receipt number R000032402
Scientific Title The study of oral care methods of mechanically ventilated patients:prospective intervention study
Date of disclosure of the study information 2017/09/01
Last modified on 2021/09/20 18:04:08

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Basic information

Public title

The study of oral care methods of mechanically ventilated patients:prospective intervention study

Acronym

oral care of mechanically ventilated patients

Scientific Title

The study of oral care methods of mechanically ventilated patients:prospective intervention study

Scientific Title:Acronym

oral care of mechanically ventilated patients

Region

Japan


Condition

Condition

ventilator-associated pneumonia(VAP)

Classification by specialty

Pneumology Infectious disease Intensive care medicine
Dental medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To examine the efficacy of the oral care methods, removal of tongue coating and using antiseptic after irrigation of oral cavity, in mechanically ventilated patients

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

The total number of bacteria in the oropharyngeal fluid

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

4

Purpose of intervention

Treatment

Type of intervention

Maneuver

Interventions/Control_1

intervention:removal of tongue coating by using 3% hydrogen peroxide

Interventions/Control_2

intervention:removal of tongue coating by using 3% hydrogen peroxide, next 5ml of 10% povidone iodine is dropped in oropharynx after irrigation

Interventions/Control_3

intervention:removal of tongue coating by using 3% hydrogen peroxide, next 5ml of 0.05% chlorhexidine is dropped in oropharynx after irrigation

Interventions/Control_4

control:general oral care in ICU

Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

100 years-old >

Gender

Male and Female

Key inclusion criteria

mechanically ventilated patients in ICU

Key exclusion criteria

1. patinets who is difficult to doing oral care because of getting worse in general condition
2. patients who have allergy to used antiseptic

Target sample size

40


Research contact person

Name of lead principal investigator

1st name Saki
Middle name
Last name Hayashida

Organization

Nagasaki university hospital

Division name

Oral and maxillofacial surgery

Zip code

852-8588

Address

1-7-1 Sakamoto, Nagasaki 852-8588, Japan

TEL

095-819-7698

Email

sakihaya@nagasaki-u.ac.jp


Public contact

Name of contact person

1st name Saki
Middle name
Last name Hayashida

Organization

Nagasaki university hospital

Division name

Oral and maxillofacial surgery

Zip code

gaibushikin@ml.nagasaki-u.ac.jp

Address

1-7-1 Sakamoto, Nagasaki 852-8588, Japan

TEL

095-819-7698

Homepage URL


Email

sakihaya@nagasaki-u.ac.jp


Sponsor or person

Institute

Nagasaki university hospital

Institute

Department

Personal name



Funding Source

Organization

self

Organization

Division

Category of Funding Organization

Self funding

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

The IN

Address

1-7-1 Sakamoto, Nagasaki, Japan

Tel

95-819-7229

Email

gaibushikin@ml.nagasaki-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2017 Year 09 Month 01 Day


Related information

URL releasing protocol

https://upload.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000032402

Publication of results

Published


Result

URL related to results and publications

https://pubmed.ncbi.nlm.nih.gov/32093667/

Number of participants that the trial has enrolled

23

Results

After irrigation of the oral cavity, the number of bacteria decreased, but increased again at 1 hour after oral care in the control group; however, in the intervention group, the concentration of bacteria was significantly lower than that in the control group at one, 2 and 3 hours after oral care. The growth of all bacterial species tested was inhibited in the intervention group at 3 hours after oral care.

Results date posted

2021 Year 09 Month 20 Day

Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics

Patients who received mechanical ventilation in the intensive care unit of Nagasaki University Hospital between April and September 2018.

Participant flow

Oral care consisted of wiping with 3% hydrogen peroxide and irrigation with 200 mL of tap water plus suction. The patients in the intervention group received 5 mL of 10% povidone iodine applied topically in the oral cavity.

Adverse events

none

Outcome measures

Total number of bacteria in pharyngeal fluid
Increase / decrease in the number of bacteria by time series

Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2017 Year 09 Month 01 Day

Date of IRB

2017 Year 08 Month 22 Day

Anticipated trial start date

2017 Year 09 Month 01 Day

Last follow-up date

2018 Year 09 Month 30 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2017 Year 07 Month 20 Day

Last modified on

2021 Year 09 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032402


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name