Prevention of Surgical Site Infection in Open Paediatric Groin Surgeries Using Intravenous Prophylactic Antibiotics and Antimicrobial-coated Sutures

NCT ID: NCT07346742

Last Updated: 2026-01-16

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

RECRUITING

Clinical Phase

NA

Total Enrollment

174 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-09

Study Completion Date

2026-02-27

Brief Summary

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The goal of this clinical trial is to learn if the use of prophylactic antibiotics and antimicrobial-coated sutures can prevent surgical site infection in children undergoing open groin surgeries. The main question it aims to answer is:

• Does the use of intravenous prophylactic antibiotics or antimicrobial-coated sutures significantly reduce the occurrence of surgical site infection in children undergoing open groin surgeries?

Researchers will compare no antibiotic use to the use of intravenous prophylactic antibiotics, or antimicrobial-coated sutures to see if the use of intravenous prophylactic antibiotics and antimicrobial-coated sutures significantly reduces the occurrence of surgical site infection following open groin surgeries in children.

Participants will:

* Undergo open groin surgery with either the use of intravenous prophylactic antibiotic or antimicrobial-coated sutures or without antibiotic use
* Visit the clinic on postoperative days 5, 13 and 30 for review of the surgical wounds for any sign of infection.

Detailed Description

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The aim of this clinical trial is to learn if the use of intravenous prophylactic antibiotics and antimicrobial-coated sutures can prevent surgical site infection in children undergoing open groin surgeries. The specific objectives are:

* To determine the rate of surgical site infection in paediatric groin surgeries without antibiotics
* To determine the rate of surgical site infection in paediatric groin surgeries with the use of intravenous prophylactic antibiotics
* To determine the rate of surgical site infection in paediatric groin surgeries with the use of antimicrobial-coated sutures.
* To compare the rates of surgical site infection in paediatric groin surgeries without antibiotics, with the use of intravenous prophylactic antibiotics and use of antimicrobial-coated sutures

Researchers will compare no antibiotic use to the use of intravenous prophylactic antibiotics, or antimicrobial-coated sutures to see if the use of intravenous prophylactic antibiotics and antimicrobial-coated sutures significantly reduces the occurrence of surgical site infection following open groin surgeries in children.

It shall be a double blinded randomized controlled trial

Eligible Participants will:

* On the morning of the surgery be randomly assigned to either group A or B or C
* Participants in group A will have intravenous placebo injection given at the induction of anaesthesia and their surgical wounds closed using non-coated sutures
* Participants in group B will have intravenous prophylactic antibiotic given at the induction of anaesthesia and their surgical wounds closed using non-coated sutures
* Participants in group C will have intravenous placebo injection given at the induction of anaesthesia and their surgical wounds closed using antimicrobial-coated sutures
* Visit the clinic on postoperative days 5, 13 and 30 for review of the surgical wounds for any sign of infection following the CDC guidelines.

Conditions

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Inguinal Hernia Hydroceles Surgical Site Infection

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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No Antibiotics arm

Participants will have intravenous placebo injection given at the induction of anaesthesia and their surgical wounds closed using non-coated sutures

Group Type PLACEBO_COMPARATOR

Placebo intravenous injection

Intervention Type OTHER

0.2ml of Vitamin Bco injection + 9.8ml sterile water

Intravenous prophylactic antibiotic arm

Participants will have an intravenous prophylactic antibiotics given at the induction of anaesthesia and their wounds closed with non-coated sutures

Group Type ACTIVE_COMPARATOR

Intravenous Cefuroxime

Intervention Type DRUG

Intravenous cefuroxime is given at the induction of anaesthesia

Antimicrobial-coated suture arm

Participants will have an intravenous placebo injection given at the induction of anaesthesia and their wounds closed with antimicrobial-coated sutures

Group Type EXPERIMENTAL

Antimicrobial-coated sutures

Intervention Type DEVICE

Use of Antimicrobial-coated sutures to close all layers of the surgical wound following open paediatric groin surgery

Interventions

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Antimicrobial-coated sutures

Use of Antimicrobial-coated sutures to close all layers of the surgical wound following open paediatric groin surgery

Intervention Type DEVICE

Intravenous Cefuroxime

Intravenous cefuroxime is given at the induction of anaesthesia

Intervention Type DRUG

Placebo intravenous injection

0.2ml of Vitamin Bco injection + 9.8ml sterile water

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* All patients with clinical conditions requiring daycase open groin surgery

Exclusion Criteria

1. Re-operations
2. Immunocompromised patients
3. Malnourished patients
4. Complicated groin pathologies e,g obstructed inguinal hernia
5. History of antibiotic usage in the last seven days
Maximum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Olawumi Olajide

OTHER

Sponsor Role lead

Responsible Party

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Olawumi Olajide

Senior Registrar

Responsibility Role SPONSOR_INVESTIGATOR

Locations

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Obafemi Awolowo University Teaching Hospitals Complex

Ile-Ife, Osun State, Nigeria

Site Status RECRUITING

Countries

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Nigeria

Central Contacts

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Olawumi Olajide, M.B.Ch.B

Role: CONTACT

+2348038696179

Facility Contacts

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Olawumi Olajide, M.B.Ch.B

Role: primary

+2348038696179

Other Identifiers

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ERC/2024/08/11

Identifier Type: -

Identifier Source: org_study_id

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