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Comparison of skin preparations to prevent surgical site infections in clean or clean-contaminated, non-implant vascular surgery

A randomised controlled trial to assess the clinical and cost effectiveness of pre-operative skin cleansing with chlorhexidine and povidone-iodine in preventing surgical site infection and establish the impact of aqueous versus alcoholic solutions, in patients undergoing clean or clean-contaminated, non-implant vascular surgery. - Chlorhexidine Against Povidone-Iodine Trial (CAPIT)

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2013-004743-23-GB
Enrollment
Unknown
Registered
2013-11-22
Start date
2013-12-10
Completion date
Unknown
Last updated
2017-04-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Incidence of Surgical Site infection following clean or clean-contaminated, non-implant, vascular surgery MedDRA version: 16.1 Level: PT Classification code 10036410 Term: Postoperative wound infection System Organ Class: 10021881 - Infections and infestations

Interventions

Trade Name: VIDENE ALCOHOLIC TINCTURE Product Name: VIDENE ALCOHOLIC TINCTURE Product Code: Marketing authorisation number PL 04509/0040 Pharmaceutical Form: Cutaneous solution INN or Proposed INN: P

Sponsors

Hull and East Yorkshire Hospital Trust
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: Inclusion Criteria a. Adults =18 yrs undergoing clean/ clean-contaminated non-implant vascular surgery. b. Ability to understand the Patient Information Sheet and capable and willing to give informed consent and follow the protocol requirements (including attending all follow- up visits) Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 650 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 220

Exclusion criteria

Exclusion criteria: Exclusion criteria; a. Patients on antibiotics for other conditions at the time of surgery or in the follow up period. b. Allergies to chlorhexidine/ alcohol/ iodophors c. Inability to give informed consent d. Aged under 18 years at time of recruitment e. Use of investigational drug/device therapy within preceding 4 weeks that may interfere with this study Withdrawal criteria; a)Patient request b)Patient non compliance with study protocol c)Patient suffers an adverse event/ reaction such that they cannot continue d)Patient dies

Design outcomes

Primary

MeasureTime frame
Main Objective: Primary Objective: to assess the clinical and cost effectiveness of pre-operative skin cleansing with chlorhexidine and povidone-iodine in preventing surgical site infection and establish the impact of aqueous versus alcoholic solutions, in patients undergoing clean or clean-contaminated, non-implant vascular surgery.;Secondary Objective: When compared to Povidone-iodine does Chlorhexidine: a. Increase the number of wounds which heal satisfactorally? b. Improve patient quality of life post-operatively? c. Reduced the length of time to return to work/ normal activities after surgery? d. Reduce patient resource use? e. Reduce the cost to the NHS? f. Reduce patient mortality?;Primary end point(s): Primary: Occurrence of Surgical site infection. Participants will be asked to complete the Health Protection Agency ‘Patient post-discharge questionnaire’ and attend for clinical review. ;Timepoint(s) of evaluation of this end point: The questionnaire will be completed at day 5-7 and day 30 post-surgery. On day 5-7 and day 30 post-surgery participants will undergo clinical review by a clinician blinded to group allocation and the patient post-discharge questionnaire will be completed on day 30. Occurrence of a surgical site infection will be defined as positive finding at any of the described follow ups.

Secondary

MeasureTime frame
Secondary end point(s): Satisfactory healing; Quality of life/utility: SF-36 and EQ-5D and Resource use (including number of visits to general practitioners, hospital visits, and prescription of antibiotics). ;Timepoint(s) of evaluation of this end point: All secondary end points will be measured at baseline, days 5-7, and day 30 post-surgery.

Countries

United Kingdom

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026