Diluted Aqueous Povidone-Iodine Compared to Saline to Decrease Surgical Site Infections
NCT06363877 · Status: RECRUITING · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 1100
Last updated 2025-11-19
Summary
This is a multicenter randomized controlled trial of 1100 patients to evaluate the superiority of combined intraoperative wound irrigation with intraoperative peritoneal lavage with dilute aqueous povidone-iodine compared to normal saline in male and female patients between the ages of 18 and 80 years old undergoing emergency laparotomies with Centers for Disease Control (CDC) class 2 and 3 wounds.
Conditions
- Surgical Site Infection
Interventions
- DRUG
-
Povidone-Iodine
Peritoneal lavage: With the fascia open, the peritoneum will be washed out with 1L of dilute aqueous povidone-iodine solution allowing the solution to sit in the peritoneum for 2 minutes. This is followed by suctioning of the povidone-iodine solution then wash-out with 2L of normal saline followed by suctioning of the normal saline. Wound Irrigation: With the fascia closed, the wound will be irrigated with 500mL povidone-iodine solution, suctioned, then washed-out with 500 mL normal saline.
- DRUG
-
Normal Saline
Peritoneal lavage: With the fascia open, the peritoneum will be washed out with 1L of normal saline allowing the solution to sit in the peritoneum for 2 minutes. This is followed by suctioning of the solution, wash-out with 2L of normal saline, followed by suctioning of the normal saline. Wound Irrigation: With the fascia closed, the wound will be irrigated with 500mL normal saline solution, suctioned, then washed-out with 500 mL normal saline.
Sponsors & Collaborators
-
Loma Linda University
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- SINGLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2024-06-03
- Primary Completion
- 2026-10-31
- Completion
- 2026-11-30
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Impact of Intraoperative Fluid Management on Electrolyte and Acid-base Variables
NCT03054922 ·Status: COMPLETED ·Phase: PHASE3
-
Saline vs. Lactated Ringers for Emergency Department IV Fluid Resuscitation
NCT03133767 ·Status: COMPLETED ·Phase: PHASE4
-
Intra-Abdominal Sepsis and Relationship Between Cumulative Fluid Balance and Serum Sodium and Chloride Levels and In-Hospital Mortality
NCT06838585 ·Status: COMPLETED
-
Crystalloid Fluids and Cardiac Surgery
NCT05834257 ·Status: WITHDRAWN ·Phase: NA
-
The Effect of Fluid Resuscitation With 0.9% Sodium Chloride Versus Balanced Crystalloid Solution on Renal Function of Sepsis Patients
NCT03277677 ·Status: COMPLETED ·Phase: PHASE3
-
Intravenous Sodium Bicarbonate Verifies Intravenous Position of Catheters in Spontaneously Breathing Adult Volunteers
NCT01458873 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Crystalloid FLUID Choices for Resuscitation of Hospital Patients
NCT02721485 ·Status: COMPLETED ·Phase: NA
-
Restrictive Intravenous Fluids Trial in Sepsis
NCT03137446 ·Status: COMPLETED ·Phase: NA
-
Isotonic Solutions and Major Adverse Renal Events Trial in the Non-Medical Intensive Care Unit (SMART-SURG)
NCT02547779 ·Status: COMPLETED ·Phase: NA
-
Perioperative Fluid Therapy With Balanced Crystalloids
NCT02691676 ·Status: COMPLETED ·Phase: PHASE3
-
Gelaspan vs Crystalloid Therapy in Sepsis
NCT07172451 ·Status: RECRUITING ·Phase: PHASE4
-
Determination of the Dissociation Constant (Ka) of Plasma and Whole Blood in Septic Patients
NCT03966664 ·Status: UNKNOWN
-
Treatment of Severe and Critical COVID-19 Pneumonia With Convalescent Plasma
NCT04432103 ·Status: TERMINATED ·Phase: PHASE3
-
SODium BICarbonate for Metabolic Acidosis in the ICU
NCT05697770 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE3
-
Fluid Management in Patients Undergoing Cardiac Surgery
NCT02895659 ·Status: COMPLETED ·Phase: PHASE4
-
Efficacy of Different Oral Rehydration Solutions on the Hydration Status of Healthy Males
NCT05428774 ·Status: COMPLETED ·Phase: NA
-
Fluid Loading in Abdominal Surgery: Saline Versus Hydroxyethyl Starch (FLASH Study)
NCT02502773 ·Status: COMPLETED ·Phase: PHASE3
-
Boluses of Ringer's in Surgical Kids (BRiSK Study)
NCT05285371 ·Status: COMPLETED ·Phase: EARLY_PHASE1
-
Bicarbonated Ringer's Solution Versus Lactated Ringer's Solution in Patients With Septic Shock
NCT04449757 ·Status: UNKNOWN ·Phase: NA
-
Trial Of Normal Saline Versus Ringer's Lactate In Paediatric Trauma Patients
NCT01692769 ·Status: COMPLETED ·Phase: PHASE4
-
Double Blind Randomized Trial of Saline vs Pentaspan for Resuscitation After Cardiac Surgery
NCT00337805 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Application of Sodium Bicarbonate Ringer's Solution in Laparoscopic Hepatectomy
NCT05830136 ·Status: RECRUITING ·Phase: NA
-
Comparison of 5% Nacl and 10% NaHCO3 As Contrast Agents for Lung Perfusion with EIT
NCT06868810 ·Status: COMPLETED ·Phase: NA
-
Low-chlorine Vs High-chlorine Crystalloids in Septic Shock Adults
NCT04365010 ·Status: UNKNOWN ·Phase: PHASE4
-
Safety Study of Kedbumin 25% Versus Normal Saline in the Treatment of Post-Surgical Hypovolemia in Pediatric Patients
NCT01531803 ·Status: TERMINATED ·Phase: PHASE4