Head trauma and severe cerebral hemorrhage are major risk factors for development of ventilator-associated pneumonia. In a previous open labelled, single center study the investigators showed that repeated oropharyngeal decontamination with povidone-iodine may be an effective strategy to decrease the prevalence of ventilator-associated pneumonia in patients with head trauma. The present study aims to confirm these results in a multicenter, double blind study including patients suffering from head trauma or cerebral hemorrhage.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
179
oropharyngeal decontamination every 4 hours
oropharyngeal decontamination every 4 hours
CHU Angers
Angers, France
Réanimation chirurgical Hopital Hotel Dieu-CHU de Nantes
Nantes, France
CHU de Poitiers
Poitiers, France
Surgical Intensive Care Unit - CHU de Rennes
Rennes, France
CHU de Rouen
Rouen, France
Réanimation chirurgicale CHU Tours
Tours, France
CHG Vannes
Vannes, France
Rate of ventilator associated pneumonia
Time frame: 30 days
Time to ventilator associated pneumoniae
Time frame: 30 days
Rate of early (<=7 days) and late (>7 days) ventilator associated pneumoniae
Time frame: 30 days
Length of mechanical ventilation
Time frame: 30 days
Other infections
Time frame: 30 days
Acute respiratory distress syndrome
Time frame: 30 days
Treatments administered (antibiotics, sedatives, transfusion)
Time frame: 30 days
Length of ICU and hospital stay
Time frame: Hospital discharge
Death
Time frame: ICU, 1 months, 3 months
Oropharyngeal bacterial colonisation
Time frame: 30 days
Type of anesthetic agents received
Time frame: 30 days
Rate of tracheostomy
Time frame: 30 days
Rate of transfusion (red blood cells, platelets, plasma)
Time frame: 30 days
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