Cochrane Renal Group

 Back
autoid 103
crg_id CRG020600039
titleoftrial A randomized controlled double blind study using Mupirocin versus Polysporin Triple for the prevention of catheter-related infections in patients treated with peritoneal dialysis
acronymnoftrial Oint-1
website http://
identificationno
leadprefix Dr
leadsurname Jassal
leadgivennames Sarbjit Vanita
leadposition Assistant Professor
leaddepartment Medicine
leadorganisation University Health Network
leadaddress 200 Elizabeth St, 8N-857, Toronto, ON M5G 2C4 Canada
leademail vanita.jassal@uhn.on.ca
leadphone +1 416 340 3196
leadfax +1 416 340 4999
leadsuffix
contactprefix
contactsurname Gordon
contactgivennames Debra
contactposition Research Coordinator
contactdepartment
contactorganisation University Health Network
contactaddress 200 Elizabeth St, 8N-857, Toronto, ON M5G 2C4
contactemail debra.gordon@uhn.on.ca
contactphone +1 416 340 4800 extn 6362
contactfax +1 416 340 4999
funding
otherfunding awaiting funding decision
fundingnameofsponsors
ethicsapproval yes
studytype randomised
studytype_other
groupassignment parallel
blinding_patients yes
blinding_investigators yes
blinding_outcomes no
blinding_analysts yes
proposedstart July 2006
actualstart Feb 2006
proposedcompletiondate Aug 2008
actualcompletiondate
multi_center_study yes
numberofcentres 4
multi_national_study no
countrycentres Canada
researchquestion To compare the time to the first catheter-related infection when prophylactic topical Polysporin Triple versus mupirocin ointment is used at the peritoneal catheter exit site in patients with end-stage renal disease maintained on peritoneal dialysis.
study_status_recruitment ongoing
study_status_recruitment_follow ongoing
healthcarecondition peritoneal dialysis
intervention1 polysporin triple ointment
intervention2 mupirocin
intervention3
intervention4
participants_gender both
participants_other adults
age 18-N/A
totalrecruitment 200
inclusion 1. Able and willing to provide informed consent*
2. Age over 18 years
3. Has a peritoneal dialysis catheter in situ and
a. Is established on PD for more than 3 months (prevalent patients)
b. Is undergoing training for or has initiated PD within the last 3 months (incident patients)
4. Medically stable (as defined by primary nephrologist)
5. Regularly applying mupirocin ointment to catheter exit site
exclusion 1. Presence of acute renal failure
2. Catheter related infection at the time of recruitment or within the previous 3 months
3. Use of an oral or IV antibiotic at the time of randomization or within the previous 1 week.
4. Known allergy to any component of Polysporin Triple or mupirocin
5. Scheduled for living donor transplant surgery within 6 months of study date
primaryoutcomes The primary endpoint is the time to first catheter related infection. This infection will be a composite endpoint that includes one or more of the following PD catheter-related infections a) exit site infection, b) tunnel infection, and c) PD peritonitis. Definitions of these infections will be based on the Canada Communicable Disease Report infection control and the International Society of Peritoneal Dialysis Guidelines.
secondaryoutcomes 1. Removal of the catheter to prevent or halt progression of a catheter related infection
2. Hospitalizations related to catheter related infection
3. Death due to catheter-related infection
4. All-cause mortality
5. Technique failure (i.e. transfer to hemodialysis)
6. Mupirocin or Polysporin Triple resistance
reference