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Trial registered on ANZCTR
Registration number
ACTRN12617000194369
Ethics application status
Approved
Date submitted
24/01/2017
Date registered
6/02/2017
Date last updated
9/05/2017
Type of registration
Retrospectively registered
Titles & IDs
Public title
A study to Assess Bacterial load after a pain numbing device is applied to a blood donor's arm after routine disinfection
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Scientific title
A prospective study to Assess Bacterial load after a non-invasive pain numbing device is placed on a blood donor's arm after routine disinfection
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Secondary ID [1]
290991
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Nil
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Universal Trial Number (UTN)
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Trial acronym
EVALUATE
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Bacterial Load - Skin
301751
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Blood Donation
301767
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Condition category
Condition code
Skin
301455
301455
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0
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Other skin conditions
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The study will assess the impact a non-invasive pain numbing device - Coolsense(R) has on the skin surface bacterial load collected from a blood donor's cubital fossa after routine disinfection of the area with BD Persist Plus on their non phlebotomy arm.
Coolsense (R) is a topical anaesthetic device that numbs the skin prior to injection. The device consists of an applicator, which has an in-built temperature gauge, as well as an antiseptic component to clean the applicator. The device is applied to the skin for 10 seconds to numb the phlebotomy site
BD Persist Plus contains 1% Chlorhexidine Gluconate with 75% Ethanol that is applied with a single use applicator.
Each donor will have their non phlebotomy cubital fossa disinfected with BD Persist Plus which is as per The Blood Services standard practice. After the Persist Plus has dried a skin swab will be taken before and after the application of the Coolsense(R) Device which for the purposes of this study only has been kept at room temperature.
The tip of the device will have a small quantity, approximately 5 cent piece size of 70% Alcohol gel applied prior to contact with the skin. The gel will be allowed to dry prior to the 2nd arm swab being taken.
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Intervention code [1]
296955
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Treatment: Devices
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Comparator / control treatment
No Control Group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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Proportion of participants for who the bacterial colony count post application of the Coolsense(R) device is less than 5 colony units.
Bacterial colony count will be measured by taking a skin swab pre and post the application of the Coolsense(R) device. Swabs are then inoculated and contents transferred to a Petrifilm (TM) plate where it is incubated at 30 degrees for 72 hours to allow for any bacterial growth. Samples are then removed from the incubator and colonies are counted within the circular growth area (approx 20cm squared)
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Assessment method [1]
300852
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Timepoint [1]
300852
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within 5 minutes from removal of Coolsense(R) Device
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Secondary outcome [1]
331034
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Proportion of participants for whom the bacterial colony count post application of the Coolsense(R) device is no greater than the colony count prior to application of the device.
Bacterial colony count will be measured by taking a skin swab pre and post the application of the Coolsense(R) device. Swabs are then inoculated and contents transferred to a Petrifilm (TM) plate where it is incubated at 30 degrees for 72 hours to allow for any bacterial growth. Samples are then removed from the incubator and colonies are counted within the circular growth area (approx 20cm squared)
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Assessment method [1]
331034
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Timepoint [1]
331034
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within 5 minutes from removal of Coolsense(R) Device
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Eligibility
Key inclusion criteria
1. Adults greater than or equal to 18 years and less than 80 years
2. Eligible for blood donation as per the current ‘Guidelines for the Selection of Blood Donors’ (GSBD)
3. At least 2 previous successful donations (Plasma, Platelet or Whole Blood)
4. Able and Willing to provide written informed consen
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Minimum age
18
Years
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Maximum age
80
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1. Does not meet current ‘Guidelines for the Selection of Blood Donors’ (GSBD)
2. Known sensitivity to Isopropyl Alcohol and or other topical disinfectants
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
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Statistical methods / analysis
The primary outcome will be analysed by summarising and tabulating the number of samples collected where colony units are greater than or less than 5 units. The secondary outcome will use an appropriate means test to determine the difference between colony units pre and post intervention.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
22/11/2016
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Date of last participant enrolment
Anticipated
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Actual
12/12/2016
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Date of last data collection
Anticipated
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Actual
12/12/2016
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Sample size
Target
50
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Accrual to date
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Final
50
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
295411
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Charities/Societies/Foundations
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Name [1]
295411
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Australian Red Cross Blood Service
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Address [1]
