Sucrose as a Standard in Cesarean Section Surgical Wound Healing to Reduce Hospital Time

NCT ID: NCT06477770

Last Updated: 2024-08-23

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

24 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-06-01

Study Completion Date

2024-12-01

Brief Summary

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It is a randomized, single-blind clinical trial, whose population to be studied will be randomized patients with a diagnosis of dehiscence and infection of a cesarean surgical wound who meet the inclusion and exclusion criteria.

H0: Sucrose does not reduce hospital days in patients with surgical wound dehiscence.

HA: Sucrose reduces hospital days in patients with surgical wound dehiscence.

Detailed Description

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Cesarean section is one of the most performed surgical interventions at the Maternal and Child Hospital. Infection and dehiscence of the surgical site are some of the most common complications in post-cesarean section patients. The Honduran population, like those around the world, is susceptible to surgical site infections due to several risk factors and depends on each patient. Regarding the patients treated at the Maternal and Child Hospital, a surgical site risk of approximately 2-3% is estimated. Therefore, the investigators consider it beneficial to look for alternatives to treating surgical infections that help to reduce hospital time. Granulated sucrose has previously been used as a method for treating surgical wounds, however, no trial has been conducted to determine the benefits of its use.

Therefore, the investigators consider that it will be beneficial for the Gynecology and Obstetrics service of the Maternal and Child Hospital, especially the Septic ward, to carry out a study that helps to determine if the use of granulated sucrose reduces the hospitalization time of patients with infection and dehiscence of the surgical site due to cesarean section, as well as replacing the use of other methods that must be paid for by the patients.

Conditions

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Surgical Wound Infection Cesarean Wound; Dehiscence

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

randomized, single-blind clinical trial, whose population to be studied will be randomized patients with a diagnosis of dehiscence and infection of a cesarean surgical wound who meet the inclusion and exclusion criteria.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Both the patients and 3 researchers will know the intervention, however, the groups will be listed and during the analysis phase, the analyst researcher will not know which group each patient corresponds to.

Study Groups

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Intervention

The surgical wound will be washed with saline solution and 10 ml of chlorhexidine soap, then 75 g of sucrose will be administered to the surgical wound at 8:00 am every day, once a day, and then it will be covered with sterile gauze.

Group Type EXPERIMENTAL

Clorhexidine soap

Intervention Type PROCEDURE

surgical wound will be washed with saline solution and 10 ml of chlorhexidine soap

Sucrose

Intervention Type OTHER

75 g of sucrose will be administered to the surgical wound at 8:00 am every day, once a day, and then it will be covered with sterile gauze.

Control

The surgical wound will be washed with saline solution and 10 ml of chlorhexidine soap, once a day, and then covered with sterile gauze.

Group Type SHAM_COMPARATOR

Clorhexidine soap

Intervention Type PROCEDURE

surgical wound will be washed with saline solution and 10 ml of chlorhexidine soap

Interventions

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Clorhexidine soap

surgical wound will be washed with saline solution and 10 ml of chlorhexidine soap

Intervention Type PROCEDURE

Sucrose

75 g of sucrose will be administered to the surgical wound at 8:00 am every day, once a day, and then it will be covered with sterile gauze.

Intervention Type OTHER

Other Intervention Names

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saccharose

Eligibility Criteria

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Inclusion Criteria

1. Delivery of a signed and dated informed consent form.
2. Declared willingness to comply with all study procedures and availability for the duration of the study.
3. Women from 18 to 45 years old
4. Enjoy good general health, as demonstrated by your medical history, and have been diagnosed with post-cesarean surgical wound dehiscence and fascia integra.
5. Ability to take oral medication and be willing to comply with the sucrose regimen.
6. Agreement to comply with Lifestyle Considerations

Exclusion Criteria

1. Known allergic reactions to sucrose components.
2. Treatment with another investigational drug or other intervention within the previous 7 days.
3. Current smoker or tobacco consumption within the previous 3 months.
4. Treatment with antibiotics at least 2 weeks before hospitalization
5. Reinterventions before hospitalization

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Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Universidad Nacional Autonoma de Honduras

OTHER

Sponsor Role lead

Responsible Party

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Ricardo A Gutierrez Ramirez, MD, MSc, FACOG

Professor, research coordinator of the postgraduate course in gynecology and obstetrics

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ricardo A. Gutierrez Ramirez, MD, MSc

Role: STUDY_DIRECTOR

Universidad Nacional Autonoma de Honduras

Locations

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Hospital Escuela

Tegucigalpa, Francisco Morazán Department, Honduras

Site Status

Countries

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Honduras

References

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Li S, Renick P, Senkowsky J, Nair A, Tang L. Diagnostics for Wound Infections. Adv Wound Care (New Rochelle). 2021 Jun;10(6):317-327. doi: 10.1089/wound.2019.1103. Epub 2020 Jul 7.

Reference Type BACKGROUND
PMID: 32496977 (View on PubMed)

Other Identifiers

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PGO-UNAH-47-2-2024

Identifier Type: -

Identifier Source: org_study_id

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