Normal Saline Versus Betadine Use to Reduce the Incidence of Wound Infection in Cesarean Section

NCT ID: NCT03725748

Last Updated: 2018-10-31

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

PHASE2

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-11-01

Study Completion Date

2019-06-30

Brief Summary

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This is a prospective randomized controlled study to the difference between using normal saline or betadine irrigation of wound prior to skin closure in reducing the incidence of wound infection after Cesarean section.

Detailed Description

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This study will be conducted at the Department of Obstetrics \& Gynecology, Kasr El-Ainy Teaching Hospital, Faculty of Medicine, Cairo University, from February to July 2018.

We include in our study 3oo pregnant women who will undergo Cesarean section. All participants will be divided into 3 groups with a 1:1:1 ratio with 100 patients in each group. Each participant will provide an informed written consent.

Consenting patients will be pre-operatively randomised using numerically ordered cards in sealed envelopes to either the group 1 (wound irrigation with 100 ml of normal saline before skin closure) or the group 2 (wound irrigation with 50 ml of 10% aqueous povidone iodine solution ̋ Betadinȅ ) or the control group (no wound irrigation with normal saline nor betadine).Subjects candidate for the study will be 37 weeks' gestation and require a cesarean section (elective or emergency). Patients with allergy to iodine, history of immunosuppressive drug use, gestationaldiabetes mellitus or preeclampsia, anemic patients, ruptured of membranes and feverish patients will be excluded from the study.

The primary outcome will be the incidence of wound infection. Wound infection is diagnosed when the wound drained purulent material or serosanguineous fluid in association with induration, warmth and tenderness. Suspected wound infections are opened for confirmation and wound cultures will be taken. Haematoma, seroma, or wound breakdown in the absence of the previouslydiscussed signs is not considered a wound infection.Wounds are examined twice daily during hospitalization for evidence of infection. After discharge, the women are instructed on the signs and symptoms of wound infection, and asked to contact one of the co-authors immediately if any of the listed symptoms appeared. All participants are examined at 2 and 6 weeks after surgery.

Conditions

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Incidence of cs Scar Infection

Keywords

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saline, betadine, cesarean scar infection

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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no irrigation group

nothing used for irrigation of cs scar

Group Type NO_INTERVENTION

No interventions assigned to this group

saline irrigation group

saline used for irrigation the cs scar before closure

Group Type PLACEBO_COMPARATOR

irrigation

Intervention Type OTHER

irrigation the edges of the cs scar before closure

betadine irrigation group

betadine used for irrigation of cs scar

Group Type EXPERIMENTAL

irrigation

Intervention Type OTHER

irrigation the edges of the cs scar before closure

Interventions

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irrigation

irrigation the edges of the cs scar before closure

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Subjects candidate for the study will be 37 weeks' gestation
* require a cesarean section (elective or emergency).

Exclusion Criteria

* Patients with allergy to iodine
* history of immunosuppressive drug use,
* gestationaldiabetes mellitus
* preeclampsia
* anemic patients
* ruptured of membranes
* feverish patients
Minimum Eligible Age

19 Years

Maximum Eligible Age

37 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Kasr El Aini Hospital

OTHER

Sponsor Role lead

Responsible Party

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hadeer meshal

assistant prfessor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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fady salah, lecturer

Role: STUDY_DIRECTOR

Director

Locations

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Kasr El Ainy

Cairo, , Egypt

Site Status

Countries

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Egypt

Central Contacts

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hany saad, assistant prof

Role: CONTACT

Phone: 01001817211

Email: [email protected]

ashraf saad, lecturer

Role: CONTACT

Phone: 01001817221

Email: [email protected]

Facility Contacts

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mohamed saad, lecturer

Role: primary

Other Identifiers

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assistant professor2

Identifier Type: -

Identifier Source: org_study_id