Decolonization to Reduce After-Surgery Events of Surgical Site Infection

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of California, Irvine

About this trial

The DECREASE SSI Trial (Decolonization to Reduce After-Surgery Events of Surgical Site Infection) is a two-arm multi-center individual placebo-controlled randomized (2,700 participants randomized 1:1) clinical trial to reduce post-discharge surgical site infection following open colon or small bowel surgery by comparing chlorhexidine bathing plus nasal mupirocin in the 30 days following discharge to soap without antiseptic properties (placebo) and placebo nasal ointment. This trial seeks to enhance the care of the 675,000 patients annually who undergo colon and small bowel surgery by finding simple and efficacious interventions to reduce SSI.

Eligibility criteria

Qualifiers

18 years of age or older

Recent open (not solely laparoscopic) surgery involving an abdominal incision within the past 14 days. For cesarean section, recruitment restricted to BMI ≥ 40.

Able to communicate regularly by phone

Able to bathe, shower or have this task performed by a caregiver

Disqualifiers

Transfer to an acute care hospital

Discharged to receive end-of-life hospice measures

Discharged more than 14 days after surgery

Allergic to mupirocin and/or chlorhexidine

Trial design

Treatments tested in this trial

  • 4% Chlorhexidine Gluconate
  • 2% Mupirocin
  • Soap Without Antiseptic Properties (Placebo)
  • Placebo Nasal Ointment

Treatment groups

2,700 Participants
are divided into 2 treatment groups

Sponsors and collaborators

University of California, Irvine

Lead sponsor

University of California, Davis

Collaborator

University of California, San Francisco

Collaborator

University of Massachusetts, Amherst

Collaborator

Hoag Memorial Hospital Presbyterian

Collaborator