The current standard Swedish infection prophylaxis in colorectal surgery is intravenously administered cefuroxime and metronidazole. this combination is well studied. The disadvantages of the regimen is "collateral damage" resulting from treatment with a cephalosporine and that the combination also serves as the first line of treatment for abdominal surgical infections. Serval Swedish surgical departments have for some years used a combination of orally administered trimethoprim-sulfamethoxazole and metronidazole. The combination is economical and believed to be effective but hitherto the outcome have not been properly researched. The aim of this study is to compare the efficacy of these two regimens in the prevention of infection after elective colorectal surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
TRIPLE
Enrollment
1,073
trimethoprim-sulfamethoxazole (160mg/800mg)p.o.+ metronidazole (1200mg)p.o.
cefuromime 1500mg i.v. + metronidazole 1500mg i.v.
Department of Surgery, University hospital Sahlgrenska/Östra
Gothenburg, Sweden
Department of Surgery and oncology, Halland Hospital in Halmstad
Halmstad, Sweden
Department of surgery, Community Hospital i Karlskrona
Karlskrona, Sweden
Vrinnevi hospital
Norrköping, Sweden
Department of surgery
Skövde, Sweden
Department of Surgery, NU-hospitals
Uddevalla, Sweden
Cutaneous-,subcutaneous and intraabdominal infections
Time frame: 4 weeks
Non infectious wound complications
Time frame: 4 weeks
Complications to the anastomosis
Time frame: 4 weeks
Adverse reaction of given drug
Time frame: 4 weeks
Other post operative infections
Time frame: During hospital stay
Septicaemia
Time frame: 4 weeks
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