Infections

All Conditions

Symptoms and General Pathology

Wounds and Injuries

Neoplasms

Digestive System Diseases

Communicable Diseases

Surgical Wound Infection

Surgical Wound

Wound Infection

Colorectal Neoplasms

Intestinal Neoplasms

Gastrointestinal Neoplasms

Digestive System Neoplasms

Gastrointestinal Diseases

Colonic Diseases

Intestinal Diseases

Rectal Diseases

Postoperative Complications

Anti-Infective Agents

All Drugs and Chemicals

Gastrointestinal Agents

Metronidazole

Anti-Bacterial Agents

Cefotaxime

Cefoxitin

Antibiotics, Antitubercular

Rifaximin

Preoperative oral antibiotic therapy with rifaximin 400 mg plus metronidazole 500mg the day prior to surgery at 2:00, 3:00 and 10:00 pm, with mechanical bowel preparation (2 vials sodium phospate 45ml at 1:00 and 7:00 pm)

Preoperative mechanical bowel preparation (2 vials sodium phospate 45ml at 1:00 and 7:00 pm)

Bowel Preparation plus antibiotics

Mechanical Bowel Preparation (2 vials sodium phospate 45ml at 1:00 and 7:00 pm) alone Both groups will receive iv antibiotics (cefoxitin 2 gr plus metronidazole 500gr) perioperatively and discontinuation within 24 hours

Bowel Preparation

George Theodoropoulos

Georgia Georgiou

Investigation of the role of adding oral antibiotics to preoperative mechanical bowel preparation before colorectal surgery for cancer.

The aim of the study is to investigate whether the addition of oral antibiotics to Mechanical Bowel Preparation (MBP) prior to colorectal cancer surgical procedures reduce the superfical and deep surgical site (SSI) infectious complications. The study is prospective and is designed in a randomized single-blinded controlled fashion. It is taking place at one academic surgical unit of Athens Medical School, located at a tertiary referal institution. Patients scheduled to undergo an elective surgical resection for colon or rectal cancer will be allocated to either formal MBP the day before surgery or a combined MBP with administration of oral antibiotics. Exclusion criteria are the following: emergency surgery, obstructive or perforated cancer, patients intolerance to bowel preparation regimen and allergies to orally administered antibiotics.

Intervention arms: Patients will be randomised into two groups, concealed from the treating surgeon.

Group A:

Preoperative oral antibiotic therapy with rifaximin 400 mg plus metronidazole 500mg the day prior to surgery at 2:00, 3:00 and 10:00 pm, with MBP (2 vials sodium phospate 45ml at 1:00 and 7:00 pm)

Group B:

MBP (2 vials sodium phospate 45ml at 1:00 and 7:00 pm) alone Both groups will receive iv antibiotics (cefoxitin 2 gr plus metronidazole 500gr) perioperatively and discontinuation within 24 hours.

Outcome measures: The primary end point is surgical site infection (SSI), including (i) superficial wound infection, (ii) deep wound infection, and (iii) intrabdominal infection (contaminated fluid or pus collection) within 30 days of the procedure (decrease 3% in the rate) Secondary measures: Anastomotic leaks, other surgical and non-surgical compliactions, hospital length of stay, readmission rate, patients' preparation tolerance, preparation regimens side-effects, time to beginning of adjuvant treatment for colorectal cancer.

Sample Size: It is estimated that 105 patients per treatment arm are needed.

Mechanical Bowel Preparation With or Without Oral Antibiotics for Colorectal Cancer Surgery

Prospective Randomized Monocentric Trial of Mechanical Bowel Preparation Alone vs Mechanical Bowel Preparation Combined With Oral Antibiotics Before Colorectal Resections for Cancer

Other surgical and non-surgical compliactions

Time to beginning of adjuvant treatment for colorectal cancer

National and Kapodistrian University of Athens

Associate Professor

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Mechanical Bowel Preparation With or Without Oral Antibiotics for Colorectal Cancer Surgery	NCT03563586	Antibiotic Bowel Cancer Colorectal Canc... Surgical Site I...	Bowel Preparati... Bowel Preparati...	18 Years - 90 Years	National and Kapodistrian University of Athens
Mechanical Bowel Preparation With or Without Oral Antibiotics for Colorectal Cancer Surgery	NCT03563586	Antibiotic Bowel Cancer Colorectal Canc... Surgical Site I...	Bowel Preparati... Bowel Preparati...	18 Years - 90 Years	National and Kapodistrian University of Athens

Spots Global Cancer Trial Database for bowel preparation plus antibiotics