Using hydrogen peroxide and ultraviolet-C light to disinfect ICU surfaces
Official title: Hydrogen Peroxide and Ultraviolet Light for Disinfecting Surfaces in Intensive Care Units: A Randomized, Controlled, Cluster, Crossover Clinical Trial
Run by Hospital Israelita Albert Einstein · NCT07233837 · Data updated 2026-11-12
This trial will test whether adding hydrogen peroxide aerosol or automated UV-C light to routine cleaning lowers infection rates in adults admitted to participating intensive care units.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 5000 (estimated) |
| Sponsor | Hospital Israelita Albert Einstein Academic / other |
| Locations | 12 sites (Barbalha, Ceará and 11 other locations) |
| Status | Recruiting |
| Started | January 5, 2026 |
| Main results expected | February 26, 2027 |
| Study ends | March 1, 2027 |
| Registry record updated | April 15, 2026 |
| Trial ID | NCT07233837 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18 years or older admitted to one of the participating ICUs are eligible to be included.
✕Probably not a fit
Patients in ICUs that already use hydrogen peroxide or UV-C for surface disinfection, or those with very short ICU stays unlikely to encounter contaminated surfaces, may not receive benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This cluster-randomized, crossover trial will be conducted in 12 Brazilian ICUs, with each unit sequentially implementing three strategies: routine disinfection alone, routine disinfection followed by 7.9% hydrogen peroxide aerosolized inside a protective tent during terminal bed cleaning, and routine disinfection followed by automated ultraviolet-C irradiation applied under the same tent. Units are randomized by cluster and cross over between strategies so outcomes during each period can be compared. The trial links these unit-level disinfection strategies to patient-centered outcomes including ventilator-associated pneumonia, catheter-related bloodstream infections, and urinary tract infections while also monitoring environmental contamination and antimicrobial use. Results will determine whether reductions in surface bioburden translate into fewer ICU-acquired infections.
Why it matters
Potential benefit: If successful, the interventions could reduce ICU-acquired infections and lower antibiotic use among critically ill patients.
How similar studies have gone: Previous single-center and environmental studies have shown reductions in surface contamination with hydrogen peroxide and UV-C, but evidence that these technologies reduce patient infection rates across multiple centers is inconsistent and limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * All patients aged 18 years and older who will be admitted to the participating ICUs Exclusion Criteria: * Patients under 18 years * ICUs that use peroxide hydrogen or ultraviolet light for surface disinfection as part of their protocol
Where it's running
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Hospital Maternidade Sao Vicente De Paulo
Barbalha, Ceará, Brazil Recruiting -
Instituto Hospital de Base
Brasília, Federal District, Brazil Recruiting -
Hospital Estadual de Aparecida de Goiânia
Aparecida de Goiânia, Goiás, Brazil Recruiting -
Santa Casa de Misericórdia de Passos
Passos, Minas Gerais, Brazil Recruiting -
Fundo Municipal de Saúde de Maringá
Maringá, Paraná, Brazil Recruiting -
Hospital da Restauração
Recife, Pernambuco, Brazil Recruiting
Show 6 more locations
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Hospital Universitário da Universidade Federal do Piauí
Teresina, Piauí, Brazil Recruiting -
Hospital Universitário Onofre Lopes
Natal, Rio Grande do Norte, Brazil Recruiting -
Hospital Geral de Caxias do Sul
Caxias do Sul, Rio Grande do Sul, Brazil Recruiting -
Hospital de Pronto Socorro de Porto Alegre
Porto Alegre, Rio Grande do Sul, Brazil Recruiting -
Hospital Dr Leo Orsi Bernardes
Itapetininga, São Paulo, Brazil Recruiting -
Hospital Pelópidas Silveira
Recife, Brazil Recruiting
Study contacts
- Principal investigator: Antonio P Nassar Jr, PhD — Hospital Israelita Albert Einstein
- Study coordinator: Antonio P Nassar Jr, PhD
- Email: antonio.nassar@einstein.br
- Phone: 551121519617
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.