Assessing Parenteral Antibiotics Versus Single-time Intra-operative Intra-dermal Antibiotic Administration for Prevention of SSI

NCT ID: NCT04975945

Last Updated: 2025-03-25

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

WITHDRAWN

Clinical Phase

PHASE4

Study Classification

INTERVENTIONAL

Study Start Date

2021-08-31

Study Completion Date

2022-01-31

Brief Summary

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The purpose of the study is to study the incidence of surgical site infection when patients are given local versus parenteral antibiotics

Detailed Description

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Patients undergoing above 18 years of age, giving consent and undergoing open or laparoscopic elective, CDC class I \& II surgeries will be recruited. Cases will be randomised into two cohorts viz: parenteral antibiotic (Group A) vs single-time intra-operative intra-dermal antibiotic administration group (Group B). In operation theatre, after induction of anaesthesia, Group A will receive parenteral ceftriaxone (15-20mg/kg) whereas Group B will receive single-time intra-operative intra-dermal ceftriaxone (15-20mg/kg diluted in 10 ml normal saline). Post-operatively, incision site will be covered with occlusive dressing. First check-dressing will be done after 48 hours as per the existing institutional practices. After that surgical site will be inspected daily for wound infection. Patients with healthy wound will be discharged at the discretion of the treating surgeon and will be asked to follow up in General Surgery OPD weekly for one month. Cases who developed an SSI will have samples collected from the afflicted area for bacterial culture and antibiotic susceptibility testing. On development of SSI, the treating clinical team will commence antibiotic therapy as per their protocols.

Conditions

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Surgical Wound Infection Surgical Site Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Local

Participants will receive single-time intra-operative intra-dermal ceftriaxone (15-20mg/kg diluted in 10 ml normal saline)

Group Type EXPERIMENTAL

Ceftriaxone Sodium

Intervention Type DRUG

Intravenous vs local action

Parenteral

Participants will receive parenteral ceftriaxone (15-20mg/kg) for prolonged duration as per local protocol

Group Type ACTIVE_COMPARATOR

Ceftriaxone Sodium

Intervention Type DRUG

Intravenous vs local action

Interventions

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Ceftriaxone Sodium

Intravenous vs local action

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients above the age of 18 years
* Patients undergoing open and laparoscopic elective, CDC class I \& II surgeries

Exclusion Criteria

* Patients exhibiting hypersensitivity reaction to ceftriaxone
* Patients who are immunocompromised (retroviral disease and corticosteroid use)
* Patients not consenting to be a part of this study
* Pregnancy
* Febrile illness or leucocytosis at the time of surgery
* Planned for staged/multiple interventions during the hospital stay (endoscopies, image-guided biopsies etc)
* Patients with a possible septic focus distant from the surgical site such as diabetic foot ulcers.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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The Grant Medical College & Sir J.J. Group of Hospitals

OTHER_GOV

Sponsor Role lead

Responsible Party

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Parth Bhavesh Gada

Junior Resident

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Grant Government Medical College and Sir JJ Hospital

Mumbai, Maharashtra, India

Site Status

Countries

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India

References

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Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for Prevention of Surgical Site Infection, 1999. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee. Am J Infect Control. 1999 Apr;27(2):97-132; quiz 133-4; discussion 96.

Reference Type BACKGROUND
PMID: 10196487 (View on PubMed)

Akhter MS, Verma R, Madhukar KP, Vaishampayan AR, Unadkat PC. Incidence of surgical site infection in postoperative patients at a tertiary care centre in India. J Wound Care. 2016 Apr;25(4):210-2, 214-7. doi: 10.12968/jowc.2016.25.4.210.

Reference Type BACKGROUND
PMID: 27064370 (View on PubMed)

Kotisso B, Aseffa A. Surgical wound infection in a teaching hospital in Ethiopia. East Afr Med J. 1998 Jul;75(7):402-5.

Reference Type BACKGROUND
PMID: 9803631 (View on PubMed)

Young PY, Khadaroo RG. Surgical site infections. Surg Clin North Am. 2014 Dec;94(6):1245-64. doi: 10.1016/j.suc.2014.08.008. Epub 2014 Oct 3.

Reference Type BACKGROUND
PMID: 25440122 (View on PubMed)

Holtz TH, Wenzel RP. Postdischarge surveillance for nosocomial wound infection: a brief review and commentary. Am J Infect Control. 1992 Aug;20(4):206-13. doi: 10.1016/s0196-6553(05)80148-8.

Reference Type BACKGROUND
PMID: 1524269 (View on PubMed)

Patel IH, Kaplan SA. Pharmacokinetic profile of ceftriaxone in man. Am J Med. 1984 Oct 19;77(4C):17-25.

Reference Type BACKGROUND
PMID: 6093513 (View on PubMed)

Other Identifiers

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generalsurgery/2021/01

Identifier Type: -

Identifier Source: org_study_id

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