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CompletedNCT04303390Updated Apr 11, 2023

24 Vs 48 Hours of Cefazolin or Cefuroxime as Prophylaxis

A Phase 4 interventional study of Cefuroxime and Cefazolin in Surgical Site Infection, sponsored by Saud Al Babtain Cardiac Center. Completed at 1 site in Saudi Arabia. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-04-11.

Sponsored by Saud Al Babtain Cardiac Center · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 1 year 8 months after the study started (first participant enrolled Feb 2018, registered Nov 2019).
Phase
Phase 4
Study type
Interventional
Enrollment
568
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

A randomized control trial studying the effect of prophylactic antibiotics to reduce surgical site infections following cardiac surgery in adults using 1st generation cephalosporin (Cefazolin) or 2nd generation cephalosporin (Cefuroxime).

Read the detailed description

A prospective randomized controlled patient blinded study with 2x2 factional design. It aims to study optimal duration of antibiotic to reduce surgical site infections following cardiac surgery in adults 24 or 48 hours using 1st generation cephalosporin (Cefazolin) or 2nd generation cephalosporin (Cefuroxime). Patients shall remain on either medicines for 24 or 48 hours. The primary endpoints of the study are:(1) 48 hours antibiotic prophylaxis is superior to 24 hours in adult cardiac surgery (2) Cefuroxime is superior to Cafazolin as a prophylactic antibiotic in adult cardiac surgery. Secondary endpoints include; organisms causing surgical site infections, length of hospital and ICU stay, and worsening in renal function.

02

Conditions studied

  • Surgical Site Infection
03

In context

Infections

6,687 studies on the registry are indexed under Infections; 807 are open to participants now.

This study's enrollment of 568 is above the median of 120 across 4,200 interventional studies indexed under Infections.

Browse Infections studies →

Lead sponsor

Saud Al Babtain Cardiac Center 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.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Ability to provide informed consent
  • Planned to undergo a cardiac surgical procedure

Exclusion criteria

Exclusion Criteria:

  • Patients on antibiotics on the day of surgery or those who received any within 7 days for any reason
  • Patients taken to operating room as salvage
  • Patients who are allergic to either cefuroxime or cefazolin
  • Patients for LVAD or ECMO
  • Patients who are known MRSA carriers
  • Patients receiving steroid therapy
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
568 participants (actual)

Study arms

  • Active comparator
    24 hour Cefuroxime arm

    25% of the entire study participants are assigned to 24 hours and second generation cephalosporin

    Drug: Cefuroxime · Other: 24 hours

  • Active comparator
    24 hour Cefazolin arm

    25% of the entire study participants are assigned to 24 hours and first generation cephalosporin

    Drug: Cefazolin · Other: 24 hours

  • Active comparator
    48 hour Cefuroxime arm

    25% of the entire study participants are assigned to 48 hours and second generation cephalosporin

    Drug: Cefuroxime · Other: 48 hours

  • Active comparator
    48 hour Cefazolin arm

    25% of the entire study participants are assigned to 48 hours and first generation cephalosporin

    Drug: Cefazolin · Other: 48 hours

Interventions

  • DrugCefuroxime

    second generation cephalosporin

  • DrugCefazolin

    First generation cephalosporin

  • Other24 hours

    Duration of antibiotic therapy

  • Other48 hours

    Duration of antibiotic therapy

06

What researchers measure

Primary outcomes

  1. surgical site infection rate is less with Cefuroxime than Cefazolin

    that Second Generation Cefalosporin is superior to first generation

    Time frame: within 3 months from date of surgery

  2. surgical site infection rate is less with 48 hours rather than 24 hours

    That Longer duration of prophylaxis is better than shorter duration

    Time frame: within 3 months from date of surgery

Secondary outcomes

  1. Length of actual Hospital Stay in the group assigned to 48 hours of cefuroxime

    that 48 hours of cefuroxime will reduce hospital stay

    Time frame: within 3 months from date of surgery

  2. Length of ICU Stay will be shorter in the group assigned to 48 hours of cefuroxime

    that 48 hours of cefuroxime will reduce ICU stay

    Time frame: within 3 months from date of surgery

  3. rate of infection with a specific organism following each of the antibiotics used

    type of organism following each type of antibiotic used

    Time frame: within 3 months from date of surgery

  4. change from baseline of serum creatinine for each antibiotic used

    that 48 hours of cefuroxime will not worsen renal function

    Time frame: within 3 months from date of surgery

07

Study locations

1 site
  • Saud AlBabtain Cardiac Center
    Dammam, Eastern Province 31463, Saudi Arabia
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 11, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04303390
Lead sponsor
Saud Al Babtain Cardiac Center
Responsible party
Sponsor
First posted
Mar 11, 2020
Start date
Feb 6, 2018
Primary completion
May 31, 2022
Completion
May 31, 2022
Last update
Apr 11, 2023

Study contacts

Mohammed S Koudieh, MD
principal investigator · Saud AlBabtain Cardiac Center
Shukri M AlSaif, MD
principal investigator · Saud AlBabtain Cardiac Center

Oversight

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

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This study is completed, as verified in Apr 2023. You cannot join it, but the record below documents what was studied.

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