Prevention of Arrhythmia Device Infection Trial (PADIT) Cluster Crossover Pilot Study
Overview
- Phase
- Phase 4
- Intervention
- Cefazolin
- Conditions
- Arrhythmia
- Sponsor
- Population Health Research Institute
- Enrollment
- 241
- Locations
- 2
- Primary Endpoint
- Hospitalization attributed to device infection
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
The goal of the pilot study is to compare whether a centre-wide policy of incremental antibiotic therapy will reduce pacemaker infection compared to a policy of conventional antibiotic prophylaxis in high-risk patients undergoing arrhythmia device procedures. This pilot study will provide feasibility information for a larger cluster randomized crossover design (CRCD).
Detailed Description
Multi-center, cluster crossover, unblinded, pilot study. Centers will be randomized to conventional vs. incremental antibiotic therapy for 2 months or until eligible 20 patients are treated, whichever comes first. At 2 months, centers will have a crossover period of 4 weeks where the alternate strategy is implemented, followed by the final 2-month/20 patient enrolment period. During each treatment period the randomized antibiotic strategy will be used on all center patients undergoing a device implant procedure. Prior to the planned surgery or at the first follow up visit, patients who meet the study eligibility criteria will be approached to obtain consent for data collection purposes. Follow up will be according to usual clinical care at the center.
Investigators
Eligibility Criteria
Inclusion Criteria
- •\> 18 years
- •received one of the following procedures:
- •a second or subsequent procedure on the arrhythmia device pocket: i. ICD, pacemaker, CRT-P, CRT-D generator and/or lead replacement. ii. pocket or lead revision iii. system upgrade (insertion or attempted insertion of leads)
- •new cardiac resynchronization therapy device implant (pacemaker or ICD)
Exclusion Criteria
- •life expectancy \< 12 months in the opinion of the local investigator.
- •allergy or unable to tolerate cefazolin or clindamycin or vancomycin.
- •allergy or unable to tolerate intracavitary bacitracin identified per-operatively.
- •pre-operative identification that the patient has infection.
Arms & Interventions
Conventional
Preoperative Antibiotics
Intervention: Cefazolin
Aggressive (Incremental)
Preoperative antibiotics, antibiotic wash and post operative antibiotics
Intervention: Incremental
Outcomes
Primary Outcomes
Hospitalization attributed to device infection
Time Frame: within one year of device procedure
Hospitalization attributed to device infection