The efficacy of nasal cavity lavage with a physiological saline solution in prevention of recurrent acute otitis media: a pilot randomised controlled study

ISRCTN ISRCTN50641733
DOI https://doi.org/10.1186/ISRCTN50641733
Secondary identifying numbers N/A
Submission date
20/01/2008
Registration date
16/04/2008
Last edited
16/04/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Ear, Nose and Throat
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Annie Lapointe
Scientific

3175 Cote Sainte-Catherine
Montreal
H3T 1C5
Canada

Phone +1 514 345 4857
Email annie.lapointe.hsj@ssss.gouv.qc.ca

Study information

Study designRandomised controlled pilot project
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet.
Scientific title
Study objectivesWe believe that regular nasal irrigation with a physiological saline solution decreases the occurrence of acute otitis media (AOM) and recurrent acute otitis media (rOMA).
Ethics approval(s)Ethics approval received from the Comité d'éthique de la recherche du CHU Saint-Justine on the 28th May 2007 (ref: 2510), last amended 8th January 2008.
Health condition(s) or problem(s) studiedRecurrent acute otitis media
InterventionIntervention group:
Nasal irrigation with a physiological saline solution. A 0.9% saline solution is used.
1. If the child is not capable of blowing his nose: 1 cc (full dropper) per nostril, repeated twice, performed four times a day (QID) or six times daily during a respiratory infection
2. If the child is capable of blowing his nose: 5 vaporisations per nostril, blow nose and repeat a second time, perform QID or six times daily during a respiratory infection

Control group:
Patients in the control arm do not perform nasal irrigations.

Treatment lasts 3 months and there are two follow-up visits at 6 weeks intervals.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Saline solution
Primary outcome measureIncidence of recurrent acute otitis media (rAOM) defined as the occurrence of two distinct episodes of acute otitis media during the 3-month study period.
Secondary outcome measures1. Occurrence of 1 episode of acute otitis media during the 3-month study period
2. Occurrence of adverse events
Overall study start date24/09/2007
Completion date01/06/2008

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit6 Months
Upper age limit5 Years
SexBoth
Target number of participants40
Key inclusion criteria1. Age is between 6 months and 5 years old (exclusively), either sex
2. Recurrent acute otitis media (AOM) (diagnosed by paediatrician or referring general practitioner):
2.1. Four AOM within 6 months
2.2. Six AOM or more within 1 year
Key exclusion criteria1. Parents refuse to participate
2. Known disease or syndrome modifying the normal anatomy or physiology or the upper respiratory tract (Downs, Apert, Crouzon, mucopolysaccharidosis, cranio-cerebral trauma, etc.)
3. Malformations:
3.1. Craniofacial, skull base or nose
3.2. Complete or submucous cleft palate
4. Immunodeficiency:
4.1. Congenital (according to paediatrician or immunologist)
4.2. Acquired (human immunodeficiency virus [HIV], chemotherapy)
5. Ciliary dysfunction (according to paediatrician or pneumologist)
6. Tympanic membrane perforation
7. Cholesteatoma
8. Acute complication of AOM (intra- or extra-cranial)
9. History of ear, nose and throat (ENT) surgery (adenoidectomy, tonsillectomy, myringotomy or other)
10. Intra-nasal or systemic corticosteroid use (pulmonary steroids not excluded)
11. Adenoid or tonsil hypertrophy with suspicion of obstructive apnoea
12. Multiple allergies to antibiotics
13. Insufficient comprehension of written or spoken French by parents
Date of first enrolment24/09/2007
Date of final enrolment01/06/2008

Locations

Countries of recruitment

  • Canada

Study participating centre

3175 Cote Sainte-Catherine
Montreal
H3T 1C5
Canada

Sponsor information

Sainte-Justine Hospital Research Centre (Centre de recherche du CHU Sainte-Justine) (Canada)
Hospital/treatment centre

3175 Côte Sainte-Catherine
Montreal
H3T 1C5
Canada

Phone +1 514 345 4691
Email centre@recherche-ste-justine.qc.ca
Website http://www.recherche-sainte-justine.qc.ca/en/
ROR logo "ROR" https://ror.org/01gv74p78

Funders

Funder type

Hospital/treatment centre

Sainte-Justine Hospital Research Centre (Centre de recherche du CHU Sainte-Justine) (Canada)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan