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Plasma Concentrations of Prophylactic Cefazolin in Pediatric Patients Undergoing Cardiac Surgery With CPB

Completed
Conditions
Surgical Site Infection
Registration Number
NCT03141450
Lead Sponsor
Mahidol University
Brief Summary

Surgical site infection (SSI) is a serious operative complication that may be associated with any surgical procedures. It increases morbidity and mortality after cardiac surgery. Plasma concentration of prophylactic antibiotic, routinely cefazolin, is altered by effects of cardiopulmonary bypass. This study is conducted to measure the plasma concentrations of cefazolin to determine its adequacy in pediatric patients undergoing elective cardiac surgery with cardiopulmonary bypass including its correlation with the incidence of postoperative SSI.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
18
Inclusion Criteria
  1. age < 7 years old
  2. undergoing elective cardiac surgery with cardiopulmonary bypass
  3. receive cefazolin as prophylactic antibiotic
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Exclusion Criteria
  1. Known or family history of penicillin or cephalosporins allergy
  2. Coexisting liver or renal disease
  3. Previous infection or received any antibiotics within 4 weeks
  4. Previous surgery with median sternotomy
  5. Predicted cardiopulmonary bypass time of less than 30 minutes or more than 150 minutes
  6. Severe hemodynamic instability during the operation, requiring mechanical circulatory support
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
plasma concentration of cefazolin in pediatric cardiopulmonary bypass12 hours

plasma concentration of cefazolin

Secondary Outcome Measures
NameTimeMethod
incidence of surgical site infection after elective pediatric cardiac surgery30 days

surgical site infection

Trial Locations

Locations (1)

Faculty of Medicine, Siriraj Hospital, Mahidol University

🇹🇭

Bangkok, Thailand

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