Status:

COMPLETED

Prophylactic Antibiotics After Functional Endoscopic Sinus Surgery: a Randomized, Double-blind Placebo Controlled Trial

Lead Sponsor:

Massachusetts Eye and Ear Infirmary

Conditions:

Sinusitis

Eligibility:

All Genders

18+ years

Phase:

PHASE4

Brief Summary

Surgeons commonly prescribe post operative prophylactic antibiotics after sinus surgery. There is minimal data to support this. The investigators' study will aim to demonstrate that patients' quality ...

Detailed Description

Functional endoscopic sinus surgery (FESS) is a commonly performed procedure in the United States to treat chronic rhinosinusitis. Common practice is to prescribe prophylactic antibiotics postoperativ...

Eligibility Criteria

Inclusion

  • \- Patients eligible for surgery would be patients with chronic rhinosinusitis (defined by the AAOHNS 2007 consensus statement by Rosenfeld et al) and have been determined by their surgeons to have persistent symptoms after maximal medical therapy. Maximal medical therapy is defined as a course of broad spectrum or culture-directed antibiotics used in conjunction with a nasal steroid.

Exclusion

  • Penicillin, cephalosporin, amoxicillin/clavulanate allergy
  • Cystic Fibrosis
  • Immunodeficiency
  • Presence of any foreign body (ie.absorbable and non-absorbable packing) after surgery
  • Odontogenic causes of sinusitis
  • Fungal ball
  • Infected mucocele
  • Complication of sinusitis (meningitis, orbital complication, cellulitis, brain abscess)
  • Non endoscopic sinus surgery (Caldwell luc, external approaches, etc)
  • Age \<18
  • Pregnant women

Key Trial Info

Start Date :

February 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 1 2018

Estimated Enrollment :

134 Patients enrolled

Trial Details

Trial ID

NCT01919411

Start Date

February 1 2013

End Date

September 1 2018

Last Update

February 25 2020

Active Locations (1)

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Massachusetts Eye and Ear Infirmary

Boston, Massachusetts, United States, 02114