Title
Trial of Antibiotic Prophylaxis in Elective Colorectal Surgery
Randomized Multicenter Trial of Antibiotic Prophylaxis in Elective Colorectal Surgery: Single-Dose Vs. Three Doses of Second-Generation Cephalosporin
Phase
Phase 3Lead Sponsor
National Cancer Center, JapanStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Colorectal SurgeryIntervention/Treatment
cefmetazole ...Study Participants
500To determine the optimal prophylactic antibiotics administration method in elective colorectal surgery
Use of prophylactic antibiotics in elective colorectal surgery is essential. Although single-dose prophylactic antibiotics are recommended, the efficacy of single-dose cephalosporin without metronidazole and oral antibiotics is not fully proven. We conducted a multicenter randomized trial of single-dose vs. three doses of the second-generation cephalosporin, cefmetazole.
Inclusion Criteria: Colorectal diseases (cancer, large polyp, carcinoid, lymphoma,sarcoma and so on) Elective colorectal resection Exclusion Criteria: Emergent operation Ileus No resection Preoperative infectious diseases Penicillin or cephalosporin allergy Antibiotics administration before surgery Inflammatory bowel diseases Angina or myocardial infarction Renal dysfunction Diabetes mellitus Steroid administration before surgery