Wound Infection
Conditions
Keywords
Prophylaxis, Antibiotic, Sternotomy, Heart-Lung Machine
Brief summary
The purpose of this study is to show that the incidence of sternal wound infections at day 30 after cardiac surgery is 50% lower with the additional use of Daptomycin on top of a standard antibiotic prophylaxis as compared to the standard antibiotic prophylaxis alone.
Interventions
one infusion of 350 mg intraoperatively after disconnection from the heart-lung machine as an add-on to standard antibiotic prophylaxis
1500 mg intravenous 30min preoperatively during anesthesia and 1500 mg intravenous intraoperatively after disconnection from the heart-lung machine
Sponsors
Study design
Eligibility
Inclusion criteria
* age between 18-80 * written informed consent (IC)
Exclusion criteria
* pregnant and lactating women * patients operated for a transplantation * patients with a increased myopathy risk * patients with a creatinine clearance \< 30ml/min; patients on hemodialysis * patients after a previous sternotomy * treatment with any antibiotics 14 days prior study start * treatment with Daptomycin or Cefuroxime within 3 month prior study start
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of sternal wound infection is at least 50% lower if Daptomycin is used on top of a standard antibiotic prophylaxis as compared to the standard antibiotic prophylaxis alone | day 30 |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of sternal wound infections at day 30 after cardiac surgery | day 30 |
Countries
Germany