Phase 4
N=32
Pre-operative Prophylaxis With Vancomycin and Cefazolin in Pediatric Cardiovascular Surgery Patients
Congenital Heart Diseases · Aortic Valve Disorder
Bottom Line
View on ClinicalTrials.gov: NCT01619982 ↗Enrolled (actual)
32
Serious AEs
0.0%
Results posted
Jan 2018
Primary outcome: Primary: Number of Patients Who Receive Preoperative Vancomycin and Cefazolin Who Develop a Surgical Site Infection Compared to Those Whose Received Only Cefazolin. — 0; 0 participants
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 4
- Interventions
- Cefazolin 25 mg/kg body weight and Vancomycin hydrochloride (Drug); Cefazolin 30 mg/kg body weight (Drug)
- Age
- Pediatric, Adult
- Sex
- All
- Sponsor
- Stanford University
- Primary completion
- Dec 2014
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Patients Who Receive Preoperative Vancomycin and Cefazolin Who Develop a Surgical Site Infection Compared to Those Whose Received Only Cefazolin. |
0; 0 | — |
| SECONDARY Cefazolin Pharmacokinetics |
0.00396; 0.1; 0.0231 | — |
| SECONDARY Cefazolin Pharmacokinetics |
0.00396; 0.1; 0.0231 | — |
| SECONDARY Vancomycin Pharmacokinetics (Plasma Concentration vs Time Curve) in Children During the Peri-operative Period in Infants Undergoing Cardiac Surgery With Cardiopulmonary Bypass (CPB) |
0.901; 1.02; 1.81 | — |
| SECONDARY Vancomycin Pharmacokinetics (Plasma Concentration vs Time Curve) in Children on Cardiopulmonary Bypass (CPB) |
0.00695; 0.0554; 0.0202 | — |
| SECONDARY Count of Participants Experiencing Adverse Events Commonly Associated With Peri-operative Vancomycin Prophylaxis |
— | — |
Summary
The investigators hope to learn 1) if the addition of prophylaxis with vancomycin will decrease the rate of cefazolin non-susceptible surgical site infections (SSI), in high risk population 2) to develop better understanding of vancomycin and cefazolin pharmacokinetics in children undergoing cardiopulmonary bypass (CPB) 3) to assess the barriers to vancomycin dosing peri-operatively 4) to assess side effects and risks associated with peri-operative vancomycin administration. This will allow us to improve patient care by better understanding the benefits or the risks of peri-operative vancomycin administration and potentially decrease cefazolin-resistant surgical site infections.
In addition, this study gives us the opportunity to evaluate cefazolin and vancomycin pharmacokinetics (pK) on children on CPB.
The investigators will take blood samples from 20 patients. In 10 patients the investigators will do Cefazolin pK analysis and in the other 10 the investigators will do pK Vancomycin analysis. For the remainder of 292 patients, only prospective chart review will be done to determine the incidence of SSIs.
This data will be compared with 936 controls who received only Cefazolin pre-operatively as prophylaxis for SSI's.
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Eligibility Criteria
Inclusion Criteria
- Patient less than or equal to 1 year of age who is undergoing cardiovascular surgery requiring CPB or patient under 18 years of age undergoing procedures involving aortic valve or aorta
- Patients with a positive MRSA screen or a history of MRSA infections who are undergoing any cardiac surgery
Exclusion Criteria
- Patients who have known hypersensitivity to vancomycin or cephalosporins
- Patients with renal insufficiency
- Patients who have received vancomycin or cephalosporins 48 hours prior to the day of surgery
- Patients whose surgery is due to an infection-related diagnosis such as endocarditis
- Patients whose parents do not wish to have them receive vancomycin prophylaxis
- Neonates born at less than 38 weeks gestational age
Data sourced from ClinicalTrials.gov (NCT01619982). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.