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Prevention of Infections in Cardiac Surgery (PICS): a Cluster-randomized Factorial Cross-over Trial

Phase 4
Not yet recruiting
Conditions
Infection, Surgical Site
Registration Number
NCT06567808
Lead Sponsor
Hamilton Health Sciences Corporation
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Not yet recruiting
Sex
All
Target Recruitment
38000
Inclusion Criteria

Inclusion Criteria:<br><br>Adult patients (=18 years of age) undergoing open-heart surgery (i.e. sternotomy,<br>including minimally-invasive surgical techniques through mini-sternotomies)<br><br>Exclusion Criteria:<br><br> 1. On systemic antibiotics or with an active bacterial infection at the time of surgery<br><br> 2. Previously enrolled in this trial<br><br> 3. Known to be colonized with methicillin-resistant staphylococcus aureus (MRSA). Where<br> it is unethical to not administer glycopeptides.<br><br> 4. Beta-lactam or vancomycin allergy precluding the use of cefazolin or vancomycin,<br> respectively<br><br> 5. Participation in other studies that may interfere with this trial.<br><br> 6. Patients undergoing cardiac transplant

Exclusion Criteria

Not provided

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Deep incisional or organ/space (complex) sternal surgical site infection (CDC/NHSN)
Secondary Outcome Measures
NameTimeMethod
All types of sternal surgical site infections (superficial, deep, organ; (CDC/NHSN);Clostridium difficile infection;Mortality;Acute kidney injury;Sternal revision surgery;Microbiology of sternal surgical site infections
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