Unique ID issued by UMIN | UMIN000029273 |
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Receipt number | R000032382 |
Scientific Title | Pharmacokinetics of nitroimidazole antibacterial agent Metronidazole as intraoperative prophylaxis for colorectal surgery |
Date of disclosure of the study information | 2017/09/25 |
Last modified on | 2019/08/01 18:23:52 |
Pharmacokinetics of nitroimidazole antibacterial agent Metronidazole as intraoperative prophylaxis for colorectal surgery
Pharmacokinetics of Metronidazole as intraoperative prophylaxis for colorectal surgery
Pharmacokinetics of nitroimidazole antibacterial agent Metronidazole as intraoperative prophylaxis for colorectal surgery
Pharmacokinetics of Metronidazole as intraoperative prophylaxis for colorectal surgery
Japan |
colorectal disease with surgical indication (both benign and malignant)
Hepato-biliary-pancreatic surgery |
Malignancy
NO
We measure the transition of blood concentration, ascites concentration, tissue concentration (subcutaneous fat and peritoneum) of Metronidazole when it is administered as antibiotic prophylaxis in patients undergoing elective colorectal surgery.
Subsequently, we examine the relationship between the distribution of Metronidazole during surgery and MIC for anaerobic bacteria, and the necessity of additional administration.
PK,PD
Pharmacokinetic parameters (Cmax, AUC, t1 / 2, tmax) of Metronidazole in blood, ascites and tissue (subcutaneous fat and peritoneum)
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Prevention
Medicine |
Patients are given intravenous drip infusion of Cefazolin 1 g and Metronidazole 500 mg as intraoperative antibiotic prophylaxis.
Blood (about 2 ml), ascites (about 2 ml), subcutaneous fat (about 4 mm cube) and peritoneum (about 4 mm square) are collected at the beginning of surgery (after laparotomy) and every hour thereafter and at the end of the surgery. Then we measure the Metronidazole concentration of each specimen.
20 | years-old | <= |
Not applicable |
Male and Female
・Patients scheduled for elective colorectal surgery(limited to open surgery cases)
・Inpatients over 20 years old who agree to participate in this study, regardless of gender
・Patients who can give written informed consent to participate in this study
・Emergency surgical patient
・Patients requiring extensive small intestine resection
・Patients requiring excision of other organs
・Patients with complications leading to a decrease in liver function
・Patients with a history of allergies to Cefazolin or Metronidazole
・Combined use of Cefazolin or Metronidazole caution drug
・Patients who are pregnant or nursing
・Patients with organic diseases in the brain and spinal cord
・Patients judged inappropriate for this study by the researcher
10
1st name | Hiroki |
Middle name | |
Last name | Ohge |
Hiroshima University Hospital
Department of Infectious Diseases
734-8551
1-2-3,Kasumi, Minami-ku Hiroshima-shi, Hiroshima
082-257-1613
ohge@hiroshima-u.ac.jp
1st name | Hiroyuki |
Middle name | |
Last name | Taogoshi |
Hiroshima University graduate school
Department of Surgery, Applied Life Sciences Institute of Biomedical & Health Sciences
734-8551
1-2-3,Kasumi, Minami-ku Hiroshima-shi, Hiroshima
082-257-5216
d172952@hiroshima-u.ac.jp
Department of Infectious Diseases, Hiroshima University Hospital
Ministry of Education, Culture, Sports, Science and Technology
Japanese Governmental office
Center for integrated medical research, Hiroshima University Hospital
1-2-3,Kasumi, Minami-ku Hiroshima-shi, Hiroshima
082-257-1752
protocol@cimr.hiroshima-u.ac.jp
NO
2017 | Year | 09 | Month | 25 | Day |
Partially published
10
Completed
2017 | Year | 09 | Month | 25 | Day |
2017 | Year | 09 | Month | 14 | Day |
2017 | Year | 09 | Month | 25 | Day |
2018 | Year | 09 | Month | 30 | Day |
2020 | Year | 03 | Month | 31 | Day |
2020 | Year | 03 | Month | 31 | Day |
2020 | Year | 03 | Month | 31 | Day |
2017 | Year | 09 | Month | 25 | Day |
2019 | Year | 08 | Month | 01 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000032382
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