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Clinical Trials/NCT00292708
NCT00292708CompletedPhase 3

Randomized Multicenter Trial of Antibiotic Prophylaxis in Elective Colorectal Surgery: Single-Dose Vs. Three Doses of Second-Generation Cephalosporin

National Cancer Center, Japan7 sites in 1 country500 target enrollmentStarted: May 1, 2004Last updated:
Conditions
Drugs

Trial Snapshot

Phase
Phase 3
Status
Completed
Sponsor
Enrollment
500
Locations
7
Primary Endpoint
Incidence of incisional surgical site infection (SSI)

Study Overview

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.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
20 Years to 80 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Colorectal diseases (cancer, large polyp, carcinoid, lymphoma,sarcoma and so on)
  • Elective colorectal resection

Exclusion Criteria

  • Emergent operation
  • 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

Outcomes

Primary Outcomes

Incidence of incisional surgical site infection (SSI)

Secondary Outcomes

  • Incidences of organ/space SSI and other infectious diseases. Other postoperative complications and postoperative hospital stay

Investigators

Sponsor
National Cancer Center, Japan
Sponsor Class
Other Gov

Study Sites (7)

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