Clinical Trial: Antibiotic Prophylaxis for Simple Hand Lacerations

Study Status: Terminated
Recruit Status: Terminated
Study Type: Interventional

Official Title: Antibiotic Prophylaxis for Prevention of Infection in Emergency Department Patients With Simple Hand Lacerations

Brief Summary: Research Question: In emergency department patients with simple hand cuts, do prophylactic antibiotics reduce the risk of wound infections?

Detailed Summary: Simple hand lacerations, defined as hand lacerations that do not involve special structures such as bones, tendons, vessels, or nerves, are common in the emergency departments. The exact rate of infection in such wounds is unclear. It is also not clear whether prescribing prophylactic antibiotics reduces the risk of infection in simple hand lacerations. The objective of this randomized double blind controlled study is to: 1. Identify the rate of infection in simple hand lacerations, 2. Identify factors or wound characteristics that increase the risk of infection, and 3. Assess whether prescribing prophylactic antibiotics decreases the risk of infections in such wounds compared to placebo.
Sponsor: State University of New York - Downstate Medical Center

Current Primary Outcome: Number of Participants With Presence of Wound Infection [ Time Frame: 2 weeks ]

Hand lacerations will be examined 10-14 days after initial wound closure and will be assessed for presence of infection.


Original Primary Outcome: Wound Infection [ Time Frame: 2 weeks ]

Hand lacerations will be examined 10-14 days after initial wound closure and will be assessed for presence of infection.


Current Secondary Outcome:

Original Secondary Outcome: Risk of side effects from antibiotics [ Time Frame: 2 weeks ]

Subjects will be examined and questioned in order to identify any signs or symptoms related to the side effects of the study medications (cephalexin or clindamycin).


Information By: State University of New York - Downstate Medical Center

Dates:
Date Received: June 29, 2010
Date Started: February 2010
Date Completion:
Last Updated: November 3, 2014
Last Verified: November 2014