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National Office
Level 3, 417 St Kilda Rd
Melbourne VIC 3004
Australia
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Country [1]
295411
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Australia
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Primary sponsor type
Charities/Societies/Foundations
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Name
Australian Red Cross Blood Service
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Address
National Office
Level 3, 417 St Kilda Rd
Melbourne VIC 3004
Australia
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Country
Australia
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Secondary sponsor category [1]
294232
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None
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Name [1]
294232
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Address [1]
294232
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Country [1]
294232
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
296744
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Australian Red Cross Blood Service Ethics Committee
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Ethics committee address [1]
296744
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C/- Sydney Processing Centre 17 O'Riordan St Alexandria NSW 2015
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Ethics committee country [1]
296744
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Australia
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Date submitted for ethics approval [1]
296744
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06/09/2016
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Approval date [1]
296744
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30/09/2016
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Ethics approval number [1]
296744
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2016#20
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Summary
Brief summary
A significant barrier to donation and donor retention is fear of needle pain, pain actually experienced during phlebotomy, and associated anxiety. It is clear from previous research that anticipatory anxiety and/or fear of needle pain does not dissuade all prospective donors, however these inter-related barriers have negative consequences for donor retention. Donors reporting higher levels of anxiety and fear of needle pain are more likely to experience a vasovagal reaction, including full faint and/or presyncopal symptoms such as faintness, dizziness, and light-headedness. A recent study by France et al (2012) found that fear of injections and blood draws had the strongest relationship to post-donation Blood Donor Reaction Inventory (BDRI) scores, a self-rated measure of presyncopal reactions to blood donation. A particularly strong relationship between fear related to blood donation and adverse events was noted for female, first time donors. The findings of this study are consistent with other research showing that pre- donation fear, as measured by a single question about fear of needles, was positively related to post- donation BDRI scores and inversely related to ratings of likelihood of future donation, as well as actual rates of return in the subsequent year. We propose that a pain numbing device called “CoolSense(R)" could be effectively used by the Blood Service to reduce pain and anxiety, and enhance donor satisfaction and retention. CoolSense(R) is a hand-held non- invasive skin numbing applicator that is used to anaesthetise the skin before a painful procedure, without the use of chemicals. With an operating temperature of minus two to minus six degrees Celsius, CoolSense(R) is more effective than ice in numbing pain. In order to use CoolSense(R) in phlebotomy, the applicator must be applied to the skin after disinfection as the site would not remain desensitized for a sufficient period if applied prior to disinfection. Given that this post-disinfection application contravenes current Blood Service protocols, the objective of the bacterial load study is to assess whether the phlebotomy site remains free from microbiological contaminates after application of CoolSense(R)
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
71938
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Dr Tanya Davison
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Address
71938
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Australian Red Cross Blood Service
National Office
Level 3, 417 St Kilda Rd
Melbourne VIC 3004
Australia
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Country
71938
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Australia
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Phone
71938
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+61 3 9863 1600
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Fax
71938
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Email
71938
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[email protected]
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Contact person for public queries
Name
71939
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Elizabeth Knight
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Address
71939
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Australian Red Cross Blood Service
Sydney Processing Centre
17 O'Riordan St
Alexandria NSW 2015
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Country
71939
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Australia
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Phone
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+61 2 8234 2386
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Fax
71939
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Email
71939
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[email protected]
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Contact person for scientific queries
Name
71940
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Carley Gemelli
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Address
71940
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Australian Red Cross Blood Service
National Office
Level 3, 417 St Kilda Rd
Melbourne VIC 3004
Australia
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Country
71940
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Australia
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Phone
71940
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+61 3 9863 1600
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Fax
71940
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Email
71940
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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