Preterm Premature Rupture of Membrane
Conditions
Keywords
preterm premature rupture of membrane, antibiotics, duration, cefazolin, clarithromycin
Brief summary
The purpose of this study is to compare the neonatal outcome and infant neurologic outcome whose mother were treated with cefazolin plus clarithromycin for one week or until delivery after preterm premature rupture of membrane.
Interventions
Cefazolin 1.0gm IVs q 12 hours after randomization for one week
clarithromycin 500mg po bid after randomization for one week
Sponsors
Study design
Eligibility
Inclusion criteria
* preterm premature rupture of membrane(PPROM), PA 22+0\ 34+0wks * ROM \<72 hrs before randomization * cervical dilatation \<3cm * uterine contraction less than 4 times per 1 hr
Exclusion criteria
* Major fetal malformation * Rupture of the membrane \>72hrs before randomization * Vaginal bleeding * IIOC (incompetent internal os of cervix) * Placenta previa * Gestational diabetes or overt diabetes * Hypertensive disorders in pregnancy * Liver cirrhosis * Acute renal failure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Neonatal composite morbidity | Participants will be followed for duration of hospital day after delivery, an expected average of 8 weeks | 1. respiratory distress syndrome(RDS) 2. bronchopulmonary dysplasia(BPD) 3. intraventricular hemorrhage(IVH,≥grade 3) 4. retinopathy of prematurity(ROP,≥grade 3) 5. necrotizing enterocolitis(NEC,≥stage 2) 6. proven neonatal sepsis |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| infantile neurologic outcome | at 6 months and 1 year of corrected age | The outcome will be evaluated in five sub-domains (development, neurologic examination, Bayley Scales of Infant Development-II, vision, and hearing). The final outcome scale was divided into normal, mild, moderate, and severe disability |
Countries
South Korea