Chlorhexidine Cloths to Reduce Surgical Site Infection in Cesarean Deliveries
Withdrawn before enrolling · Not applicable
Conditions studied: Surgical Site Infection
In brief
Pregnancy-associated infection represents a major cause of maternal morbidity and mortality. Cesarean delivery is the most common major surgical procedure and is associated with a rate of surgical site infection (SSI) that is approximately 5-10 times the rate for vaginal delivery. Efforts to reduce the risk of SSIs in this patient population include the use of preoperative antibiotic prophylaxis in addition to skin and vaginal antiseptic preparations.Nevertheless, the rate of SSI in women undergoing non-scheduled cesarean delivery is up to 18%, a significant number that contributes to prolonged hospital stays and increased health care costs. Every effort should be made to reduce this major cause of pregnancy-associated morbidity and mortality to aid in the care of patients and reduce the associated prolonged hospital stays, readmission rates and health care costs. Studies have shown that preoperative application of chlorhexidine cloths reduces the risk of SSI, however this is based on literature in the orthopedic and intensive care patients. The efficacy of this intervention has not been studied in obstetric patients undergoing cesarean delivery. Furthermore, obstetric patients undergoing non-scheduled cesarean delivery represent a target population as it is thought that infectious morbidity is higher in this patient population. Therefore, there is a need for this trial to determine if this intervention is effective in reducing the rate of postoperative SSIs.
Key facts
- Study ID
- NCT04202471
- Run by
- Northwell Health
- People needed
- 0
- Starts
- 2020-03-01
- Expected to finish
- 2021-06-01
- Last updated by the study team
- 2020-09-24
Who can join
Age: 18 and older, up to 50. Sex: female. Healthy volunteers: accepted.
You may qualify if…
- undergoing non-scheduled cesarean delivery > 23 weeks gestation
You may not qualify if…
- allergy to chlorhexidine, emergency cesarean delivery, evidence of infection at operative site
Where it is running
- North Shore University Hospital — Manhasset, New York, United States
Full record on ClinicalTrials.gov
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