NCT03638947

Reducing Perioperative S. Aureus Transmission

Reducing Perioperative S. Aureus Transmission Via Use of an Evidence-Based, Multimodal Program Driven by an Innovative Software Platform (OR Path Trac)

• Status: Terminated
• Phase: N/A
• Study type: Interventional
• Enrollment: 236 (actual)
• Sponsor: Randy Loftus · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Accepted

Summary

The purpose of this study is to prevent the spread of S. aureus, a dangerous bacterium, within the operating room and between patients undergoing surgery.

Detailed description

The purpose of this study is to prevent the spread of S. aureus, a dangerous bacterium, within the operating room and between patients undergoing surgery. The investigators will combine several approaches in a "bundle" of activities to achieve this goal. The bundle will include removal of bacterial pathogens from patient skin sites before surgery, from provider hands before, during, and after surgery, from environmental surfaces before and after terminal cleaning, and from the injection ports of patient intravenous catheters. The investigators will use a new surveillance system to evaluate how well the bundle, and each component of the bundle, is working. Surveillance will identify S. aureus transmission events, and movement of S. aureus between reservoirs before, during, and after surgery (perioperative). Surveillance will map transmission events to identify actionable steps to improve the bundle. An infection control perioperative team will act on the surveillance reports to proactively address the action items, and to measure the effect of their efforts for the treatment group. The investigators will compare perioperative S. aureus transmission events for patients receiving the bundle to perioperative S. aureus transmission events for patients receiving usual care.

Conditions

• Staphylococcus Aureus
• Health Care Associated Infection
• Health Care Worker Patient Transmission

Interventions

Type	Name	Description
DEVICE	Swab and decolonization using povidone-iodine cleansing	Patient in this group will receive improved environmental cleaning and undergo surveillance using swabs and decolonization cleansing.

Timeline

• Start date: 2018-09-20
• Primary completion: 2021-01-01
• Completion: 2021-01-01
• First posted: 2018-08-20
• Last updated: 2022-07-01
• Results posted: 2022-07-01

Locations

1 site across 1 country: United States

Regulatory

• FDA-regulated device study