Study on the Reapplication of Chloraprep After Lower Extremity Surgery and Prior to Dressing Application

NCT ID: NCT02017145

Last Updated: 2014-02-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

140 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-02-28

Brief Summary

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The purpose of the current work is to determine the efficacy of the re-application of surgical prep solution in decreasing surgical site bacterial contamination following lower extremity surgery. Decreasing the extent of bacterial colonization of the skin surrounding the surgical site during the initial healing phases would theoretically decrease the rate of infection in high-risk persons.

Detailed Description

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Conditions

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Lower Extremity Surgery Surgical Site Infection Bacterial Colonization Surgical Antiseptic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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no reapplication

This group will not have chloraprep reapplied after their surgery and prior to dressing application.

Group Type NO_INTERVENTION

No interventions assigned to this group

reapplication

This group will have chloraprep reapplied following their lower extremity surgical procedure and prior to dressing application.

Group Type EXPERIMENTAL

Chloraprep

Intervention Type DRUG

Interventions

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Chloraprep

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Male and female
* Adults (18+)
* Both elective and non-elective procedures
* Lower extremity surgery performed below the knee and requiring post-operative splint immobilization for 2-3 weeks
* Able to understand and read the English language
* Signed informed consent

Exclusion Criteria

* Pregnant (to be assessed the day of surgery per standard of care surgical protocol)
* Known allergies to chlorhexidine gluconate or isopropyl alcohol
* Multiple planned lower extremity surgeries
* Local skin disease
* Pre-existing or known infection at surgical site
* Open wounds or local abrasions
* Unable to or unwilling to follow through with study requirements
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sanford Health

OTHER

Sponsor Role lead

Responsible Party

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Kyle Judd

Employed Physician

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Kyle T Judd, MD

Role: PRINCIPAL_INVESTIGATOR

Sanford Orthopedics and Sports Medicine

Locations

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Sanford USD Medical Center

Sioux Falls, South Dakota, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Jeremy P Morgan, MS

Role: CONTACT

605-328-1398

Diane Hahn

Role: CONTACT

605-328-1361

Facility Contacts

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Kyle T Judd, MD

Role: primary

605-328-2663

References

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Gould D. Causes, prevention and management of surgical site infection. Nurs Stand. 2012 Jul 25-31;26(47):47-56; quiz 58. doi: 10.7748/ns2012.07.26.47.47.c9226.

Reference Type BACKGROUND
PMID: 22913092 (View on PubMed)

Ostrander RV, Botte MJ, Brage ME. Efficacy of surgical preparation solutions in foot and ankle surgery. J Bone Joint Surg Am. 2005 May;87(5):980-5. doi: 10.2106/JBJS.D.01977.

Reference Type BACKGROUND
PMID: 15866959 (View on PubMed)

Darouiche RO, Wall MJ Jr, Itani KM, Otterson MF, Webb AL, Carrick MM, Miller HJ, Awad SS, Crosby CT, Mosier MC, Alsharif A, Berger DH. Chlorhexidine-Alcohol versus Povidone-Iodine for Surgical-Site Antisepsis. N Engl J Med. 2010 Jan 7;362(1):18-26. doi: 10.1056/NEJMoa0810988.

Reference Type BACKGROUND
PMID: 20054046 (View on PubMed)

Hibbard JS. Analyses comparing the antimicrobial activity and safety of current antiseptic agents: a review. J Infus Nurs. 2005 May-Jun;28(3):194-207. doi: 10.1097/00129804-200505000-00008.

Reference Type BACKGROUND
PMID: 15912075 (View on PubMed)

Hibbard JS, Mulberry GK, Brady AR. A clinical study comparing the skin antisepsis and safety of ChloraPrep, 70% isopropyl alcohol, and 2% aqueous chlorhexidine. J Infus Nurs. 2002 Jul-Aug;25(4):244-9. doi: 10.1097/00129804-200207000-00007.

Reference Type BACKGROUND
PMID: 12131506 (View on PubMed)

Other Identifiers

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SH Chloraprep reapplication

Identifier Type: -

Identifier Source: org_study_id

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