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Comparison of Chlorhexidine Gluconate and Povidone Iodine as a Preoperative Antisepsis in Clean-contaminated Abdominal Surgery : a Randomized Prospective Trial


Phase 3
20 Years
85 Years
Open (Enrolling)
Both
Surgical Site Infection

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Trial Information

Comparison of Chlorhexidine Gluconate and Povidone Iodine as a Preoperative Antisepsis in Clean-contaminated Abdominal Surgery : a Randomized Prospective Trial


Inclusion Criteria:



1. Resection of following organs (clean-contaminated open surgery)

- Liver, Pancreas, Bile duct, Duodenum

- Stomach

- Colon, Small bowel

2. Aged 20 - 85 years old

3. Use Prophylactic antibiotics

4. Use Preoperative bowel preparation

5. Elective operation

6. ASA classification 1-2 ASA I : no known systemic disease ASA II : single systemic
disease & mild or well controlled ASA III : multiple systemic diseases or moderately
controlled systemic disease ASA IV : poorly controlled systemic diseases

7. adequate organ functions defined as indicated below:

- WBC 3000 ~ 12 000/mm3

- > Hb 8.0 g/dl

- > Plt 100 000/mm3

- < Cr 1.2 mg/dl

Exclusion Criteria:

1. allergy to chlorhexidine or povidone

2. clean surgery or contaminated surgery

3. patients who cannot be followed up during 1 month

4. patients taking immunosuppressant drugs or chemotherapy agents

5. emergent surgery and reoperation

6. uncontrolled diabetes, BMI > 30 kg/m2

7. vulnerable patients

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention

Outcome Measure:

Number of patients with Surgical Site infection within 1month

Outcome Description:

Check the surgical site infection (SSI) rate within one month Superficial SSI, Deep SSI, Organ Site SSI decided by physician CDC Definition in 1999 Superficial incisional infection : involving only the skin or subcutaneous tissue of the incision Deep incisional Infection : involving the deep tissues (i.e. fascial and muscle layers) Organ Space Infection : involving any part of the anatomy (i.e. organ/space), other than the incision

Outcome Time Frame:

within 1 month

Safety Issue:

No

Principal Investigator

Sung-Sik Han, Ph.D.

Investigator Role:

Principal Investigator

Investigator Affiliation:

Liver Cancer Center, National Cancer Center, Republic of Korea

Authority:

Korea: Institutional Review Board

Study ID:

NCCCTS-11-563

NCT ID:

NCT01495117

Start Date:

October 2011

Completion Date:

April 2013

Related Keywords:

  • Surgical Site Infection
  • surgical site infection
  • chlorhexidine gluconate
  • povidone iodine

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