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Phase 4 N=87 Randomized Single-blind Prevention

Prophylaxis of Periprosthetic Joint Infections With Calcium Sulfate Beads in Patients With Non-modifiable Risk Factors.

Infection

Enrolled (actual)
87
Serious AEs
0.0%
Results posted
Aug 2020
Primary outcome: Primary: Partipants Achieving a Lower Hip or Knee Periprosthetic Joint Infection Rate With Local Versus Conventional Intravenous Antibiotic Prophilaxys, Measured With CRP, ERS in Serum and Sinovial Fluid Leukocytes , Over the 12-week Observation Period. — 27; 4; 13; 39 Participants — p=<0.05

Study Design & Population

Study type
Interventional
Phase
Phase 4
Interventions
Antibiotic local prophylaxis with medicated calcium sulfate beads (Device); Classical parenteral antibiotic prophylaxis (Procedure)
Age
Adult, Older Adult · 60+ yrs
Sex
All
Sponsor
Hospital Regional Tlalnepantla
Primary completion
Apr 2020

Outcome Measures

OutcomeResultp-value
PRIMARY
Partipants Achieving a Lower Hip or Knee Periprosthetic Joint Infection Rate With Local Versus Conventional Intravenous Antibiotic Prophilaxys, Measured With CRP, ERS in Serum and Sinovial Fluid Leukocytes , Over the 12-week Observation Period.
27; 4; 13; 39 <0.05 sig
SECONDARY
Length of Stay as an Indicator of the Hospital Economic Burden
15.25; 4.6 <0.01 sig

Summary

To demonstrate the prophylactic effect of calcium sulfate beads loaded with antibiotic in patients with non-modifiable risk factors that will undergo a hip or knee joint replacement, comparing with a control group. To know the economic cost generated in antibiotic prophylaxis with calcium sulfate beads in patients undergoing hip or knee joint replacement with non-modifiable risk factors.

Eligibility Criteria

Inclusion Criteria

  • patients with fracture or osteoarthrosis of the hip or knee that require treatment by joint replacement.
  • patients who have any of the Non-Modifiable Risk Factors prior to surgery or during transoperative period.
  • Patients entitled to the ISSEMyM (Instituto de Seguridad Social del Estado de Mexico y Municipios)

Exclusion Criteria

  • Patients that lose their validity of institutional rights and do not follow up
  • Patients who die during the study due to other causes not related to the orthopedic procedure.
  • Patients who do not have any of the risk factors for periprosthetic infection
  • Patients allergic to vancomycin or ceftriaxone.
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT03976466). 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.

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