Chlorhexidine and Mupirocin to Prevent Surgical Infections
Decolonization to Reduce After-Surgery Events of Surgical Site Infection
Recruiting
Phase 4Interventional Study
Surgical Site Infection
Prior Safety Data
This treatment has already been tested in at least one earlier human trial.
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At a Glance
Age
18 and older
Sex
Any
Trial phase
Phase 4
Study type
Interventional
Purpose
Prevention
Participants needed
2,700 (estimated)
Sponsor
University of California, Irvine · Other
Who this trial is looking for
This trial is looking for adults who recently had open abdominal surgery. Participants will wash with a special antiseptic solution after leaving the hospital to see if it helps prevent infections.
Are You a Good Fit for This Trial?
You may be able to join if
I am 18 years or older
I had open abdominal surgery within the last 14 days
I can communicate regularly by phone
I can bathe or shower, or have help with it
You may not be able to join if
I was transferred to an acute care hospital
I was discharged to hospice care
I was discharged more than 14 days after surgery
I am allergic to mupirocin or chlorhexidine
I have an active infection
My surgical incision was not closed at discharge
Summarized in plain language from this trial's official eligibility criteria.
The full criteria are further down this page — only the research team can
confirm whether you qualify.
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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 …
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.
Trial Locations
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Eligibility Criteria
Inclusion Criteria:
* 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 perfor…
Inclusion Criteria:
* 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
Exclusion Criteria:
* 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
* Active infection at enrollment\*
\*Refers to
1. Infections requiring systemic antibacterial agents, so viral illness (e.g., COVID, flu) is not an exclusion.
2. Topical antibacterial agents do not count toward exclusion (e.g., topical products for acne)
3. Prophylactic antibacterial agents do not count toward exclusion
* Surgical incision not closed at discharge
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