Reducing ventilator-associated pneumonia in newborns in the NICU
Evaluation of an Evidence Based, Bundled Intervention to Reduce Incidence of Ventilator-associated Pneumonia in Neonatal Units (INBERNAV-Neo)
Biobizkaia Health Research Institute · NCT07240038
This project will see if training NICU teams and using standardized care protocols can lower ventilator-associated pneumonia in babies on mechanical ventilation.
Quick facts
| Study type | Observational |
|---|---|
| Enrollment | 1500 (estimated) |
| Ages | 0 Days to 6 Months |
| Sex | All |
| Sponsor | Biobizkaia Health Research Institute (other gov) |
| Locations | 39 sites (A Coruña, A Coruña and 38 other locations) |
| Trial ID | NCT07240038 on ClinicalTrials.gov |
What this trial studies
The project implements a multicenter, quasi-experimental observational program to standardize definitions, diagnosis, and prevention of ventilator-associated pneumonia in neonatal intensive care units. Participating units receive training on a multimodal bundle of evidence-based practices (oral care, suctioning, patient positioning, protected catheter techniques, and related protocols). A prospective surveillance registry will collect demographic, clinical, and ventilation-related data for infants on invasive mechanical ventilation to measure incidence before and after the intervention. The aim is to harmonize practice across sites and measure whether the intervention reduces VAP frequency and impact.
Who should consider this trial
Good fit: Neonates admitted to participating NICUs who remain on invasive mechanical ventilation for at least 48 hours are the intended participants.
Not a fit: Infants ventilated for less than 48 hours, those excluded by the treating clinician, or babies cared for outside participating centers are unlikely to benefit from this program.
Why it matters
Potential benefit: If successful, this could reduce the number of ventilator-associated pneumonia cases in NICU patients and standardize care to lower complications from infection.
How similar studies have performed: Multimodal prevention bundles have reduced ventilator-associated pneumonia in adult and pediatric ICUs and some neonatal quality-improvement projects report benefits, though neonatal-specific randomized data are limited.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients admitted to participating NICUs who are in IMV for at least 48 hours, regardless of birth weight, gestational age or medical condition. Exclusion Criteria: * Patients who remain in IMV less than 48 hours. * Decision of the healthcare professional in charge of the patient's treatment to exclude their participation at any moment due to the considerations of necessity.
Where this trial is running
A Coruña, A Coruña and 38 other locations
- Hospital Universitario de A Coruña — A Coruña, A Coruña, Spain (RECRUITING)
- Hospital Clínico Universitario de Santiago — Santiago de Compostela, A Coruña, Spain (NOT_YET_RECRUITING)
- Complejo Hospitalario Universitario de Albacete — Albacete, Albacete, Spain (RECRUITING)
- Hospital Universitario Germans Trias i Pujol — Badalona, Barcelona, Spain (RECRUITING)
- Hospital de la Santa Creu i Sant Pau — Barcelona, Barcelona, Spain (RECRUITING)
- Hospital Universitario Vall d'Hebrón — Barcelona, Barcelona, Spain (RECRUITING)
- Hospital Universitario de Cruces — Barakaldo, Bizkaia, Spain (RECRUITING)
- Hospital Universitario de Basurto — Bilbao, Bizkaia, Spain (RECRUITING)
- Hospital Universitario de Burgos (HUBU) — Burgos, Burgos, Spain (RECRUITING)
- Hospital San Pedro de Alcántara — Cáceres, Caceres, Spain (RECRUITING)
- Hospital Universitario Puerta del Mar — Cadiz, Cadiz, Spain (RECRUITING)
- Hospital Universitario De Jerez — Jerez de la Frontera, Cadiz, Spain (RECRUITING)
- Hospital Universitario Marqués de Valdecilla — Santander, Cantabria, Spain (RECRUITING)
- Hospital Universitario de Donostia — Donostia / San Sebastian, Gipuzkoa, Spain (RECRUITING)
- Hospital Universitario Virgen de las Nieves — Granada, Granada, Spain (RECRUITING)
- Complejo Hospitalario de Jaén — Jaén, Jaen, Spain (RECRUITING)
- Hospital Materno Infantil de Gran Canaria — Las Palmas de Gran Canaria, Las Palmas, Spain (RECRUITING)
- Hospital Universitario de León — León, Leon, Spain (RECRUITING)
- Hospital Universitario Arnau de Vilanova — Lleida, Lleida, Spain (RECRUITING)
- Hospital Universitario HM Monteprincipe — Boadilla del Monte, Madrid, Spain (RECRUITING)
- Hospital General Universitario Gregorio Marañón — Madrid, Madrid, Spain (RECRUITING)
- Clínica Universidad de Navarra — Madrid, Madrid, Spain (NOT_YET_RECRUITING)
- Hospital Universitario 12 de Octubre — Madrid, Madrid, Spain (RECRUITING)
- Hospital Universitario La Paz — Madrid, Madrid, Spain (RECRUITING)
- Hospital Regional Universitario de Málaga — Málaga, Malaga, Spain (RECRUITING)
- Hospital General Universitario Santa Lucía — Cartagena, Murcia, Spain (NOT_YET_RECRUITING)
- Hospital Clínico Universitario Virgen de la Arrixaca — Murcia, Murcia, Spain (NOT_YET_RECRUITING)
- Clínica Universidad de Navarra - Hospital — Pamplona, Navarre, Spain (NOT_YET_RECRUITING)
- Hospital Universitario de Navarra — Pamplona, Navarre, Spain (RECRUITING)
- Complejo Hospitalario Universitario de Pontevedra — Pontevedra, Pontevedra, Spain (RECRUITING)
- Hospital Universitario Central de Asturias — Oviedo, Principality of Asturias, Spain (RECRUITING)
- Hospital Clínico Universitario de Salamanca — Salamanca, Salamanca, Spain (RECRUITING)
- Hospital Universitario Virgen del Rocío — Seville, Sevilla, Spain (RECRUITING)
- Hospital Universitario Nuestra Señora de Valme — Seville, Sevilla, Spain (RECRUITING)
- Hospital General Universitario de Castellón — Castellon, Valencia, Spain (RECRUITING)
- Hospital Clinico Universitario de Valencia — Valencia, Valencia, Spain (RECRUITING)
- Hospital Universitario y Politécnico La Fe — Valencia, Valencia, Spain (RECRUITING)
- Hospital Universitario Río Hortega — Valladolid, Valladolid, Spain (RECRUITING)
- Hospital Universitario Materno Infantil Miguel Servet — Zaragoza, Zaragoza, Spain (RECRUITING)
Study contacts
- Study coordinator: Patricia Sanchez Hernandez
- Email: patricia.sanchezhernandez@bio-bizkaia.eus
- Phone: 946006136
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.
Conditions: Pneumonia Ventilator Associated, Pneumonia Neonatal, Healthcare-associated Infections, neonate, ventilator-associated pneumonia, quasi-experimental, multicenter, prevention