Two Different Antibiotics Versus One Antibiotic for Pediatric Perforated Appendicitis
NCT03289351 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 162
Last updated 2024-01-12
Summary
After appendix has been removed for perforated appendicitis, patients will receive postoperative antibiotics. In the last 5 years, the literature has transitioned from a 3 -drug therapy to 2-drug therapy. Now there is a recent literature suggesting a single-drug therapy may be safe and adequate. In fact, using zosyn (piperacillin-tazobactam) as a single-drug therapy, there are additional benefits of simplicity, compliance, and lower infectious complications. Currently surgeons are already using both 2-drug regimen (ceftriaxone/metronidazole) and single-drug regimen (zosyn) interchangeable as both are FDA approved and regulated antibiotics for intra-abdominal infection. There is a clear need to compare outcomes between these two options.
Conditions
- Perforated Appendicitis
- Postoperative Infection
Interventions
- DRUG
-
Piperacillin, Tazobactam Drug Combination
Single drug therapy
Sponsors & Collaborators
-
Phoenix Children's Hospital
lead OTHER
Principal Investigators
-
Justin Lee, MD · Phoenix Childrens Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Max Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2017-05-22
- Primary Completion
- 2021-11-17
- Completion
- 2023-11-07
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Pharmacokinetics and Safety of Piperacillin-tazobactam in Neonates
NCT00873327 ·Status: COMPLETED ·Phase: PHASE1
-
Trial of Meropenem Versus Piperacillin-Tazobactam on Mortality and Clinial Response
NCT02437045 ·Status: COMPLETED ·Phase: PHASE4
-
Early Versus Late Stopping of Antibiotics in Children With Cancer and High-risk Febrile Neutropenia
NCT04948463 ·Status: COMPLETED ·Phase: PHASE4
-
Extended-infusion of Piperacillin-Tazobactam Versus Intermittent Infusion
NCT04895657 ·Status: COMPLETED ·Phase: PHASE4
-
RCT Meropenem vs Piperacillin-Tazobactam for Definitive Treatment of BSI's Due to Ceftriaxone Non-susceptible Escherichia Coli and Klebsiella Spp.
NCT02176122 ·Status: TERMINATED ·Phase: PHASE4
-
Evaluation of Pharmacokinetics, Safety, and Tolerability of Ceftazidime-avibactam in Neonates and Infants.
NCT04126031 ·Status: TERMINATED ·Phase: PHASE2
-
A Safety and Tolerability Study of Doripenem Compared With Meropenem in Children Hospitalized With Complicated Intra-abdominal Infections
NCT01110382 ·Status: TERMINATED ·Phase: PHASE3
-
Use of a Loading Dose of Vancomycin in Pediatric Dosing
NCT01290237 ·Status: TERMINATED ·Phase: NA
-
Procalcitonin Guided Antibiotic Therapy
NCT04240288 ·Status: WITHDRAWN ·Phase: NA
-
Prophylactic Antibiotics for Surgical Site Infections and Beta-Lactam Allergy
NCT04401553 ·Status: WITHDRAWN ·Phase: PHASE4
-
Pharmacokinetics of Piperacillin and Meropenem in ICU Patients
NCT05134298 ·Status: UNKNOWN
-
Piperacillin-Tazobactam Continuous Versus Intermittent Infusion for Pseudomonas Aeruginosa
NCT01577368 ·Status: COMPLETED ·Phase: PHASE3
-
Pharmacokinetics of Antibiotics During Extracorporeal Membrane Oxygenation (ECMO) Support
NCT03922451 ·Status: TERMINATED
-
Perioperative Antibiotic Choices for Surgical Prophylaxis in Penicillin-allergic Pediatric Patients
NCT02036840 ·Status: COMPLETED
-
A Single-center, Open-label, Study Evaluating Safety and Pharmacokinetics of Single Doses of Zidebactam-Cefepime and Metronidazole Alone or in Combination.
NCT06806995 ·Status: COMPLETED ·Phase: PHASE1
-
PK and Safety Evaluation of Daptomycin in Children Ages 2-6 With Proven or Suspected Gram-positive Infections
NCT00679835 ·Status: COMPLETED ·Phase: PHASE1
-
Antibiotic Safety (SCAMP)
NCT01994993 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Pharmacokinetics of Piperacillin/Tazobactam in Patients Treated by Continuous Renal Replacement Therapy
NCT00703144 ·Status: COMPLETED ·Phase: PHASE4
-
Comparison of Two Antibiotic Prophylactic Protocols in Preterm Premature Rupture of the Membranes
NCT02819570 ·Status: UNKNOWN ·Phase: PHASE4
-
A Study of Oral and Intravenous (IV) Tedizolid Phosphate in Hospitalized Participants, Ages 2 to <12 Years, With Confirmed or Suspected Bacterial Infection (MK-1986-013)
NCT02750761 ·Status: COMPLETED ·Phase: PHASE1
-
Comparative Effectiveness of Intravenous v. Oral Antibiotic Therapy for Serious Bacterial Infections
NCT02311452 ·Status: COMPLETED
-
Does Cefoxitin or Piperacillin-Tazobactam Prevent Postoperative Surgical Site Infections After Pancreatoduodenectomy?
NCT03269994 ·Status: COMPLETED ·Phase: PHASE3
-
Pharmacokinetics (PK) and Safety Evaluation of Daptomycin in Children Ages 3-24 Months With Proven or Suspected Gram-positive Infections or Peri-Operative Subjects Receiving Prophylactic Antibiotics
NCT01019395 ·Status: COMPLETED ·Phase: PHASE1
-
A Study to Assess Sulbactam-durlobactam in Pediatric Patients With Acinetobacter Baumannii-calcoaceticus Complex Infection
NCT06801223 ·Status: RECRUITING ·Phase: PHASE1
-
Safety, Potential Efficacy, and Pharmacokinetics of PZ-601 in the Treatment of Complicated Skin and Skin Structure Infection
NCT00671580 ·Status: COMPLETED ·Phase: PHASE2