Effects of Triclosan-coated Sutures in Cardiac Surgery

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Anders Jeppssons, Sahlgrenska University Hospital, Sweden
ClinicalTrials.gov Identifier:
NCT01212315
First received: September 29, 2010
Last updated: December 19, 2012
Last verified: December 2012

September 29, 2010
December 19, 2012
March 2009
June 2012   (final data collection date for primary outcome measure)
Proportion of subjects with leg wound infection. [ Time Frame: Within 60 days after heartsurgery ] [ Designated as safety issue: No ]
Primary endpoint is postoperative leg wound infection within 60 days after surgery according to the definition of Center for Disease Control.
Proportion of subjects with leg wound infection. [ Time Frame: 60 days ] [ Designated as safety issue: No ]
Complete list of historical versions of study NCT01212315 on ClinicalTrials.gov Archive Site
Culture-proven and antibiotic-treated wound infection after heart surgery [ Time Frame: Within 60 days after heart surgery ] [ Designated as safety issue: No ]
Not Provided
Not Provided
Not Provided
 
Effects of Triclosan-coated Sutures in Cardiac Surgery
Triclosan-coated Sutures in Cardiac Surgery:Effects on Leg Wound Infections and Costs

The purpose of this study is to assess if triclosan-coated sutures reduces wound infections after saphenous vein harvesting in CABG patients. Secondary objectives are the effect triclosan-coated sutures on sternal wound infections and a cost analysis.

The role of the suture material for the development of postoperative wound infection has been debated for many years. It has been reported that fewer bacteria adhere to monofilament polypropylene than braided polyester sutures in vitro but the results are opposed by a non-randomized clinical study where the use of monofilament sutures was identified as an independent risk factor for leg wound infections after CABG.

Interventional
Phase 4
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Treatment
Postoperative Wound Infection
Device: Triclosan coated sutures
Subcutaneous and cutaneous sutures coated with triclosan (Vicryl Plus / Monocryl Plus) are used to close the incisions after vein harvesting and sternotomy. All wounds are inspected before discharge from hospital and the patients are instructed to contact the study coordinator if any suspected infection occurs. In addition, all patients are controlled after thirty days by a nurse and contacted by telephone sixty days after surgery to assess postoperative infections by a predefined questionnaire. Infection symptoms are graded according to the Asepsis score and the CDC classification. Patient records including bacterial cultures and antibiotic treatment are collected for all patients with suspected infections.
Other Names:
  • Monocryl Plus suture
  • Vicryl Plus suture
  • No Intervention: Control group
    Ordinary sutures (Vicryl / Monocryl) is used for wound closure
  • Active Comparator: Group A
    Triclosan coated sutures (Vicryl Plus / Monocryl Plus) is used for wound closure
    Intervention: Device: Triclosan coated sutures
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
392
June 2012
June 2012   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Patients undergoing elective CABG at Sahlgrenska University Hospital with intended use of saphenous vein graft are included.

Exclusion Criteria:

  • Patients with on-going sepsis or septicaemia, bacterial infections or known allergy to triclosan are excluded.
Both
18 Years to 85 Years
No
Contact information is only displayed when the study is recruiting subjects
Sweden
 
NCT01212315
001
Yes
Anders Jeppssons, Sahlgrenska University Hospital, Sweden
Sahlgrenska University Hospital, Sweden
Not Provided
Principal Investigator: Anders Jeppsson, MD PhD Sahlgrenska Univerity Hospital
Sahlgrenska University Hospital, Sweden
December 2012

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP