Cellulitis Clinical Trial
Official title:
A Randomized Controlled Study to Assess the Impact of Dermatology Consultations on the Hospital Course of Patients Admitted for Cellulitis
Verified date | April 2023 |
Source | Massachusetts General Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This is a randomized, controlled study to compare patients evaluated and managed by internal medicine hospitalists alone versus patients who are additionally evaluated by a dermatologist when they are admitted to the hospital, aiming to demonstrate that hospital admissions for cellulitis that involve early dermatology consultation will reduce hospital length of stay, readmission rates, prevalence of pseudocellulitis, cost, and antibiotic usage. The hypothesis of this study is that obtaining inpatient dermatology consultations, within 24 hours of a patient being admitted to the hospital for cellulitis, will reduce the length of stay, readmission rate, cost, and antibiotic usage of the patient"s admission as well as properly evaluate and diagnose patients with pseudocellulitis. The primary objective will be to measure the difference in the length of stay for patients who are randomized to a dermatology consultation within 24 hours of hospital admission (active arm) versus being managed by an internal medicine hospitalist alone, as is the standard of care (control arm). The length of stay for each arm will be assessed once the study has been completed. The secondary endpoint will be to measure readmission rates for cellulitis after patients are discharged from the hospital. An additional endpoint will be to determine if antibiotic usage differs between patients randomized to a dermatology consultation and those not. Exploratory analyses will assess the percentage of patients with a concomitant known predisposing factor for recurrent cellulitis such as lymphedema, leg ulceration, tinea pedis, or onychomycosis, as well as the association of fever >100.5 F and a history of a prior episode of cellulitis.
Status | Active, not recruiting |
Enrollment | 246 |
Est. completion date | December 31, 2025 |
Est. primary completion date | December 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Able to understand and sign informed consent - Able to complete study and comply with study procedures - Presumed clinical diagnosis of cellulitis by medicine team Exclusion Criteria: - Have a known postoperative site infection or abscess - Have a human/animal bite - Have known osteomyelitis - Have a hardware/line infection - Are under the age of 18 - Have a history of transplantation less than six months after initial transplant and/or if they have had an episode of acute rejection in the last 90 days - Known use of antithymocyte globulin or campath in the last 6 months or more than 20 mg/day of prednisone for more than 30 days - - Are a known prisoner. - Are decisionally-impaired. - Have abnormal vital signs defined as systolic blood pressure <90 mmHg, diastolic blood pressure <80 mmHg, heart rate greater than 90 beats per minute or less than 50 beats per minute, respiratory rate greater than 20, or temperature > 100.5 F. - Are known to be pregnant. |
Country | Name | City | State |
---|---|---|---|
United States | Massachusetts General Hospital | Boston | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
Massachusetts General Hospital | Dermatology Foundation |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Readmission rate | We will be measuring the readmission rate among patients in both groups in order to discover whether a dermatology consult has an impact on readmission rates among patients with cellultis. | 2 weeks after patient discharge | |
Primary | Antibiotic usage | We will be measuring the difference between antibiotic usage in patients in the control group as compared with the treatment group | 2 weeks after discharge from hospital stay | |
Secondary | Length of hospital stay | We will be comparing the length of admission between the control group and the treatment group to assess whether a dermatology consult has any impact on the length of a patient's hospital stay. | Will be measured at day of patient discharge |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT02864420 -
Hospitalization at Home: The Acute Care Home Hospital Program for Adults
|
N/A | |
Completed |
NCT00746109 -
Study of Wound Packing After Superficial Skin Abscess Drainage
|
Phase 4 | |
Completed |
NCT03296280 -
Evaluation of Implementation of a National Point-of-Care Ultrasound Training Program
|
||
Not yet recruiting |
NCT01947660 -
Continuous Regional Anesthesia for Septic Limb Orthopedic Surgery
|
N/A | |
Completed |
NCT01876628 -
Adjunctive Clindamycin for Cellulitis: C4C Trial.
|
Phase 4 | |
Completed |
NCT03474523 -
Effectiveness of Diathermy-Radiofrecuency Compared With Cavitation in Cellulitis Treatment
|
N/A | |
Recruiting |
NCT03312946 -
Effect of Vibro-oscillatory Therapy for Improvement of Body Contour and Appearance of Cellulite.
|
N/A | |
Active, not recruiting |
NCT05226260 -
Decreasing Antibiotic Duration for Skin and Soft Tissue Infection Using Behavioral Economics in Primary Care
|
N/A | |
Active, not recruiting |
NCT03785834 -
The Effect of Histopathologic Analysis and Tissue Cultures on Inpatient Management of Cellulitis and Pseudocellulitis
|
||
Completed |
NCT01549613 -
Evaluation of Daptomycin for the Emergency Department Treatment of Complicated Skin and Skin Structure Infections
|
Phase 4 | |
Completed |
NCT01029782 -
Comparison of Intravenous Cefazolin Plus Oral Probenecid With Oral Cephalexin for the Treatment of Cellulitis
|
Phase 2 | |
Completed |
NCT00676130 -
Study of New Antibiotic Regimen for the Treatment of Uncomplicated Cellulitis in Emergency Department Patients
|
N/A | |
Not yet recruiting |
NCT03917134 -
Prevention of Vaginal Cellulitis or Vaginal Cuff Abscess After Laparoscopic Hysterectomy
|
N/A | |
Completed |
NCT02230813 -
Predictors of Oral Antibiotic Treatment Failure in Emergency Department Patients With Cellulitis
|
N/A | |
Completed |
NCT01557426 -
Soft Tissue Ultrasound of Infections
|
Phase 1 | |
Completed |
NCT01339091 -
Efficacy and Safety of Dalbavancin for the Treatment of Acute Bacterial Skin and Skin Structure Infections
|
Phase 3 | |
Completed |
NCT00984022 -
Aquacel Versus Iodoform Gauze for Filling Abscess Cavity Following Incision and Drainage
|
Phase 2 | |
Completed |
NCT04091672 -
RECELL® System Combined With Meshed Autograft for Reduction of Donor Skin Harvesting in Soft Tissue Reconstruction
|
N/A | |
Completed |
NCT05023200 -
The Personalised Antibiotic Duration for Cellulitis (PAD-C) Study
|
||
Terminated |
NCT02087527 -
Use of Corticosteroids in Children With Cellulitis
|
N/A |