Antibiotic prophylaxis for CABG surgery MedDRA version: 20.0 Level: LLT Classification code 10036894 Term: Prophylactic antibiotic therapy System Organ Class: 100000004865
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: -Written informed consent -Planned coronary artery bypass grafting with left internal mammary artery bypass -Planned use of cardiopulmonary bypass -Age: > 18 and 40% Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: -Inability to give informed consent -Know allergy to cephalosporins or penicillin or ceftaroline -Preoperative antibiotic therapy -Signs of infection preoperatively -Re-operation or emergency procedure -Planned use of bilateral internal mammary artery bypass -Preoperative renal failure -Chronic severe renal insufficiency including hemodialysis -Chronic severe liver disease -BMI > 35 -Long standing diabetes mellitus (> 7 years) and insulin-dependent diabetes mellitus -Pregnant women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To measure free, microbiologically active concentrations of ceftaroline in plasma, subcutaneous tissue and lung parenchyma in order to evaluate whether adequate concentrations of ceftaroline are achieved in this special cohort of patients for antibiotic prophylaxis and treatment of complicated skin and soft-tissue infections and community acquired pneumonia.;Secondary Objective: - To compare free concentrations of ceftaroline in subcutaneous tissue with a presumed perfusion deficit (on the left side of sternotomy incision due to LIMA preparation) and subcutaneus tissue with normal perfusion (on the right side of the sternotomy incision) - To compare bolus- and continuous administration of ceftaroline using identical doses;Primary end point(s): - Perioperative pharmacokinetic profiles of ceftaroline in plasma, subcutaneous tissue and lung parenchyma ;Timepoint(s) of evaluation of this end point: In the bolus-group, ceftaroline plasma and tissue concentrations will be drawn at baseline, in 30min intervals during administration of each bolus and every 2h after completion of the bolus until the next bolus. The last sample will be drawn 1440mins after the first administration. In the continuous group, ceftaroline plasma and tissue concentrations will be drawn at baseline, in 30min intervals for the first 10h of continuous adminstration and every 2h thereafter until 1440mins after the first administration. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Difference of pharmacokinetics of ceftaroline between plasma, subcutaneous tissue and lung parenchyma - Difference of pharmacokinetic profiles between intermittent bolus administration and continuous administration of ceftaroline;Timepoint(s) of evaluation of this end point: In the bolus-group, ceftaroline plasma and tissue concentrations will be drawn at baseline, in 30min intervals during administration of each bolus and every 2h after completion of the bolus until the next bolus. The last sample will be drawn 1440mins after the first administration. In the continuous group, ceftaroline plasma and tissue concentrations will be drawn at baseline, in 30min intervals for the first 10h of continuous adminstration and every 2h thereafter until 1440mins after the first administration. | — |
Countries
Austria
Contacts
Medical University Vienna