Local Subcutaneous Gentamicin for Prevention of Surgical Site Infection After Elective Cesarean Section
NCT07311395 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 100
Last updated 2025-12-31
Summary
The goal of this clinical trial is to evaluate whether local subcutaneous administration of gentamicin reduces the incidence of surgical site infection (SSI) following elective cesarean section. The study will also assess the safety of local gentamicin administration. The main questions this study aims to answer are:
* Does local subcutaneous administration of gentamicin reduce the rate of superficial and deep surgical site infections within 30 days after elective cesarean delivery?
* Are there differences between groups in postoperative complications, including wound healing, fever, need for additional antibiotic treatment, or hospital readmission?
Researchers will compare women who receive local subcutaneous gentamicin at the surgical site in addition to standard antibiotic prophylaxis to women who receive standard antibiotic prophylaxis alone.
Participants will:
* Undergo an elective cesarean section according to standard clinical practice
* Receive either local subcutaneous gentamicin administration or no local antibiotic administration, in addition to standard systemic antibiotic prophylaxis
* Be followed clinically for signs of surgical site infection and other postoperative complications during hospitalization and at follow-up visits up to 30 days after surgery
Conditions
- Surgical Site Infection
Interventions
- DRUG
-
Gentamicin
Participants receive a single local subcutaneous administration of gentamicin at the surgical site during elective cesarean section, in addition to standard systemic antibiotic prophylaxis, to reduce postoperative surgical site infection.
- DRUG
-
Standard antibiotic prophylaxis
Participants receive standard systemic antibiotic prophylaxis according to institutional protocol.
Sponsors & Collaborators
-
Western Galilee Hospital-Nahariya
lead OTHER_GOV
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- FEMALE
- Healthy Volunteers
- Yes
Timeline & Regulatory
- Start
- 2025-12-08
- Primary Completion
- 2026-01-07
- Completion
- 2026-01-07
Countries
- Israel
Study Locations
More Related Trials
-
Ampicillin/Sulbactam Versus Cefuroxime as Antimicrobial Prophylaxis for Cesarean Section
NCT01138852 ·Status: COMPLETED ·Phase: PHASE4
-
Antibiotic Prophylaxis in Prosthetic Breast Reconstructions
NCT02012517 ·Status: UNKNOWN ·Phase: PHASE4
-
Prophylactic Antibiotics for Surgical Site Infections and Beta-Lactam Allergy
NCT04401553 ·Status: WITHDRAWN ·Phase: PHASE4
-
Topical Antibiotic Irrigation (Gentamicin) in Prophylaxis of Midfacial Fracture Surgical Wounds
NCT03483363 ·Status: TERMINATED ·Phase: PHASE4
-
The Role of Guideline-adherent Perioperative Antibiotic Administration and the Risk of Surgical Site Infections After Non-cardiac Surgery.
NCT03982810 ·Status: WITHDRAWN
-
Pharmacokinetic Study of Vancomycin, Clindamycin And/or Gentamicin Administration During Surgery Using a Microdialysis Procedure
NCT03845790 ·Status: COMPLETED ·Phase: PHASE1
-
Local Antibiotics for Breast Implants
NCT04731025 ·Status: RECRUITING ·Phase: PHASE3
-
Effectiveness for Interventions to Minimize Surgical Site Infections
NCT01153191 ·Status: UNKNOWN ·Phase: NA
-
Antibiotics for Prevention of SSI in Obese Women Undergoing CS
NCT03736187 ·Status: UNKNOWN ·Phase: NA
-
Efficacy and Safety of Colistin Based Antibiotic Therapy
NCT04764058 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Prophylactic Antibiotics for Prevention of Wound Complications Following Vulvectomy
NCT00550290 ·Status: COMPLETED ·Phase: PHASE4
-
Assessment of the Applicability and Acceptability of an Algorithm to Guide the Prescription of 1st and 2nd Generation Cephalosporins as Part of Intraoperative Antibiotic Prophylaxis in Patients With a Declared Allergy to Penicillin
NCT06067919 ·Status: COMPLETED ·Phase: NA
-
Topical Gentamicin and Vancomycin for Vascular Surgical Site Infection Prophylaxis
NCT04238923 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Routine Preoperative Antibiotic Prophylaxis in Modified Radical Mastectomy
NCT01558986 ·Status: COMPLETED ·Phase: PHASE3
-
Application of Powdered Vancomycin in the Surgical Wound in Haiti
NCT05535725 ·Status: COMPLETED ·Phase: PHASE4
-
The Pharmacokinetics of Azithromycin Prophylaxis for Cesarean Delivery
NCT01464840 ·Status: COMPLETED
-
Single Dose Ceftriaxone and Metronidazole Versus Multiple Doses for Antibiotic Prophylaxis at Elective Cesarean Section.
NCT02736682 ·Status: COMPLETED ·Phase: PHASE4
-
Intra-wound Vancomycin Powder for Prevention of Surgical Site Infection Following Spinal Surgery
NCT05959603 ·Status: RECRUITING ·Phase: PHASE3
-
Prophylactic Antibiotic in Subtalar Fusion Surgery
NCT06527989 ·Status: NOT_YET_RECRUITING ·Phase: PHASE2/PHASE3
-
Does a Preoperative Prophylactic Antibiotic Reduce Surgical Site Infection Following Wire-localized Lumpectomy
NCT04818931 ·Status: COMPLETED ·Phase: NA
-
Extended-spectrum β-lactamase -Producing Enterobacteriaceae (ESBL) Vertical Transmission in Women With Preterm Labor Versus Those in Term Pregnancy
NCT03251885 ·Status: UNKNOWN
-
MOdification Of THe Early-Life Respiratory Microbiome Through Vaginal SEEDing
NCT05505110 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
Crossover Study to Compare the Pharmacokinetics of Subcutaneous and Intravenous Ceftriaxone Administration
NCT02561442 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Evaluating the Efficacy and Safety of Intra-wound Vancomycin Powder in High Risk Patients
NCT03839914 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Tumescent Antibiotic Delivery for Prevention of Surgical Site Infection
NCT02503904 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3