THE ROLE OF HEXAMIDINE DIISETHIONATE (ZAMIDINE®) 1MG/ML 0.6ML EYE DROPS IN THE PROPHYLAXIS OF SURGERY OFTALMIC
NCT ID: NCT06771908
Last Updated: 2025-01-13
Study Results
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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RECRUITING
56 participants
OBSERVATIONAL
2025-02-01
2026-02-01
Brief Summary
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The data will be obtained using pseudonyms from the patients' medical records and will include the outcomes of swabs and surgeries performed in accordance with clinical practice for the patient's condition.
The following swabs will be taken into consideration for data analysis:
Four days before to surgery, a conjunctival swab is used to check for the presence and load of species that do not make up the typical conjunctival flora (Baseline-T0).
On the day of operation, a conjunctival swab is taken before to entering the recovery room (T1).
Following three minutes of 5% iodopovidone instillation in the eye to be operated on, a conjunctival swab (T2) was used.
Additionally, we will gather follow-up data from the medical record 24 and 30 hours after surgery (at day 34 +/- 7 days).
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Detailed Description
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Secondary goals. To quantify and qualitatively evaluate ocular surface bacterial flora,
* Compare bacterial load before and after surgery with 5% iodopovidone.
* Determine sample endophthalmitis incidence. The study will include patients who are scheduled for intravitreal injections, glaucoma surgery, cataract surgery, vitrectomy, combined cataract and vitrectomy, corneal transplantation, and any type of recurrent conjunctivitis.
Data from patients' medical records will be pseudonymized and contain swabs and operation findings according to clinical practice for their condition.
Following swabs will be analyzed for data:
\- a conjunctival swab four days before surgery to detect and quantify non-native organisms.
A conjunctival swab before operation day's recovery room (T1).
\- a conjunctival swab (T2) after 3 minutes of 5% iodopovidone in the operative eye.
Follow-up data at 24 and 30 days after surgery (day 34 +- 7 days) will be collected from the medical record.
Conditions
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Study Design
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COHORT
PROSPECTIVE
Study Groups
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Patients who need ophthalmic surgery
Patients with a history of recurrent conjunctivitis who are scheduled for minor or major ocular surgery.
Conjunctival Swab
CFU/ml by bacterial species before and after prophylaxis.
Interventions
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Conjunctival Swab
CFU/ml by bacterial species before and after prophylaxis.
Eligibility Criteria
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Inclusion Criteria
2. Patient requiring ophthalmic surgery (intravitreal injections, glaucoma surgery, cataract surgery, vitrectomy, combined cataract and vitrectomy, corneal transplantation) and in need of antiseptic surgical prophylaxis (e.g., Zamidine®)
3. Positive history of recurrent conjunctivitis in the eye requiring surgery.
4. Written informed consent.
Exclusion Criteria
2. Refusal to give informed consent.
18 Years
90 Years
ALL
No
Sponsors
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Fondazione Policlinico Universitario Agostino Gemelli IRCCS
OTHER
Responsible Party
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RIZZO STANISLAO
Director, Prof
Locations
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Prof. Stanislao Rizzo
Rome, , Italy
Countries
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Central Contacts
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Facility Contacts
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Stanislao Rizzo, MD,PhD
Role: primary
References
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Merani R, Hunyor AP. Endophthalmitis following intravitreal anti-vascular endothelial growth factor (VEGF) injection: a comprehensive review. Int J Retina Vitreous. 2015 Jul 21;1:9. doi: 10.1186/s40942-015-0010-y. eCollection 2015.
Speaker MG, Milch FA, Shah MK, Eisner W, Kreiswirth BN. Role of external bacterial flora in the pathogenesis of acute postoperative endophthalmitis. Ophthalmology. 1991 May;98(5):639-49; discussion 650. doi: 10.1016/s0161-6420(91)32239-5.
Peyman A, Hosseini M, Narimani T. Comparison of the Effects of Povidone-Iodine 5%, Polyhexamethylene Biguanide, and Chlorhexidine as a Preoperative Antiseptic in Endophthalmitis Prophylaxis in Patients Undergoing Phacoemulsification Cataract Surgery. Adv Biomed Res. 2020 Apr 22;9:15. doi: 10.4103/abr.abr_155_19. eCollection 2020.
Aragona P, Baudouin C, Benitez Del Castillo JM, Messmer E, Barabino S, Merayo-Lloves J, Brignole-Baudouin F, Inferrera L, Rolando M, Mencucci R, Rescigno M, Bonini S, Labetoulle M. The ocular microbiome and microbiota and their effects on ocular surface pathophysiology and disorders. Surv Ophthalmol. 2021 Nov-Dec;66(6):907-925. doi: 10.1016/j.survophthal.2021.03.010. Epub 2021 Apr 2.
Other Identifiers
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7172
Identifier Type: -
Identifier Source: org_study_id
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