Clinical trial NCT00829556: Efficacy of InteguSeal for Surgical Skin Preparation in Patients Undergoing Total Joint Replacement
Official title: Single-Center, Randomized Trial to Study the Efficacy of InteguSeal for Surgical Skin Preparation in Patients Undergoing
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Prosthetic Joint Infection
Surgical Skin Infection
Lead sponsor: Rothman Institute Orthopaedics
Sponsor class: OTHER
Collaborators: name: Kimberly-Clark Corporation
First posted: 2009-01-27
Enrollment: 160
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: This study is being conducted to investigate the potential benefits of using a special type of fluid that can be applied to the skin (Integuseal) in addition to standard surgical skin preparation in patients undergoing total hip replacement (THA) or total knee replacement (TKA). Integuseal is supposed to lock down the skin bacteria and reduce skin infection and other problems. This study will investigate whether Integuseal is effective in reducing persistent wound drainage when used in addition to standard surgical skin preparation for total hip arthroplasty (THA) or total knee replacement (TKA).


Eligibility criteria: Inclusion Criteria:

1. Subjects who are able and willing to provide informed consent;
2. Male and non-pregnant, non-lactating, female subjects who are willing to practice effective means of contraception or postmenopausal/surgically sterilized female subjects, between the ages of 18-80 years old, of any ethnic origin.
3. Subjects deemed able to comply with study schedule visits, procedures and medications as specified by the protocol.
4. Subjects undergoing elective THA or TKA procedures.
5. Subjects in satisfactory health as determined by the investigator on the basis of medical history and physical examination.

Exclusion Criteria:

1. Subjects undergoing revision, hemiarthroplasty, or bilateral THA or TKA
2. Subjects undergoing non-elective THA or TKA procedures.
3. Pregnant or lactating females or females of childbearing potential not practicing an effective method of contraception.
4. Subjects with known allergies to iodine and/or chlorhexidine

Primary outcomes:
measure: The primary endpoint of the study will be to determine the incidence of postoperative wound drainage during hospital stay when adding Integuseal to the normal surgical skin preparation.
timeFrame: Total joint replacement to discharge from hospital
Secondary outcomes:
measure: To evaluate the effect of using Integuseal on the length of hospital stay after THA or TKA.
timeFrame: Total joint replacement to discharge from hospital
measure: To evaluate the effect of using Integuseal on the incidence of surgical site infection (SSI).
timeFrame: 6 weeks
measure: To evaluate the effect of using Integuseal on the incidence of revision or re-admission after undergoing THA or TKA
timeFrame: 6 weeks
Other outcomes:
Locations:
city: Philadelphia
country: United States
facility: Rothman Institute
state: Pennsylvania
Study officials:
affiliation: Rothman Institute Orthopaedics
name: Javad Parvizi, MD, FRCS
role: PRINCIPAL_INVESTIGATOR
References: