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CompletedNCT04079686Updated Feb 26, 2025

Single Dose Versus 24 Hours Antibiotic Prophylaxis in Reduction Mammaplasty

An interventional study of Cephazolin and Sterile saline in Plastic Surgery, Mammaplasty and Anti-bacterial Agents, sponsored by Daniela Francescato Veiga. Completed at 1 site in Brazil. Open to female participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2025-02-26.

Sponsored by Daniela Francescato Veiga · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
146
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
Female
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Study summary

Setting: Translacional Surgery Graduation Program - Universidade Federal de São Paulo and Hospital das Clínicas Samuel Libânio - Universidade do Vale do Sapucaí. Background: Breast reduction is one of the most performed plastic surgery procedures. Antibiotics are widely prescribed, on an empirical basis, to prevent surgical site infections. However, there is a lack of evidence to support its use. Objective: To compare the influence of the use of prophylatic antibiotics as a single dose or for 24 hours on surgical site infection rates following reduction mammaplasty. Methods: Randomized trial of non-inferiority, with two parallel groups, double blinded. A total of 146 breast hypertrophy patients, with reduction mammaplasty already scheduled, will be enrolled. Patients will be randomly allocated to group A, that will receive antibiotics only at the anesthesia induction (n=73), or to group B, that will receive antibiotics at the anesthesia induction and for 24 hours (n=73). None of the patients will receive antibiotics after hospital discharge. Patients will be followed-up weekly, for 30 days, regarding surgical site infection. The Centers for Disease Control and Prevention criteria will be applied. A statistical analysis of the data will be performed.

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Conditions studied

  • Plastic Surgery
  • Mammaplasty
  • Anti-bacterial Agents
  • Prophylaxis
  • Wound Infection

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03

In context

Wound Infection

382 studies on the registry are indexed under Wound Infection; 40 are open to participants now.

This study's enrollment of 146 is close to the median of 150 across 296 interventional studies indexed under Wound Infection.

Browse Wound Infection studies →

Lead sponsor

Daniela Francescato Veiga is the lead sponsor of 6 studies on the registry; none are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • 18 and 60 years of age
  • body mass index (BMI) between 19 and 30 kg/m2
  • breast hypertrophy according to the criteria of Sacchini et al. and Franco and Rebello

Exclusion criteria

Exclusion Criteria:

  • patients who had previously undergone another surgical procedure of the breast
  • patients who have been diagnosed with a breast pathology
  • smokers
  • patients who had a child or breastfed within the last year
  • patients with uncontrolled comorbidities, such as arterial hypertension or diabetes
  • use of immunosuppressants
  • patients who had any infection during the follow-up period, requiring the use of antibiotics
  • patients who present any adverse effects due to the antibiotics during the study
  • patients who miss follow-up assessments
  • patients who withdraw their consent at any time
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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
146 participants (actual)

Study arms

  • Experimental
    Cephazolin

    Patients will receive antibiotics (1g cephazolin) intravenously at the anesthestic induction and every 6 hours for 24 hours

    Drug: Cephazolin

  • Placebo comparator
    Sterile saline

    Patients will receive antibiotics (cephazolin) only at the anesthesia induction, and sterile saline intravenously every 6 hours for 24 hours

    Other: Sterile saline

Interventions

  • DrugCephazolin

    Patients undergoing reduction mammaplasty will receive 1g of cephazolin intravenously anesthetic induction and postoperatively every 6 hours, for 24 hours.

  • OtherSterile saline

    Patients undergoing reduction mammaplasty will receive 1g of cephazolin intravenously anesthetic induction and intravenous sterile saline postoperatively, every 6 hours, for 24 hours.

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What researchers measure

Primary outcomes

  1. Number of patients with surgical site infection (SSI)

    Patients will be monitored for the occurrence of SSI once weekly during the first 30 days following hospital discharge by a single surgeon who is blinded to their treatment group. SSI will be evaluated based on the definition adopted by the Centers for Disease Control and Prevention.

    Time frame: 30 days

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Study locations

1 site
  • Hospital das Clinicas Samuel Libânio, Universidade do Vale do Sapucaí
    Pouso Alegre, MG 37550000, Brazil
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References and documents

Publications

  • Veiga DF, da Silva Garcia E, Moreira-Filho JW, de Mattos Andrade EB, Juliano Y, Veiga-Filho J, Ferreira LM. Single dose versus 24 h antibiotic prophylaxis in reduction mammaplasty: study protocol for a randomized controlled trial. Trials. 2020 Jul 2;21(1):605. doi: 10.1186/s13063-020-04539-0. PubMed 32616026 ↗

Related links

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 26, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04079686
Lead sponsor
Daniela Francescato Veiga
Responsible party
Daniela Francescato Veiga (Associate Professor, Federal University of São Paulo) — Sponsor-investigator
First posted
Sep 6, 2019
Start date
Aug 4, 2019
Primary completion
Oct 28, 2024
Completion
Oct 28, 2024
Last update
Feb 26, 2025

Study contacts

Daniela F Veiga, MD, PhD
study chair · Federal University of São Paulo

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2025. You cannot join it, but the record below documents what was studied.

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