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Cephalexin for Surgical Site Infection

Phase 4
Recruiting
Led By Mariana Phillips, MD
Research Sponsored by Carilion Clinic
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial
Must have
Be older than 18 years old
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 30 days
Awards & highlights

Study Summary

Utility of Single-dose Oral Antibiotic Prophylaxis in Prevention of Surgical Site Infection in Dermatologic Surgery

Eligible Conditions
  • Surgical Site Infection

Timeline

Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~30 days
This trial's timeline: 3 weeks for screening, Varies for treatment, and 30 days for reporting.

Treatment Details

Study Objectives

Outcome measures can provide a clearer picture of what you can expect from a treatment.
Primary outcome measures
Development of surgical site infection within 30 days of surgery

Side effects data

From 2013 Phase 2 & 3 trial • 2265 Patients • NCT00729937
21%
Nausea
16%
Headache
15%
Diarrhoea
14%
Abscess
10%
Vomiting
7%
Dizziness
6%
Abdominal pain upper
4%
Constipation
3%
Pyrexia
3%
Rash
1%
Cellulitis
100%
80%
60%
40%
20%
0%
Study treatment Arm
Abscess, Placebo
Abscess, TMP/SMX
Infected Wound, TMP/SMX
Infected Wound, Clindamycin
Cellulitis, Cephalexin and TMP/SMX
Cellulitis, Cephalexin

Trial Design

6Treatment groups
Experimental Treatment
Placebo Group
Group I: Antibiotic- noseExperimental Treatment1 Intervention
The administration time of the oral antibiotics will be 5-15 minutes prior to surgery on the nose. 4-500 mg capsules of cephalexin will be administered to the patient. If there is concern for previous allergy to cephalexin, 4-150 mg capsules of clindamycin hydrochloride will be administered PO.
Group II: Antibiotic- legExperimental Treatment1 Intervention
The administration time of the oral antibiotics will be 30 minutes prior to incision in the leg group. 4-500 mg capsules of cephalexin will be administered to the patient. If there is concern for previous allergy to cephalexin, 4-150 mg capsules of clindamycin hydrochloride will be administered
Group III: Antibiotic- earExperimental Treatment1 Intervention
The administration time of the oral antibiotics will be 5-15 minutes prior to surgery on the ear. 4-500 mg capsules of cephalexin will be administered to the patient. If there is concern for previous allergy to cephalexin, 4-150 mg capsules of clindamycin hydrochloride will be administered PO.
Group IV: Placebo - legPlacebo Group1 Intervention
If randomized to placebo group, 4 placebo capsules will be administered PO 30 minutes prior to incision in the leg group.
Group V: Placebo- nosePlacebo Group1 Intervention
If randomized to placebo group, 4 placebo capsules will be administered PO 5-15 minutes prior to surgery on the nose.
Group VI: Placebo- earPlacebo Group1 Intervention
If randomized to placebo group, 4 placebo capsules will be administered PO 5-15 minutes prior to surgery on the ear.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Clindamycin
FDA approved

Find a Location

Who is running the clinical trial?

Carilion ClinicLead Sponsor
70 Previous Clinical Trials
11,115 Total Patients Enrolled
Mariana Phillips, MD4.220 ReviewsPrincipal Investigator - Carilion Clinic Dermatology and Mohs Surgery
Carilion Clinic
1 Previous Clinical Trials
30 Total Patients Enrolled
5Patient Review
Dr.Phillips was excellent. They were obviously skilled and competent, explained my problem well, and removed two biopsies without leaving a scar. I would definitely go to them again.

Frequently Asked Questions

These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
~356 spots leftby Apr 2025