Actively Recruiting

Phase Not Applicable
Age: 18Years +
All Genders
ID07183592

Impact of Infusion Line Change Frequency on Infectious Complications Related to Central Venous Catheters in the Intensive Care Unit ICU

Led by University Hospital, Angers · Updated on 2026-05-13

2830

Participants Needed

27

Research Sites

30 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

In intensive care units, patients often need central venous catheters for care and safe medication delivery, but these devices can lead to infections. Most prevention focuses on how catheters are inserted and handled, but the length of time the catheter stays in place is a main source of infection. This research compares changing infusion sets every 7 days versus every 4 days to see if less frequent changes increase infection risk while considering impacts on nursing workload and costs. The study involves two groups: one where infusion sets connected to the catheter are replaced every 7 days, and another where they are replaced every 4 days, the current standard recommendation. Each replacement involves disconnecting old sets and replacing them with new sterile ones. Both procedures are performed by qualified nurses during the patient's ICU stay. Participants are adult ICU patients with a central venous catheter placed less than 72 hours ago and expected to remain for at least 7 days. Researchers will monitor infections related to the catheter from insertion until 48 hours after removal, along with bloodstream infections, catheter colonization, ICU length of stay, mortality, nursing time, and replacement costs. The study follows patients up to 90 days to collect these outcomes and assess the effects of the different replacement schedules.

CONDITIONS

Brief Title

Impact of Infusion Line Change Frequency on Infectious Complications Related to Central Venous Catheters in the ICU - A Randomized Controlled Trial

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adult patient
  • Any ICU patient with a central venous catheter (inserted by venipuncture) in place for less than 72 hours
  • Expected catheter dwell time of at least 7 days
  • Patient affiliated with or covered by a social security system
  • Patient who has given verbal consent or written consent from a third party or if unable to give consent
Not Eligible

You will not qualify if you...

  • Documented bloodstream infection at the time of inclusion
  • Central venous catheter in place for more than 72 hours
  • Suspected catheter-related infection
  • Catheter inserted using a guidewire exchange
  • Previously enrolled in the study during the same ICU stay
  • Condition preventing safe catheter placement, such as allergy to catheter material, confirmed deep vein thrombosis, or skin disorder at insertion site
  • Admitted for extensive burns
  • Inadequate understanding of the French language
  • Pregnant, breastfeeding, or postpartum woman
  • Person deprived of liberty by judicial or administrative decision
  • Person receiving involuntary psychiatric care
  • Person under legal guardianship or other legal protection measure

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

Treatment

Duration - Up to 90 days or until catheter removal or ICU discharge

Participants receive infusion set replacements connected to their central venous catheter either every 7 days or every 4 days according to their assigned group.

Infusion set replacements every 4 or 7 days during ICU stay

Trial Site Locations

Total: 27 locations

1

La Réunion University Hospital

Saint-Pierre, La Réunion, France, BP350 97448

Not Yet Recruiting

2

Albi Hospital

Albi, France, 81000

Not Yet Recruiting

3

Angers University Hospital

Angers, France, 49933

Actively Recruiting

4

Belfort Hospital

Belfort, France, 90015

Not Yet Recruiting

5

Bourges Hospital

Bourges, France, 18000

Not Yet Recruiting

6

Caen University Hospital

Caen, France, 14033

Not Yet Recruiting

7

CH Carcassonne

Carcassonne, France, 11000

Not Yet Recruiting

8

Chartres Hospital

Chartres, France

Not Yet Recruiting

9

Cholet Hospital

Cholet, France, 49300

Not Yet Recruiting

10

Colombes Hospital

Colombes, France, 92700

Not Yet Recruiting

11

Corbeil-Essonnes Hospital

Corbeil-Essonnes, France, 91106

Not Yet Recruiting

12

AP-HP - Henri Mondor Hospital

Créteil, France, 94000

Not Yet Recruiting

13

Dijon University Hospital

Dijon, France, 21079

Not Yet Recruiting

14

Garches Hospital

Garches, France

Not Yet Recruiting

15

CH Le Mans

Le Mans, France, 72000

Not Yet Recruiting

16

Le Puy en Velay Hospital

Le Puy-en-Velay, France, 43000

Not Yet Recruiting

17

Macon Hospital

Mâcon, France, 71000

Not Yet Recruiting

18

Nantes University Hospital

Nantes, France, 44093

Not Yet Recruiting

19

Orleans University Hospital

Orléans, France, 45067

Not Yet Recruiting

20

AP-HP - Tenon Hospital

Paris, France, 75020

Not Yet Recruiting

21

AP-HP - Saint Louis

Paris, France, 75475

Not Yet Recruiting

22

Pontoise Hospital

Pontoise, France, 95300

Not Yet Recruiting

23

CHU Rennes - service MIR

Rennes, France, 35033

Not Yet Recruiting

24

CHU Rennes - service Réa chir

Rennes, France, 35033

Not Yet Recruiting

25

CH Saint-Nazaire

Saint-Nazaire, France, 44606

Not Yet Recruiting

26

Strasbourg University Hospital

Strasbourg, France, 67091

Not Yet Recruiting

27

CHU Tours

Tours, France, 37000

Not Yet Recruiting

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Research Team

C

Carole Haubertin

A

Aurélie Hautefort

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

HEALTH_SERVICES_RESEARCH

Number of Arms

2

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