Antibiotic Irrigations for Intra-Abdominal Drains
Start Date
4/1/2019
Completion Date
9/1/2021
Summary
Intra-abdominal abscesses are pus-filled pouches in the abdominal cavity. Current standard of care includes drain placement in the abscess cavity to reach source control as well as administration of systemic antibiotics. It is common practice to flush the drain on a daily basis to ensure patency. This study aims to analyze the clinical impact of a higher local concentration of antibiotics (rather than normal saline) provided through drain irrigation with an antimicrobial agent (Gentamicin and/or Clindamycin) compare to normal saline.
Detailed Description
People with an abdominal abscess who undergo drain placement will have those drains irrigated twice/day with either normal saline (placebo group) or with the above antibiotic solution for a total of 7 days or less if the drain were to be removed earlier. Outcomes of interest are duration of systemic antibiotics, and WBC and temperature curve.
Eligibility Criteria
Age Range: 18 years to 80 years
Interventions
Gentamicin Sulfate Inj 20mg/2ml vial for injection
Clindamycin phosphate 6 mg/1ml for injection
Placebo
Conditions
Locations
The University of Iowa
Iowa City, Iowa 52242
United States