- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02017145
Study on the Reapplication of Chloraprep After Lower Extremity Surgery and Prior to Dressing Application
February 17, 2014 updated by: Kyle Judd, Sanford Health
Role of Post-operative Re-application of Chloraprep® Following Lower Extremity Surgeries on Surgical Site Bacterial Colonization.
The purpose of the current work is to determine the efficacy of the re-application of surgical prep solution in decreasing surgical site bacterial contamination following lower extremity surgery.
Decreasing the extent of bacterial colonization of the skin surrounding the surgical site during the initial healing phases would theoretically decrease the rate of infection in high-risk persons.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Study Type
Interventional
Enrollment (Anticipated)
140
Phase
- Phase 4
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
South Dakota
-
Sioux Falls, South Dakota, United States, 57117
- Recruiting
- Sanford USD Medical Center
-
Contact:
- Kyle T Judd, MD
- Phone Number: 605-328-2663
- Email: kyle.judd@sanfordhealth.org
-
Principal Investigator:
- Kyle T Judd, MD
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Male and female
- Adults (18+)
- Both elective and non-elective procedures
- Lower extremity surgery performed below the knee and requiring post-operative splint immobilization for 2-3 weeks
- Able to understand and read the English language
- Signed informed consent
Exclusion Criteria:
- Pregnant (to be assessed the day of surgery per standard of care surgical protocol)
- Known allergies to chlorhexidine gluconate or isopropyl alcohol
- Multiple planned lower extremity surgeries
- Local skin disease
- Pre-existing or known infection at surgical site
- Open wounds or local abrasions
- Unable to or unwilling to follow through with study requirements
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
No Intervention: no reapplication
This group will not have chloraprep reapplied after their surgery and prior to dressing application.
|
|
|
Experimental: reapplication
This group will have chloraprep reapplied following their lower extremity surgical procedure and prior to dressing application.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
quantitative bacterial colonization
Time Frame: 14-21 days
|
Compare the number of colony forming units taken from culture swabs immediately adjacent to the wound during dressing change between the two arms
|
14-21 days
|
|
positive culture rate
Time Frame: 14-21 days
|
Compare the overall positive culture rate between the two treatment groups
|
14-21 days
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
bacterial strain identification
Time Frame: 14-21 days
|
Assess the total number of bacterial strains and identifying those strains cultured from swabs taken immediately adjacent to the wound during dressing change
|
14-21 days
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Kyle T Judd, MD, Sanford Orthopedics and Sports Medicine
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Darouiche RO, Wall MJ Jr, Itani KM, Otterson MF, Webb AL, Carrick MM, Miller HJ, Awad SS, Crosby CT, Mosier MC, Alsharif A, Berger DH. Chlorhexidine-Alcohol versus Povidone-Iodine for Surgical-Site Antisepsis. N Engl J Med. 2010 Jan 7;362(1):18-26. doi: 10.1056/NEJMoa0810988.
- Ostrander RV, Botte MJ, Brage ME. Efficacy of surgical preparation solutions in foot and ankle surgery. J Bone Joint Surg Am. 2005 May;87(5):980-5. doi: 10.2106/JBJS.D.01977.
- Hibbard JS, Mulberry GK, Brady AR. A clinical study comparing the skin antisepsis and safety of ChloraPrep, 70% isopropyl alcohol, and 2% aqueous chlorhexidine. J Infus Nurs. 2002 Jul-Aug;25(4):244-9. doi: 10.1097/00129804-200207000-00007.
- Gould D. Causes, prevention and management of surgical site infection. Nurs Stand. 2012 Jul 25-31;26(47):47-56; quiz 58. doi: 10.7748/ns2012.07.26.47.47.c9226.
- Hibbard JS. Analyses comparing the antimicrobial activity and safety of current antiseptic agents: a review. J Infus Nurs. 2005 May-Jun;28(3):194-207. doi: 10.1097/00129804-200505000-00008.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
February 1, 2014
Primary Completion (Anticipated)
February 1, 2015
Study Registration Dates
First Submitted
December 16, 2013
First Submitted That Met QC Criteria
December 16, 2013
First Posted (Estimate)
December 20, 2013
Study Record Updates
Last Update Posted (Estimate)
February 19, 2014
Last Update Submitted That Met QC Criteria
February 17, 2014
Last Verified
February 1, 2014
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- SH Chloraprep reapplication
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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