Combining Vaginal Preparation and Azithromycin in Reduction of Post Cesarean Infections: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 84
- 试验地点
- 1
- 主要终点
- Infection rates
研究概览
简要总结
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详细描述
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研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 64 Years(Adult)
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •full term pregnancy
- •undergoing labored, non-emergent cesarean section
- •patient in labor
排除标准
- •Azithromycin contraindicated:
- •Known hypersensitivity to azithromycin, erythromycin, macrolides or ketolide medications.
- •liver dysfunction
- •Prescription medications which may interact with azithromycin, such as nelfinavir or warfarin
- •A history of a cardiac dysrhythmia (irregular heartbeats)
- •Known hypersensitivity to iodine
- •Patients carrying fetuses with known congenital anomalies
- •Immunodeficiency
- •Patients who are not in labor at the time of delivery
- •Non-english speaking subjects or subjects with language barriers
研究组 & 干预措施
Vaginal Preparation
In addition to standard care, subjects will undergo vaginal preparation (VP). A VP kit includes sponge sticks and sponges soaked in a povidone-iodine 10% solution.
干预措施: Vaginal Preparation (Procedure)
Standard Infection Procedures
The very staff will follow hospital protocols for the cesarean delivery. The subject and the infant will be provided care in accordance with current medical standards and be discharged at the discretion of the attending physician.
干预措施: Vaginal Preparation (Procedure)
结局指标
主要结局
Infection rates
时间窗: six weeks postpartum
endometritis
Infection rates
时间窗: Six weeks postpartum
wound infection
次要结局
- Infant Birth Weight(Four weeks after birth)
- Infant Apgar scores(Four weeks after birth)
- Infant Length of hospital stay(Four weeks after birth)
- Numbers of Infants admitted to NICU(four weeks after birth)
- Number of Infants that develop respiratory distress(Four weeks after birth)
- Number of Infants that develop sepsis(Four weeks after birth)
- Number of infants that die(Four weeks after birth)
研究者
Karen L Wilson
Program Director of Obstetrics and Gynecology Residency Chief of Maternal Fetal Medicine and Obstetrics Chief
Womack Army Medical Center
