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NCT04818931

Does a Preoperative Prophylactic Antibiotic Reduce Surgical Site Infection Following Wire-localized Lumpectomy

Completed NA Last updated 29 March 2021
What this trial tests

NA trial testing Cefazolin Injection in Breast Cancer in 326 participants. Completed in 10 December 2019.

Timeline
7 April 2018
Primary endpoint
10 June 2019
10 December 2019

Quick facts

Lead sponsorCHU de Quebec-Universite Laval
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposeprevention
Enrollment326
Start date7 April 2018
Primary completion10 June 2019
Estimated completion10 December 2019
Sites1 location across Canada

Drugs / interventions tested

Conditions studied

Sponsor

CHU de Quebec-Universite Laval — full company profile →

Who can join

Eligibility, female only, with Breast Cancer. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Background: Data on the benefits of preoperative prophylactic antibiotics for breast surgery are conflicting and there is no guideline for their use for wire-localized lumpectomy. The aims of this study were to determine whether a single dose of pre-operative antibiotic reduces surgical site infection (SSI) for wire-localized lumpectomy and to identify risk factors for SSI. Methods: This was a prospective randomized trial carried out from April 2018 to June 2019 at the "Centre des Maladies du Sein du CHU de Québec - Université Laval", a tertiary center specialized in breast surgery. After informed consent, patients who underwent wire-localized lumpectomy were randomized to receive or not a pre-operative single dose of prophylactic antibiotic (cefazolin 2 g or clindamycin 900 mg in case of penicillin allergy). Data regarding demographics, comorbidities, perioperative details, and SSI were analyzed. SSI was considered if: 1) patient had positive wound cultures; or 2) required abscess drainage; or 3) received antibiotic treatment for breast symptoms (e.g., swelling, erythema, congestion) within 30 days after operation, in the absence of wound culture or in the presence of negative results. The patients and the investigator responsible for data collection were blind to grouping. All patients were called 30 days after surgery to be sure that they did not consult at another hospital for surgical wound infection.

Publications & conference data

2 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Do Preoperative Prophylactic Antibiotics Reduce Surgical Site Infection Following Wire-Localized Lumpectomy? A Single-Blind Randomized Clinical Trial.
    Giguère GB, Poirier B, Provencher L, Boudreau D, et al · · 2022 · cited 6× · PMID 34825283 · DOI 10.1245/s10434-021-11031-9
  2. Microorganisms and Breast Cancer: An In-Depth Analysis of Clinical Studies.
    Naderi N, Mosahebi A, Williams NR. · · 2023 · cited 2× · PMID 38276152 · DOI 10.3390/pathogens13010006

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Other recruiting trials for Breast Cancer

Currently open trials in the same condition.

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Data sources for this page

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