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Efficacy Study of Antiseptic Preoperative Scrubs in Prevention of Postoperative Wound Infections
This study has been completed.
Sponsors and Collaborators: Baylor College of Medicine
Michael Debakey Veterans Affairs Medical Center
Medical College of Wisconsin
Department of Veterans Affairs
Information provided by: Baylor College of Medicine
ClinicalTrials.gov Identifier: NCT00290290
  Purpose

Most cases of infection of clean-contaminated wounds (wounds without gross spillage of organisms from the gastrointestinal tract) are thought to originate from the skin. Therefore, it is conceivable that application of an optimal antiseptic agent can reduce the rate of surgical wound infections. This trial is to compare the impact of disinfecting the skin with Chloraprep (2%chlorhexidine and 70% isopropyl alcohol) vs. Betadine on the rates of infection of clean-contaminated surgical wounds. The study will also assess the occurrence of adverse effects on the skin from either antiseptic agent and the cost-savings associated with the use of Chloraprep vs Betadine.


Condition Intervention Phase
Postoperative Wound Infection
Drug: Chloraprep
Phase III

Drug Information available for: Chlorhexidine Chlorhexidine digluconate Povidone-iodine
U.S. FDA Resources
Study Type: Interventional
Study Design: Prevention, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study
Official Title: Chloraprep vs. Betadine for Prevention of Clean-Contaminated Surgical Wounds: A Prospective, Randomized, Multicenter Clinical Trial

Further study details as provided by Baylor College of Medicine:

Primary Outcome Measures:
  • The primary objective of this trial is to compare the impact of disinfecting the skin with Chloraprep vs. Betadine on the rates of infection of clean-contaminated surgical wounds.

Secondary Outcome Measures:
  • The secondary objectives are to assess the occurrence of adverse effects on the skin from either antiseptic agent and the cost-savings associated with the use of Chloraprep vs Betadine.

Estimated Enrollment: 1114
Study Start Date: September 2003
Study Completion Date: May 2008
Primary Completion Date: May 2008 (Final data collection date for primary outcome measure)
Detailed Description:

This is a prospective, randomized, multicenter clinical trial. All adult patients, who are scheduled for a clean-contaminated surgical procedure of the alimentary, respiratory, reproductive or urinary tract will be asked to participate.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria: Adult patients who are scheduled for a clean-contaminated surgical procedure of the alimentary or respiratory tract will be eligible for participation. A clean-contaminated wound is one that is entered under controlled conditions without unusual contamination.

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Exclusion Criteria: Patients will be excluded form the study if: (1) they are unable or unwilling to give informed consent; (2) the patient is less than 18 years of age; (3) there is evidence of pre-existing infection at or adjacent to the operative site; (4) a break in sterile technique occurs; (5) the patient has a history of allergy to chlorhexidine, alcohol or iodophores.

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  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00290290

Locations
United States, Massachusetts
Veterans Affairs Boston Healthcare System
West Roxbury, Massachusetts, United States, 02132
United States, North Carolina
Durham VA Medical Center
Durham, North Carolina, United States, 27705
United States, Texas
Michael E Debakey Medical Center
Houston, Texas, United States, 77030
Ben Taub General Hospital
Houston, Texas, United States, 77030
United States, Wisconsin
Milwaukee VA Medical Center
Milwaukee, Wisconsin, United States, 53214
Medical College of Wisconsin
Milwaukee, Wisconsin, United States, 53214
Sponsors and Collaborators
Baylor College of Medicine
Michael Debakey Veterans Affairs Medical Center
Medical College of Wisconsin
Investigators
Study Chair: Rabih O Darouiche, M.D. Baylor College of Medicine
  More Information

Responsible Party: Baylor College of Medicine; Michael E. DeBakey VA Medical Center ( Rabih Darouiche, MD )
Study ID Numbers: H-14542
Study First Received: February 9, 2006
Last Updated: July 16, 2008
ClinicalTrials.gov Identifier: NCT00290290  
Health Authority: United States: Institutional Review Board

Keywords provided by Baylor College of Medicine:
Prevention
Antiseptic Preoperative Scrub
Prevention
Postoperative Wound Infection

Study placed in the following topic categories:
Chlorhexidine
Postoperative Complications
Chlorhexidine gluconate
Wounds and Injuries
Disorders of Environmental Origin
Povidone-Iodine
Surgical Wound Infection
Wound Infection

Additional relevant MeSH terms:
Anti-Infective Agents
Anti-Infective Agents, Local
Communicable Diseases
Disinfectants
Pathologic Processes
Therapeutic Uses
Infection
Dermatologic Agents
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009