Evidence map›Paper›PMID 35184146›Full record

Trial reportJournal of perinatology : official journal of the California Perinatal Association2022

2% aqueous vs alcohol-based chlorhexidine for skin antisepsis in VLBW neonates undergoing peripheral venipuncture: a non-inferiority trial.

Amish Jain, Poorva Deshpande, Eugene W Yoon, Kyong-Soon Lee, Allison McGeer, Vibhuti Shah

Registry-linked trialAbstract readRandomized Controlled TrialEquivalence Trial
PubMed Publisher
In one paragraph

Trial report in Journal of perinatology : official journal of the California Perinatal Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01270776 (Comparison of 2% Chlorhexidine in 70% Isopropyl Alcohol Versus 2% Aqueous Chlorhexidine for Skin Antisepsis Prior to Venepuncture in Very Low Birth Weight Infants), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.7field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01270776 naunknown statusnot on this map

Comparison of 2% Chlorhexidine in 70% Isopropyl Alcohol Versus 2% Aqueous Chlorhexidine for Skin Antisepsis Prior to Venepuncture in Very Low Birth Weight Infants: A Planned Non-inferiority Trial

TypeinterventionalSponsorMount Sinai Hospital, CanadaRan2011 to 2014Enrolled462ConditionsAnti-infecting Agents, LocalArms2% aqueous chlorhexidine, 2% Chlorhexidine 70% isopropyl alcohol
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Amish JainDepartment of Paediatrics, University of Toronto, Toronto, Canada. amish.jain@sinaihealth.ca.ORCID http://orcid.org/0000-0002-1413-2966
Poorva DeshpandeDepartment of Paediatrics, University of Toronto, Toronto, Canada.
Eugene W YoonMaternal and Infant Care Research Center (MiCare), University of Toronto, Toronto, Canada.
Kyong-Soon LeeDivision of Neonatology, the Hospital for Sick Children, Department of Paediatrics, University of Toronto, Toronto, Canada.ORCID http://orcid.org/0000-0001-5193-8937
Allison McGeerMicrobiology, Mount Sinai Hospital, University of Toronto, Toronto, Canada.
Vibhuti ShahDepartment of Paediatrics, University of Toronto, Toronto, Canada.ORCID http://orcid.org/0000-0001-8685-2447
University of Toronto · CAMount Sinai Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare 2% aqueous chlorhexidine gluconate (AQC) vs. 2% chlorhexidine gluconate in 70% isopropyl alcohol (ALC) for pre-venipuncture skin antisepsis in very-low-birth-weight neonates (VLBW, birth-weight <1500 grams). STUDY

designDouble-blind, non-inferiority trial randomized 199 VLBW neonates, age 2-28 days, to receive pre-venipuncture skin preparation using single application of swabstick impregnated with AQC (n = 99) or ALC (n = 100). Skin clearance rate (percentage post-cleansing skin swabs with <15 bacterial colony forming units) with a 10% non-inferiority margin for AQC was primary outcome. Absolute and relative CFU reduction and adverse skin reactions were compared.

resultsAQC's clearance was non-inferior to ALC (91% vs. 88%; 95% CI -6.6%, +12.4%). Median (interquartile range) absolute [61 (16, 110) vs. 63 (18, 100); p = 0.65] and relative [100% (97%, 100%) vs. 100% (99.7%, 100%); p = 0.20] CFU reductions were similar. Neither group experienced any adverse reactions.

conclusionAQC may provide non-inferior skin disinfection to ALC in VLBW neonates. CLINICAL

trial registrationClinicalTrials.gov NCT01270776.

Indexed as

Anti-Infective Agents, LocalChlorhexidineAdolescentAdultAntisepsisChildChild, PreschoolEthanolHumansInfant, NewbornInfant, Very Low Birth WeightPhlebotomySkinSurgical Wound InfectionYoung AdultAnti-Infective Agents, LocalChlorhexidineEthanol

Identifiers

PMID35184146
OpenAlexW4213204698

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.