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Trial registered on ANZCTR
Registration number
ACTRN12613001305718
Ethics application status
Approved
Date submitted
23/08/2013
Date registered
22/11/2013
Date last updated
22/11/2013
Type of registration
Retrospectively registered
Titles & IDs
Public title
Outcomes of single dose peri-procedural antibiotic prophylaxis for endoscopic ultrasound guided fine needle aspiration of pancreatic cystic lesions.
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Scientific title
Rates of infection in patients with pancreatic cyst endoscopic ultrasound fine needle aspiration given antibiotic prophylaxis
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Secondary ID [1]
283076
0
Nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Pancreatic cyst
289914
0
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Infection
290579
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Condition category
Condition code
Oral and Gastrointestinal
290282
290282
0
0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Infection
290975
290975
0
0
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Studies of infection and infectious agents
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
Patients having endoscopic ultrasound fine needle aspiration are at risk of iatrogenic infections due to the procedure. Currently there are no firm guidelines as to whether antibiotics are required or if they are, what antibiotics should be used. There have been no studies focusing on Tazocin (tazobactam, piperacillin) at the time of endoscopic ultrasound fine needle aspiration (EUS FNA). We will include all cases of EUS FNA requiring antibiotic prophylaxis and follow up patients following discharge home to determine whether they develop acute or chronic infections.
Observational study will be conducted determining the rates of sepsis following EUS FNA (single periprocedural dose IV tazocin or ciprofloxacin) on telephone follow up 1 year post-procedure
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Intervention code [1]
287792
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Not applicable
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Comparator / control treatment
NA - This is an observational study
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
290316
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Infection - abscess, peritonitis, septicaemia. Based on actual presentation of a complication and formal diagnosis being obtained of infectious complication according to standard clinical definitions based upon history, examination and relevant investigations.
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Assessment method [1]
290316
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Timepoint [1]
290316
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Assessed at 1 year after the procedure and includes outcomes such as infections or complications up to the time of follow up.
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Secondary outcome [1]
304292
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Antibiotic complications: allergic reaction, c difficile infection. Based on actual presentation of a complication and formal diagnosis being obtained of infectious complication according to standard clinical definitions based upon history, examination and relevant investigations.
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Assessment method [1]
304292
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Timepoint [1]
304292
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Assessed at 1 year after the procedure. Any complications occurring up to 1 year are obtained at follow up.
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Eligibility
Key inclusion criteria
Age 16 - 90
Pancreatic cyst requiring fine needle aspiration
Consenting to procedure
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Minimum age
16
Years
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Maximum age
90
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Coagulopathy
Not possible to safely perform EUS FNA eg cyst not well-positioned
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Study design
Purpose
Natural history
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Duration
Longitudinal
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Selection
Convenience sample
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Timing
Both
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Statistical methods / analysis
No power calculation. Convenience sample of 75 to 100.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/01/2011
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Actual
4/02/2011
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Date of last participant enrolment
Anticipated
10/01/2016
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
100
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Funding & Sponsors
Funding source category [1]
287838
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Hospital
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Name [1]
287838
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Concord Hospital
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Address [1]
287838
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Concord Hospital
Gastroenterology and Liver Services
Hospital Rd LEvel 1 West
Concord NSW 2139
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Country [1]
287838
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Australia
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Primary sponsor type
Hospital
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Name
Concord Hospital
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Address
Concord Hospital
Gastroenterology and Liver Services
Hospital Rd LEvel 1 West
Concord NSW 2139
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Country
Australia
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Secondary sponsor category [1]
286563
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None
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Name [1]
286563
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Address [1]
286563
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Country [1]
286563
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
289778
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Concord Hospital Human Research Ethics Committee
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Ethics committee address [1]
289778
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Concord Hospital Human Research Ethics Committee Concord Hospital Hospital Rd Concord NSW 2139
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Ethics committee country [1]
289778
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Australia
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Date submitted for ethics approval [1]
289778
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03/08/2012
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Approval date [1]
289778
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28/09/2012
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Ethics approval number [1]
289778
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EC00118
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Summary
Brief summary
Endoscopic ultrasound can obtain fluid using a technique known as fine needle aspiration (FNA). This involves a needle entering a pancreatic cyst and sucking fluid out. However, this test risks introducing gut bacteria into a normally sterile space. As such antibiotics may be effective to prevent infections. We aim to test whether Tazocin or Ciprofloxacin if penicillin allergy is present, prevents infections or is associated with increased harm.
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Trial website
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Trial related presentations / publications
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Public notes
The use of IV tazocin/ ciprofloxacin is considered standard practice at Concord Hospital approved by the Endoscopy Unit. An audit was commenced with Ethics Approval to contact patients from 28 Sep 2012. Contacting patients was considered a low risk application and provided the necessary data of complications following the EUS FNA procedure. It is also part of an ongoing quality audit of EUS FNA by the department to ensure that even late complications are recorded.
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Contacts
Principal investigator
Name
42382
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A/Prof Rupert Leong
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Address
42382
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Concord Hospital
Level 1 West
Hospital Rd
Concord NSW 2139
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Country
42382
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Australia
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Phone
42382
0
61297676111
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Fax
42382
0
61297676767
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Email
42382
0
[email protected]
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Contact person for public queries
Name
42383
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Rupert Leong
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Address
42383
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Concord Hospital
Level 1 West
Hospital Rd
Concord NSW 2139
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Country
42383
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Australia
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Phone
42383
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61297676111
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Fax
42383
0
61297676767
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Email
42383
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[email protected]
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Contact person for scientific queries
Name
42384
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Rupert Leong
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Address
42384
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Concord Hospital
Level 1 West
Hospital Rd
Concord NSW 2139
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Country
42384
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Australia
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Phone
42384
0
61297676111
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Fax
42384
0
61297676767
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Email
42384
0
[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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