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临床试验/NCT04280237
NCT04280237撤回不适用

Pharmacological Study of Cefazolin Antibioprophylaxis in Liver Transplantation

University Hospital, Tours1 个研究点 分布在 1 个国家开始时间: 2020年3月最近更新:
适应症

试验速览

阶段
不适用
状态
撤回
试验地点
1
主要终点
Cefazolin blood concentration

研究概览

简要总结

This study describes Cefazolin pharmacokinetics variation to target levels during liver transplantation.

详细描述

Cefazolin is one of the many drugs used in antibiotic prophylaxis during liver transplantation. However there are no study describing its pharmacokinetics during liver transplantation.

Due to the severe pharmacokinetics interactions caused by both prior hepatopathy and surgical techniques we suppose that Cefazolin blood levels are very different from those targeted for antibiotic prophylaxis.

This study aim to describe pharmacokinetics of Cefazolin during liver transplantation in order to adapt antibiotic prophylaxis strategy in case of unadapted measured levels.

研究设计

研究类型
Observational
观察模型
Cohort
时间视角
Prospective

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age over 18
  • patient undergoing liver transplantation
  • receiving Cefazolin as perioperative antibiotic prophylaxis to prevent surgical site infections

排除标准

  • pregnant women
  • legal protection or protected adults
  • ongoing antibiotic treatment before liver transplantation
  • patient inability to receive information or express opposition to the study.
  • patient refusing participation

结局指标

主要结局

Cefazolin blood concentration

时间窗: Baseline up to 10 hours

Cefazolin blood concentration will be measured at the moment of surgical incision and every hour until end of surgery

次要结局

  • Assess correlations between Cefazolin blood concentration and Cirrhosis etiology(baseline)
  • Assess correlations between Cefazolin blood concentration and Blood loss(End of surgery)
  • Assess correlations between Cefazolin blood concentration and CHILD-PUGH score(baseline)
  • Assess correlations between Cefazolin blood concentration and Hemodialysis(baseline)
  • Assess correlations between Cefazolin blood concentration and MELD score(baseline)
  • Assess correlations between Cefazolin blood concentration and Transplantation indication(baseline)
  • Assess correlations between Cefazolin blood concentration and Ascitis(Baseline)
  • Assess correlations between Cefazolin blood concentration and Urine output(End of surgery)
  • Assess correlations between Cefazolin blood concentration and Red cell transfusion unit(End of surgery)
  • Assess correlations between Cefazolin blood concentration and Plasma transfusion unit(End of surgery)
  • Assess correlations between Cefazolin blood concentration and Colloid infusion(End of surgery)
  • Assess correlations between Cefazolin blood concentration and Portal vein clamping time(End of surgery)
  • Assess correlations between Cefazolin blood concentration and Intraoperative blood salvage(End of surgery)
  • Assess correlations between Cefazolin blood concentration and Surgical site infection(Day 28)
  • Assess correlations between Cefazolin blood concentration and Crystalloid infusion(End of surgery)
  • Assess correlations between Cefazolin blood concentration and Transjugular intrahepatic portosystemic shunt (TIPS)(baseline)
  • Assess correlations between Cefazolin blood concentration and Creatinine(baseline)
  • Assess correlations between Cefazolin blood concentration and Surgery duration(End of surgery)
  • Assess correlations between Cefazolin blood concentration and Basal cardiac index(Baseline)
  • Assess correlations between Cefazolin blood concentration and Minimal cardiac index(End of surgery)
  • Assess correlations between Cefazolin blood concentration and Albumin(baseline)
  • Assess correlations between Cefazolin blood concentration and Platelet transfusion unit(End of surgery)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

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