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DEFINITIONS
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Trial registered on ANZCTR
Registration number
ACTRN12618001795280
Ethics application status
Approved
Date submitted
30/10/2018
Date registered
2/11/2018
Date last updated
2/11/2018
Date data sharing statement initially provided
2/11/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Comparing the Sterility and Visibility of Surgical Marking Pens Available in Australia
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Scientific title
Comparing the Sterility and Visibility of Surgical Marking Pens Available in Australia: A prospective cohort study
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Secondary ID [1]
296462
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None
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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:
Correct-site surgery
310251
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Condition category
Condition code
Surgery
308972
308972
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0
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Other surgery
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Six volunteers will have both anterior thighs marked with 12 surgical marking pens.
The pens will be marking pens sold from the following companies:
Pentel (N50), Artline (90), Sharpie (Super), Covdien, DeRoyal, Viscot, Concord, Sandel, Matrix, Aspen, Medline and SMI.
The lines will be 5cm in length in parallel.
Each thigh will be washed with one of four alcohol-based surgical preparation liquids. Each wash will be performed using sterile gauze swabs and forceps in a simulated operation setting. A first coat will be allowed to dry, followed by a second coat. The volume of liquid will be approximately 150mL.
The liquids will be brown tinted 1% Iodine (w/v) with 70% isopropyl alcohol (v/v), pink tinted 0.5% chlorhexidine gluconate (w/v) with 70% isopropyl alcohol (v/v), red tinted 2% chlorhexidine gluconate (w/v) with 70% isopropyl alcohol (v/v) and untinted 70% isopropyl alcohol (v/v).
The assignment will be quasi-randomised. Volunteers will be marked and washed in a random order at volunteer discretion, and liquids will be selected at random at investigator discretion, ensuring three limbs are washed with each liquid.
The study will take place in a surgical operating theatre in a private hospital in Melbourne, Australia.
The study will be conducted by an orthopaedic registrar who will apply the pen marks and surgical prep.
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Intervention code [1]
312789
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Other interventions
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Comparator / control treatment
No control group
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
307943
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Pen ink visibility following surgical wash using Adobe Photoshop (Version 19.1.5.722).
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Assessment method [1]
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Timepoint [1]
307943
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Assessed one minute after surgical wash.
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Secondary outcome [1]
353408
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Pen tip sterility after patient contact. Swabs will be taken of the pen tip two minutes after final use. The swab will be sent to a pathology laboratory (Alfred Hospital, Melbourne) for culture and identification.
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Assessment method [1]
353408
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Timepoint [1]
353408
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Two minutes after use.
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Eligibility
Key inclusion criteria
Fitzpatrick skin type 1 or 2
Minimal body hair on thighs
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Allergy to surgical preparation liquids
Dermatitis
Broken skin on thighs
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
Two-tailed student’s T-tests will be performed.
Sample size was based on previous studies that assessed surgical marking pen ink visibility.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
15/07/2018
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Date of last participant enrolment
Anticipated
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Actual
15/07/2018
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Date of last data collection
Anticipated
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Actual
19/07/2018
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Sample size
Target
6
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Accrual to date
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Final
6
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
12304
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Linacre Private Hospital - Hampton
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Recruitment postcode(s) [1]
24498
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3188 - Hampton
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Funding & Sponsors
Funding source category [1]
301058
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Hospital
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Name [1]
301058
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Linacre Private Hospital
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Address [1]
301058
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12 Linacre Road, Hampton, 3188, Victoria
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Country [1]
301058
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Australia
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Primary sponsor type
Individual
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Name
Edward O'Bryan
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Address
Linacre Private Hospital, 12 Linacre Road, Hampton, 3188, Victoria
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Country
Australia
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Secondary sponsor category [1]
300667
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None
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Name [1]
300667
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Address [1]
300667
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Country [1]
300667
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
301812
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The Avenue HREC
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Ethics committee address [1]
301812
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40 The Avenue, Windsor, 3181, Victoria
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Ethics committee country [1]
301812
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Australia
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Date submitted for ethics approval [1]
301812
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31/03/2018
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Approval date [1]
301812
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02/05/2018
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Ethics approval number [1]
301812
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Summary
Brief summary
This study aims to compare the quality of twelve different surgical marking pens available in Australia. Quality will be defined based on visibility of ink after surgical wash, as well as sterility of pen tips based on swab cultures. The study will be performed on six medical student volunteers. Lines will be drawn on the volunteers' thighs using marking pens, and the limbs will be washed with one of four different surgical preparation liquids. The ink visibility will be assessed using digital photographs on software (Photoshop). The pen tips will be swabbed after use for culture of organisms in a pathology laboratory.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Edward O'Bryan
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Address
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Linacre Private Hospital, 12 Linacre Road, Hampton, 3188, Victoria
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Country
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Australia
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Phone
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+61 431532539
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Fax
88194
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Email
88194
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[email protected]
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Contact person for public queries
Name
88195
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Edward O'Bryan
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Address
88195
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Linacre Private Hospital, 12 Linacre Road, Hampton, 3188, Victoria
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Country
88195
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Australia
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Phone
88195
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+61 431532539
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Fax
88195
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Email
88195
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[email protected]
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Contact person for scientific queries
Name
88196
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Edward O'Bryan
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Address
88196
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Linacre Private Hospital, 12 Linacre Road, Hampton, 3188, Victoria
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Country
88196
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Australia
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Phone
88196
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+61 431532539
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Fax
88196
0
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Email
88196
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Surgical marking pen visibility data
Swab results
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When will data be available (start and end dates)?
Immediately following publication to a peer-reviewed journal
No end date
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Available to whom?
Case-by-case basis at the discretion of the principle investigator
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Available for what types of analyses?
Any purpose
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How or where can data be obtained?
Access subject to approval by principle investigator, via electronic copy
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
50
Ethical approval
376284-(Uploaded-30-10-2018-11-18-33)-Study-related document.pdf
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.
Download to PDF