Unique ID issued by UMIN | UMIN000054228 |
---|---|
Receipt number | R000061781 |
Scientific Title | Appropriate use of antibiotics in the perioperative period for jaw deformity related intervention research |
Date of disclosure of the study information | 2024/04/23 |
Last modified on | 2024/04/23 07:59:17 |
Appropriate use of antibiotics in the perioperative period for jaw deformity related intervention research
Intervention study of antibiotic use in jaw deformity
Appropriate use of antibiotics in the perioperative period for jaw deformity related intervention research
Intervention study of antibiotic use in jaw deformity
Japan |
jaw deformity
Oral surgery |
Others
NO
Antibiotic resistance (AMR) caused by overdosing of antibiotics in dentistry has become a problem. Particularly in major surgery, there are many facilities that do not distinguish between prophylactic and therapeutic administration and administer the drug for a long period of time. The purpose of this study was to evaluate and verify the postoperative healing process of jaw deformities depending on the usage of perioperative antibiotics.
Efficacy
The following items on the 1st, 3rd, 7th, 14th, and 28th days after surgery
Presence or absence of fever, presence or absence of cheek swelling, painless mouth opening, pain score (NRS), presence or absence of wound swelling, presence or absence of wound drainage.
Interventional
Parallel
Randomized
Cluster
Open -no one is blinded
Dose comparison
2
Treatment
Medicine |
This study does not use any special test drugs or equipment.
Cefazolin sodium for injection (CEZ) used, the route of administration is intravenous injection, and the single dose is 1 g.
Single intraoperative administration group Single administration of CEZ 1g during maxillary osteotomy surgery
Multiple administration during and after surgery group CEZ 1g administered during maxillary osteotomy surgery, CEZ 1g administered twice in the morning and evening until the second postoperative day (2g/day)
Multiple administration during and after surgery group CEZ 1g administered during maxillary osteotomy surgery, CEZ 1g administered twice in the morning and evening until the second postoperative day (2g/day)
18 | years-old | <= |
60 | years-old | >= |
Male and Female
The subjects were cases in which maxillary and maxillary osteotomies (2 jaw surgery) were indicated in the preoperative evaluation. In addition, subjects with no signs of inflammation or symptoms in the jawbone area before surgery were included.
(Exclusion to affect effectiveness evaluation)
(1) Patients with diabetes or blood diseases
(2) Patients with inflammatory findings in the jawbone area, risk of infective endocarditis (IE), and risk of drug-induced osteonecrosis of the jaw (MRONJ)
(3) Patients taking steroids or immunosuppressive drugs
(4)Patients participating in other studies
(Exclusion to affect safety assessment)
(4) Patients with allergies to cephem antibiotics
(5) Patients who are taking anticoagulants, antithrombotic drugs, etc. and are at risk of bleeding
(6)Patients with renal dysfunction
(7) Women who are pregnant, may become pregnant, within 28 days after giving birth, or are breastfeeding.
(Exclusion from the perspective of risk/benefit balance)
(8) Patients who are judged to be difficult to participate in research due to psychosis or psychiatric symptoms
120
1st name | Yushi |
Middle name | |
Last name | Ezoe |
Tohoku University Graduate School of Dentistry
Division of Oral and Maxillofacial Surgery
980-8575
4-1 Seiryo-cho, Aoba-ku, Sendai, Miyagi Prefecture
0227178350
geka0329@dent.tohoku.ac.jp
1st name | Yushi |
Middle name | |
Last name | Ezoe |
Tohoku University Graduate School of Dentistry
Division of Oral and Maxillofacial Surgery
980-8575
4-1 Seiryo-cho, Aoba-ku, Sendai, Miyagi Prefecture
0227178350
geka0329@dent.tohoku.ac.jp
Tohoku University Graduate School of Dentistry
Nothing
Other
Division of Oral and Maxillofacial Surgery, Tohoku University Graduate School of Dentistry
4-1 Seiryo-cho, Aoba-ku, Sendai, Miyagi Prefecture
0227178350
geka0329@dent.tohoku.ac.jp
NO
2024 | Year | 04 | Month | 23 | Day |
Unpublished
Preinitiation
2024 | Year | 04 | Month | 23 | Day |
2024 | Year | 04 | Month | 23 | Day |
2025 | Year | 08 | Month | 31 | Day |
2024 | Year | 04 | Month | 23 | Day |
2024 | Year | 04 | Month | 23 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000061781