About this trial
Multicentre non-inferiority cluster randomised trial testing Disposable versus Reusable drApes and Gowns for green OperatiNg theatres. A pragmatic 1:1 international multi-centre non-inferiority cluster randomised controlled trial, with an internal pilot. Clusters are individual hospitals.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients with at least one incision that is ≥5cm in adults and ≥3cm in children aged under 16 years. This can include both open and minimally-invasive surgery providing at least one incision meets this criteria.
Patients with a clean-contaminated, contaminated, or dirty surgical wound. Definitions of contamination are given in Table 2.
Patients undergoing emergency (surgery on an unplanned admission) or elective (surgery on a planned admission) surgery.
Any operative indication (including caesarean section).
Disqualifiers
Adults with an incision <5 cm and incision <3cm in children aged under 16 years.
Patients undergoing procedures with a clean surgical wound only.
Trial design
Parallel
Treatments tested in this trial
Intervention: Reusable drapes and gowns
Other interventionReusable drapes and gowns used during surgery.
Comparator: Disposable (single-use) drapes and gowns
Other interventionDisposable drapes and gowns used during surgery.
Treatment groups
Trial outcomes
Primary outcomes
Surgical site infection (SSI)
SSI according to centre for disease control (CDC) criteria: The infection must occur within 30-days of the index operation AND The infection must involve the skin, subcutaneous, muscular, or fascial layers of the incision AND The patient must have at least one of the following: Purulent drainage from the wound Organisms are detected from a wound swab Wound opened spontaneously or by a clinician AND, at the surgical wound, the patient has at least one of pain or tenderness; localised swelling; redness; heat; systemic fever (\>38°C). Diagnosis of SSI by a clinician or on imaging
Secondary outcomes
Mortality (and likely cause)
Unplanned wound opening
Antibiotic prescribing for SSI
Reattendance at emergency department
Sponsors and contacts
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University of Birmingham
Lead sponsor
Christian Medical College, Vellore, India
Collaborator
Kigali University Teaching Hospital
Collaborator
Lagos State University
Collaborator
Hospital Español de Mexico
Collaborator
Christian Medical College and Hospital, Ludhiana, India
Collaborator
Centre National Hospitalier Universitaire Hubert Koutoukou MAGA
Collaborator
University for Development Studies, Tamale, Ghana
Collaborator
Chris Hani Baragwanath Academic Hospital
Collaborator