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Evaluation of the Introduction of a Colorectal Bundle inLeft Sided Colorectal Resections

Conditions
C18
K55
C20
K63
K57
Malignant neoplasm of colon
Malignant neoplasm of rectum
Other diseases of intestine
Vascular disorders of intestine
Diverticular disease of intestine
Registration Number
DRKS00023273
Lead Sponsor
Clarunis-universitäre Bauchzentrum Basel
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
1142
Inclusion Criteria

Age = 18 years
- Undergoing primary elective or emergency left sided colorectal surgery of any kind, or reoperation that is > 30 days after primary operation
- Able to provide informed consent

Exclusion Criteria

- Age < 18 years
- Intervention is a reoperation within 30 days of primary operation
- Additional interventions
- Unable to provide informed consent & no possibility of informed consent by proxy
- Known allergy to one of the applied antibiotic regimes within the bundle
- for antibiotic Decontamination subgroup
-- Active bacterial infection requiring systemic antibiotics
-- Received IV or oral antibiotics in past 7 days
-- Terminal kidney disease
-- Unable to take study medication (e.g. vomiting, dysphagia) at time of screening
-- Diarrhoea at time of screening
-- Pregnancy or breastfeeding

Study & Design

Study Type
observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary objective of the study is to assess the impact of a Colorectal Bundle compared to standard care on CCI at 30-days
Secondary Outcome Measures
NameTimeMethod
- assess the impact of the inclusion of antibiotic decontamination into the CB in a subgroup of hospitals<br>- assess the impact of the CB protocol on SSI<br>- assess the impact of the CB protocol on mortality<br>- assess the impact of the CB hospital length of stay<br>- assess the impact of the CB on costs<br>
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