Fractures, Bone Clinical Trial
— APOWOfficial title:
Acute Application Of Intrawound Antibiotic Powder In Open Extremity Fracture Wounds
Verified date | February 2024 |
Source | University of Colorado, Denver |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to help determine the best treatment for severe injures like open fracture wounds. Some broken bone injuries can be more likely to get an infection. It is mostly due to the way they were injured. Surgical site infection in the orthopedic surgery population is a big public health issue. Wound infections result in both longer length of hospital stay and total cost of care. This study will be using an antibiotic called Vancomycin or Tobramycin in a powder form.
Status | Completed |
Enrollment | 20 |
Est. completion date | September 30, 2023 |
Est. primary completion date | September 30, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 80 Years |
Eligibility | Inclusion Criteria: - Subject or proxy willing and able to provide written informed consent. - Age between 18 years and 80 years (inclusive), with an upper or lower extremity Gustilo Type II, IIIA, or IIIB open fractures requiring debridement and internal fixation. - Open extremity fractures - Time from injury to study intervention 24 hours or less Exclusion Criteria: - Individuals under the age of 18 years or over 80 years - Type I or IIIC open fractures - Over 24 hours from time of injury - Subjects who have received acute operative care of the open fracture at an outside facility prior to presenting at the Emergency Department. - Open fractures distal to the wrist and midfoot - History of chronic infection in the extremity involved. - Subjects who are currently pregnant - Subjects who are Prisoners - Subjects with a known allergy to vancomycin or tobramycin - Subjects with a condition or social circumstances that would reduce adherence and follow-up. - Subjects Participating in other clinical research involving investigational antimicrobial products within 30 days of randomization. |
Country | Name | City | State |
---|---|---|---|
United States | University of Colorado Anschutz | Aurora | Colorado |
United States | Denver Health and Hospital Authority | Denver | Colorado |
Lead Sponsor | Collaborator |
---|---|
University of Colorado, Denver | Denver Health and Hospital Authority |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Incidence of surgical site infection during the post-operative follow-up period | The percentage of participants who develop an infection at the surgical site following debridement and fixation at the follow up period. | Within 6 months of injury date | |
Secondary | Shannon's index measure of bacterial diversity based on wound cultures | Characterize species and determine whether changes in biodiversity differ across study arms. | Within 1 year of injury date | |
Secondary | Simpson index measure of bacterial diversity based on the wound cultures | Consider the number of bacterial species present, alongside the relative abundance of each specie across study arms. | Within 1 year of injury date | |
Secondary | Presence of bacterial species commonly attributed to surgical site infections based on would cultures including: Staph, enterococcus, acinetobacter, enterobacter, e. coli, klebsiella, and pseudomonas | Understand the changes that occur in the presence of bacterial species associated with surgical site infection after antibiotic powder treatment . | Within 1 year of injury date |
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