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Antibiotic Prophylaxis in Bariatric Surgery With Cefazolin: Concentration in Adipose Tissue

Phase 4
Completed
Conditions
Obesity
Interventions
Registration Number
NCT01845363
Lead Sponsor
Universidade Federal de Pernambuco
Brief Summary

Eighteen patients were given a dose of 2g Cefazolin in anesthetic induction, supplemented with 1g delivered through continuous infusion during surgery. Adipose samples, obtained at the beginning and end of surgery, were analyzed using high performance liquid chromatography.

Some published studies suggest that the dose of 2g does not supply the minimum inhibitory concentration for principal causal agents of surgical site infection.

To determine the concentration of Cefazolin in adipose tissue of patients undergoing bariatric surgery and to evaluate the relationship between concentrations obtained and body mass index (BMI).

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
18
Inclusion Criteria
  • body mass index greater than 35 and less than 50kg/m2
Exclusion Criteria
  • Hypotension during surgery with use of vasoactive drugs
  • renal disfunction (creatinine >1.5 mg/dL)

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
CefazolinCefazolin used in antimicrobial prophylaxisCefazolin used in antimicrobial prophylaxis Cefazolin administered a first dose of 2g in anesthetic induction, followed by continuous dosage of 1g diluted in 250mL of saline solution for two hours. Two samples of subcutaneous tissue were collected for analysis: the first soon after the incision, and a second before skin synthesis. The samples were processed by High Pressure Liquid Chromatography (HPLC).
Primary Outcome Measures
NameTimeMethod
dosage of Cefazolin in adipose tissue during bariatric surgeryeight months
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Universidade Federal de Pernambuco - Hospital das Clínicas

🇧🇷

Recife, Pernambuco, Brazil

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