Intensive Care Clinical Trial
Official title:
Detection of Chlorhexidine in Tracheal Secretions After Routine Oral Care With Chlorhexidine Gluconate: an Ancillary Study of the DEMETER Trial (NCT02515617)
Recent meta-analysis have suggested that the safety of oral care with chlorhexidine in
patients under mechanical ventilation could be questionable. Whatever the hypothetical
mechanisms involved (direct cellular toxicity, underdiagnosis of Ventilator-Associated
Pneumonia), presence of chlorhexidine in tracheal secretions after routine oral care is the
cornerstone of this potential side effect of the routine oral care with chlorhexidine
gluconate. The DEMETER study assessing the medico-economical impact of the subglottic
secretions drainage study (NCT02515617) provides the opportunity to perform this proof of
concept study (detection of chlorhexidine in tracheal secretions after routine oral care with
chlorhexidine gluconate) and to evaluate the impact of the subglottic secretion drainage on
this potential detection of chlorhexidine.
This ancillary study will be performed in one of the centers participating to the DEMETER
study.
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