Preventability of Infections in Residents of French Nursing Homes

Study Overview
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Brief Summary
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STUDY HYPOTHESIS : An infection prevention program adapted for the nursing home context can reduce by 5% the number of infections (urinary, upper and lower respiratory and gastrointestinal) in elderly residents in nursing homes. STUDY DESIGN : The proposal is for an interventional cluster (nursing home) study comprising 2 randomized groups: group 1 (interventional), comprising 25 nursing homes implementing a specific infection prevention program; and group 2 (control), 25 nursing homes continuing to implement their routine prevention measures.

Official Title
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Impact of a Multifaceted Intervention on the Preventability of Infections in Residents of French Nursing Homes: Cluster-randomised Controlled Trial (ENLIL Study)

Conditions
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Infection Control

Intervention / Treatment
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* Other: Prevention of infections program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Nursing homes which contain a medical coordinator and at least one nurse and/or nursing auxiliary. Nursing Homes located in France (North-West) All the residents present or entering the facility during the study period Exclusion Criteria: Nursing homes where a prevention program has already been implemented
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Intervention Nursing Homes<br>Comprising 24 nursing homes implementing a specific infection prevention program | Other: Prevention of infections program<br>* The intervention mainly involves implementing urinary, respiratory and gastrointestinal infection prevention measures. Study nursing home medical coordinators will be in charge of training their own teams. For this, they will be provided with: a slide-show of recommendations (commented by an expert), recommendations guides (on paper and on computer) to be shown to their teams. Means will be provided to the intervention nursing homes : Hydro-alcoholic solutions, disinfectant detergent-impregnated tissues, mouth care kits, tec.<br>|
| No Intervention: Usual care Nursing Homes<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of infections (urinary, upper and lower respiratory and gastrointestinal) in elderly residents in nursing homes |  | every month | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of death |  | every month | 
| Number of hospitalizations |  | every month | 
| Number of of prescriptions for antimicrobials |  | every month | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Infection control, Urinary Tract Infections, Respiratory Tract Infections