Infection Clinical Trial
Official title:
Optimal Timing for Antibiotic Prophylaxis for Elective Cesarean Delivery in Term Gestations: A Randomized, Controlled Trial Comparing Cefazolin Administration Prior to Skin Incision Versus Following Cord Clamping
Verified date | September 2009 |
Source | MemorialCare |
Contact | n/a |
Is FDA regulated | No |
Health authority | United States: Institutional Review Board |
Study type | Interventional |
The purpose of this study is to evaluate the rates of maternal and neonatal infectious morbidity in gravid patients undergoing cesarean delivery. Specifically, the investigators are examining whether the timing of antibiotic administration has any effect on rates of maternal and neonatal infections, neonatal sepsis work-up and length of hospital stay.
Status | Completed |
Enrollment | 50 |
Est. completion date | September 2009 |
Est. primary completion date | June 2009 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | Female |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Patients 18 years of age or older - Any patient at term (>37 weeks gestation) undergoing a scheduled cesarean delivery Exclusion Criteria: - Women younger than 18 years - Patients who are febrile during or prior to screening or with a diagnosis of clinical suspicion of endometritis (with or without maternal fever) - Patients who present with ruptured membranes - Known fetal malformations - Contraindications to cefazolin administration (known anaphylactic reaction to penicillins or known cephalosporin allergy) - Any exposure to antibiotics in one week prior to cesarean delivery - Obstetrical indication for an emergent cesarean delivery - Patients taking glucocorticoids or other immunosuppressant therapy |
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Prevention
Country | Name | City | State |
---|---|---|---|
United States | Long Beach Memorial Medical Center | Long Beach | California |
United States | University of California, Irvine Medical Center | Orange | California |
Lead Sponsor | Collaborator |
---|---|
MemorialCare | University of California, Irvine |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | To assess the rates of maternal infectious morbidity with preoperative administration of antibiotics when compared to antibiotic prophylaxis given following umbilical cord clamping | 6 weeks | Yes | |
Secondary | To assess incidence of neonatal infectious morbidity (i.e. rates of sepsis work-up, confirmed sepsis, and length of hospital stay) between two study arms | 6 weeks | Yes |
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