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A single-centre randomised controlled trial of Antibiotic Prophylaxis before second-trimester Genetic Amniocentesis in women: the APGA trial

A single-centre randomised controlled trial of Antibiotic Prophylaxis before second-trimester Genetic Amniocentesis in women: the APGA trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN30372886
Enrollment
30000
Registered
2007-10-30
Start date
1999-01-02
Completion date
Unknown
Last updated
2021-06-21

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

Conditions

Preterm Premature Rupture Of Membranes (pPROM), foetal death Pregnancy and Childbirth Premature rupture of membranes

Interventions

Intervention: Oral azithromycin 500 mg daily for the three days prior to the amniocentesis procedure, in three doses taken at 24-hour intervals. Control:

Sponsors

CERMET (Certification and Research for Quality) and Total Quality Management (Italy)
Lead Sponsor

Eligibility

Sex/Gender
Female

Inclusion criteria

Inclusion criteria: 1. Pregnant women aged greater than or equal to 18 years 2. All women requested a second trimester genetic amniocentesis with the same chosen operator

Exclusion criteria

Exclusion criteria: 1. Non-viable foetus (also found after the randomisation) 2. Major foetal abnormalities (also found after the randomisation) 3. Leakage of amniotic fluid 4. Bleeding in the past week 5. Fever 6. Use of any antibiotics within the past 14 days or of long-acting injectable penicillin 7. Known allergy to the specific antibiotic used

Design outcomes

Primary

MeasureTime frame
To determine the efficacy of antibiotic prophylaxis in second-trimester amniocentesis in preventing the foetal death in both groups, assessed four weeks after the procedure.

Secondary

MeasureTime frame
1. To determine the incidence of pPROM in both groups, defined as a rupture of the membranes, assessed four weeks after the procedure 2. To evaluate the incidence of foetal death after the pPROM in both groups, assessed four weeks after the procedure

Countries

Italy

Outcome results

None listed

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