MedPath

Trial of Antibiotic Prophylaxis in Elective Colorectal Surgery

Phase 3
Completed
Conditions
Colorectal Surgery
Registration Number
NCT00292708
Lead Sponsor
National Cancer Center, Japan
Brief Summary

To determine the optimal prophylactic antibiotics administration method in elective colorectal surgery

Detailed Description

Use of prophylactic antibiotics in elective colorectal surgery is essential. Although single-dose prophylactic antibiotics are recommended, the efficacy of single-dose cephalosporin without metronidazole and oral antibiotics is not fully proven. We conducted a multicenter randomized trial of single-dose vs. three doses of the second-generation cephalosporin, cefmetazole.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
500
Inclusion Criteria
  • Colorectal diseases (cancer, large polyp, carcinoid, lymphoma,sarcoma and so on)
  • Elective colorectal resection
Exclusion Criteria
  • Emergent operation
  • Ileus
  • No resection
  • Preoperative infectious diseases
  • Penicillin or cephalosporin allergy
  • Antibiotics administration before surgery
  • Inflammatory bowel diseases
  • Angina or myocardial infarction
  • Renal dysfunction
  • Diabetes mellitus
  • Steroid administration before surgery

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Incidence of incisional surgical site infection (SSI)
Secondary Outcome Measures
NameTimeMethod
Incidences of organ/space SSI and other infectious diseases. Other postoperative complications and postoperative hospital stay

Trial Locations

Locations (7)

Nagoya Medical Center

πŸ‡―πŸ‡΅

Nagoya, Japan

Niigata Cancer Center Hospital

πŸ‡―πŸ‡΅

Niigata, Japan

National Cancer Center Hospital

πŸ‡―πŸ‡΅

Tokyo, Japan

Ishikawa Prefectural Central Hospital

πŸ‡―πŸ‡΅

Kanazawa, Japan

National Cancer Center East Hospital

πŸ‡―πŸ‡΅

Kashiwa, Japan

Yamagata Prefectural Central Hospital

πŸ‡―πŸ‡΅

Yamagata, Japan

Osaka Medical Center for Cancer and Cardiovascular Diseases

πŸ‡―πŸ‡΅

Osaka, Japan

Β© Copyright 2025. All Rights Reserved by MedPath