Using vancomycin powder to prevent infections in spine surgery
Official title: The Effect of Intrawound Vancomycin Powder in Spine Surgery: A Prospective Randomized Controlled Trial
Run by Windsor-Essex Compassionate Care Community · NCT04825522 · Data updated 2026-11-12
This study is testing if using vancomycin powder during spine surgery can help prevent infections after the operation compared to standard care.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 1643 (estimated) |
| Sponsor | Windsor-Essex Compassionate Care Community Academic / other |
| Locations | 2 sites (Windsor, Ontario and 1 other locations) |
| Status | Recruiting |
| Started | March 27, 2022 |
| Main results expected | December 1, 2028 |
| Study ends | December 1, 2028 |
| Registry record updated | April 23, 2024 |
| Trial ID | NCT04825522 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults requiring surgery for any spine disease.
✕Probably not a fit
Patients with a history of infections at the surgical site or those allergic to vancomycin will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This clinical trial investigates the effectiveness of intrawound vancomycin powder in reducing postoperative wound infections in patients undergoing spine surgery. Participants will be randomly assigned to receive either the vancomycin intervention or standard care without it, while both the patients and the surgeons will remain blinded to the treatment allocation. Data on patient demographics, comorbidities, and surgical details will be collected, and the incidence of infections will be monitored for 12 weeks post-surgery. The goal is to determine if local vancomycin application can significantly lower the rates of surgical site infections compared to standard practices.
Why it matters
Potential benefit: If successful, this approach could significantly reduce the incidence of postoperative infections, leading to improved patient outcomes and lower healthcare costs.
How similar studies have gone: Previous studies have shown mixed results regarding the effectiveness of intrawound vancomycin, making this investigation both relevant and necessary.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients requiring surgery due to any spine disease. Exclusion Criteria: * A previous history of infections at the spine surgical site. * Biopsy procedure. * Patients with a postoperative follow-up time of less than 12 weeks. * Patients allergic to vancomycin. * Patient is less than 18 years old.
Where it's running
-
Windsor Regional Hospital - Ouellette
Windsor, Ontario, Canada Recruiting -
Cairo University Hospitals
Cairo, Egypt Recruiting
Study contacts
- Principal investigator: Mohamed Soliman, MD — Western University
- Study coordinator: Mohamed Soliman, MSc, MD
- Email: msolim8@uwo.ca
- Phone: 17329241637
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.