<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20191009045034N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2019-12-18</date_registration>
      <primary_sponsor>Shahroud University of Medical Sciences</primary_sponsor>
      <public_title>The Effectiveness of Echinacea, Listerine and Chlorhewidine mouthwashes on oral health and microbial flora.</public_title>
      <acronym></acronym>
      <scientific_title>Comparing the effectiveness of Echinacea, Listerine, and chlorhexidine mouthwashes on oral microbial flora and oral health status of patients in Intensive Care Unit.</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2019-10-23</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>180</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/42857</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Triple blinded, Placebo: Not used, Assignment: Factorial, Purpose: Treatment, Randomization description: The method of randomization is hexagonal blocking and the randomization tool is the sealed envelope.
An statistic expert will accomplish the randomization sequence by using the suitable software.
Sampling will be done sequentially.
In order to concealment, mouthwashes are poured into same bottles and given a code, which  the main researcher will not be aware, Blinding description: The outcome assessor, participants, and data analyst will not be aware of the assigned groups
Participants will be unconscious
Mouthwashes are poured into same bottles with different codes; which the outcome assessor will not see them.
The data analyzer will also not be present in the research environment.</study_design>
      <phase>3</phase>
      <hc_freetext>Microbial flora and oral hygiene of ICU patients.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: For group A, the entire oral surface is examined with BOAS Scale and then the patient's mouth is washed with 15 cc Echinacea solution for one week and then re-examined for hygiene and colonization and then the data will be analyzed. Intervention 2: Intervention group: For group B, the entire oral surface is examined with BOAS Scale and then the patient's mouth is washed with 15 cc Listerin solution for one week and then re-examined for hygiene and colonization and then the data will be analyzed. Intervention 3: the entire oral surface is examined with BOAS Scale and then the patient's mouth is washed with 15 cc Chlorhexidine solution for one week and then re-examined for hygiene and colonization and then the data will be analyzed.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
The obtained data after testing on 180 participants in Shohada Tajrish and Imam Hossein hospitals can be shared after unidentifiable individuals.

When:
Data will be accessible, 6 months after printing the results

To whom:
Researchers working in academies and scientific institutions, could access to data and documentation .

Conditions:
To promote and extend the subject under study from other aspects and to compare the results with other relevant scientific results, it is permissible to use documentation and data to improve the level of health.

Where to obtain:
simin_online.1988@yahoo.com

How to obtain:
After reviewing the reason of requesting to access documentation and data by the researcher, the data and documentation file will be sent to the researcher (one month after submitting the request).

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Simin Kakavand Araghi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Chamran Hospital, end of Sayyad shirazi highway, Tehran.Iran</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1694613311</zip>
        <telephone>+98 21 2795 1190</telephone>
        <email>simin_online.1988@yahoo.com</email>
        <affiliation>Shahroud University of Medical Sciences</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Simin Kakavandaraghi</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>End of sayyad shirazi highway. St sanayea. chamran hospital</address>
        <city>Tehran</city>
        <country1>Iran (Islamic Republic of)</country1>
        <zip>1694613311</zip>
        <telephone>+98 21 2795 1190</telephone>
        <email>kakavand@shmu.ac.ir</email>
        <affiliation>Shahroud University of Medical Sciences</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Iran (Islamic Republic of)</country2>
    </countries>
    <criteria>
      <inclusion_criteria>15 to 65 years old
The level of consciousness lower than 8, based on the Glasgow scale
Utilizing endotracheal tube for patients’ breathing
Lapsing maximum 12 hours after admitting the patient in intensive care unit</inclusion_criteria>
      <agemin>15 years</agemin>
      <agemax>65 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Having active periodontal disease
Having oral Traumatic or anatomic lesions in mouth
Having antibiotics two weeks before hospitalization
Having systemic infections
Having autoimmune or malignant diseases
Radio therapy prescription
Utilizing immunosuppressive drugs
Allergy to mouthwashes (inflation and redness in gums and oral tissue)
Patients with tracheotomy
Pregnancy</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
      <i_code>Treatment - Drugs</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: For group A, the entire oral surface is examined with BOAS Scale and then the patient's mouth is washed with 15 cc Echinacea solution for one week and then re-examined for hygiene and colonization and then the data will be analyzed</i_keyword>
      <i_keyword>Intervention group: For group B, the entire oral surface is examined with BOAS Scale and then the patient's mouth is washed with 15 cc Listerin solution for one week and then re-examined for hygiene and colonization and then the data will be analyzed</i_keyword>
      <i_keyword>the entire oral surface is examined with BOAS Scale and then the patient's mouth is washed with 15 cc Chlorhexidine solution for one week and then re-examined for hygiene and colonization and then the data will be analyzed</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>The rate of oral microbial flora in unconscious patients. Timepoint: Prevalence of oral microbial flora in unconscious patients at baseline (before intervention) and one week after intervention. Method of measurement: Beck Oral Assessment Scale and Laboratory published reports of cultured and grown colonies.</prim_outcome>
      <prim_outcome>Oral health status in unconscious patients. Timepoint: Oral hygiene status in unconscious patients at baseline (before intervention) and one week after intervention. Method of measurement: Beck Oral Assessment Scale.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Shahroud University of Medical Sciences</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2019-10-06</approval_date>
        <contact_name>Ethics committee of Shahroud of Medical Sciences</contact_name>
        <contact_address>Shahroud University of Medical Sciences, 7th Tir Square, Shahroud, Iran Shahroud Semnan Iran (Islamic Republic of)</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
