Bacteriology of sUrGical Site INfection Following Surgery for Intestinal Failure

NCT ID: NCT05234515

Last Updated: 2023-04-18

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

COMPLETED

Total Enrollment

21 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-01-14

Study Completion Date

2023-02-20

Brief Summary

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This is a prospective observational study of patients undergoing planned surgery for intestinal failure. The aims of the study are:

* To prospectively characterise preoperative bacterial populations amongst patients undergoing surgery for intestinal failure
* To examine the relationship between preoperative bacteriology and surgical site infection (SSI) in this patient group
* To investigate the effect of surgery and surgical site infection on generic and wound specific quality of life measures

Detailed Description

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Conditions

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Surgical Wound Infection Surgical Site Infection Bacteria Infection Mechanism Intestinal Disease Intestinal Fistula

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Patients with intestinal failure or an enterocutaneous fistula undergoing elective surgery.

Adult patients with a diagnosis of intestinal failure (IF) or an enterocutaneous fistula (ECF) undergoing planned surgery in our unit.

Microbiology swab

Intervention Type DIAGNOSTIC_TEST

Patients will have swabs taken from the nose, mouth, umbilical skin, groin skin, fistula(e), stoma(s) and vascular access device prior to surgery. Patients will be followed for 90 days postoperatively for surgical site infection (SSI) as defined by the centre for disease control (CDC) criteria 2021. Patients who develop an SSI will have both preoperative and postoperative samples sent for genome sequencing.

Questionnaire

Intervention Type OTHER

Patients will complete baseline preoperative questionnaires which will be repeated at 30 days and 90 days. These will evaluate generic and wound specific quality of life as well as decision conflict/decision regret.

Interventions

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Microbiology swab

Patients will have swabs taken from the nose, mouth, umbilical skin, groin skin, fistula(e), stoma(s) and vascular access device prior to surgery. Patients will be followed for 90 days postoperatively for surgical site infection (SSI) as defined by the centre for disease control (CDC) criteria 2021. Patients who develop an SSI will have both preoperative and postoperative samples sent for genome sequencing.

Intervention Type DIAGNOSTIC_TEST

Questionnaire

Patients will complete baseline preoperative questionnaires which will be repeated at 30 days and 90 days. These will evaluate generic and wound specific quality of life as well as decision conflict/decision regret.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adults aged \>18 year
* Diagnosis of intestinal failure or enterocutaneous fistula
* Undergoing elective surgery within St Mark's hospital IF unit

Exclusion Criteria

* Unable or unwilling to provide informed consent
* Pregnant
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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London North West Healthcare NHS Trust

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Carolynne F Vaizey

Role: PRINCIPAL_INVESTIGATOR

St Marks Hospital & Academic Institute

Locations

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St Marks Hospital

Harrow, London, United Kingdom

Site Status

Countries

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United Kingdom

Other Identifiers

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301274

Identifier Type: OTHER

Identifier Source: secondary_id

RD21/049

Identifier Type: -

Identifier Source: org_study_id

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