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An intraperitoneal implanted catheter is always necessary to perform Peritoneal Dialysis. Catheter insertion has been associated with infectious complication such as Exit Site Infection (ESI), Tunnel Infection and Peritonitis. The last one may lead to loss of the technique because the need of catheter removal. Most of international guidelines recommends the use of prophylactic antibiotics. Different protocols has been used, mostly intravenous single injection before the procedure. For the last 25 years our unit gives a single intraperitoneal dose of Cefazolin immediately after the catheter insertion. The aim of this study is compare the effect of a pre- operative IV dose os Cefazolin with a post- procedure intraperitoneal single dose administration of the same drug.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intraperitoneal | Experimental | One single dose of intraperitoneal Cefazolin 1000 mg via the recently inserted peritoneal catheter |
|
| Intravenous | Active Comparator | One single dose of intravenous Cefazolin 1000 mg one hour before catheter insertion |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Cefazolin | Drug | A post- procedure administration of Cefazolin will be compared with a pre-operative intravenous dose |
|
| Measure | Description | Time Frame |
|---|---|---|
| Peritonitis | Peritonitis asscociated catheter defined by cloudy effluent, high leukocyte count with neutrofilia | 14 days |
| Measure | Description | Time Frame |
|---|---|---|
| Exit site infection | Infection defined by purulent discharge or local redness | 14 days |
| Tunnel infection | Inflammation in the subcutaneous tract of the peritoneal catheter |
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Inclusion Criteria:
Subjects suffering from Chronic Kidney Disease, candidates to a intra- peritoneal catheter insertion
Exclusion Criteria:
Pregnancy; Active antibiotic treatment before the procedure; Known allergy to Cefazolin
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Victor Frajewicki, MD | Contact | 972-4-8250491 | vfraje@clalit.org.il |
| Name | Affiliation | Role |
|---|---|---|
| Victor Frajewicki, MD | Carmel Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Carmel Medical Center | Recruiting | Haifa | 34362 | Israel |
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| ID | Term |
|---|---|
| D002437 | Cefazolin |
| ID | Term |
|---|---|
| D002511 | Cephalosporins |
| D047090 | beta-Lactams |
| D007769 | Lactams |
| D000577 | Amides |
| D009930 |
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| 14 days |
| Organic Chemicals |
| D013843 | Thiazines |
| D013457 | Sulfur Compounds |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |