This study evaluates the dosage of perioperative cefuroxime for obese patients. Dosage was increased if the BMI was over 30kg/m\*m and as well over 50kg/m\*m. Drug levels were measured in blood and tissue.
Cefuroxime is an often used antibiotic for surgery antibiotic prophylaxis to avoid surgical wound infection. In this study the dosage of cefuroxime was adjusted to the BMI: less than 30kg/m\*m: 1,5g 31-50kg/m\*m: 3,0g more than 50kg/m\*m: 4,5g Cefuroxime was applicated 30 to 60 minutes before the begin of surgery. Drug Levels in blood and fat tissue were measured at skin cut (30-60 minutes after application of Cefuroxime), 45 minutes after skin cut (75-105 minutes after minutes after application of Cefuroxime) and at the end of surgery (up to 150 minutes after application of Cefuroxime) . The hypothesis of this study is that adequate drug levels are reached in all groups.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
60
Patients with BMI of \<30kg/m\*m: 1,5 g Cefuroxime
Patients with BMI of 30-50kg/m\*m: 3g Cefuroxime
Patients with BMI of \>50kg/m\*m: 4,5 g Cefuroxime
University Hospital Hamburg-Eppendorf
Hamburg, Germany
Serum level of Cefuroxime
Drug Serum Level at skin cut
Time frame: 30-60 minutes after application of cefuroxime
Serum level of Cefuroxime
Drug Serum Level 45 minutes after skin cut
Time frame: 75-105 minutes after application of cefuroxime
Serum level of Cefuroxime
Drug Serum Level at the end of surgery
Time frame: up to 150 minutes after application of cefuroxime
Tissue level of Cefuroxime
Drug Tissue Level at skin cut
Time frame: 30-60 minutes after application of cefuroxime
Tissue level of Cefuroxime
Drug Tissue Level 45 minutes after skin cut
Time frame: 75-105 minutes after application of cefuroxime
Tissue level of Cefuroxime
Drug Tissue Level at the end of surgery
Time frame: up to 150 minutes after application of cefuroxime
Surgical site infections
Incidence of surgical site infections
Time frame: Time until hospital discharge, estimated time period: up to two weeks
Hospital Retention period
Length of stay in hospital
Time frame: Time until hospital discharge, estimated time period: 5-7 days
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