Randomised controlled trial of the efficacy of adding intravenous benzylpenicillin to intravenous flucloxacillin in the treatment of lower limb cellulitis

ISRCTN ISRCTN18890135
DOI https://doi.org/10.1186/ISRCTN18890135
Secondary identifying numbers N0013101031
Submission date
30/09/2004
Registration date
30/09/2004
Last edited
23/09/2009
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Skin and Connective Tissue Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Ms Penelope Shirlaw
Scientific

Oral Medicine Department
22nd Floor, Guy's Tower
Guy's Hospital
St Thomas Street
London
SE1 9RT
United Kingdom

Phone +44 (0)20 7188 4399
Email pepe.shirlaw@gstt.sthames.nhs.uk

Study information

Study designRandomised double-blind placebo controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific title
Study hypothesisDoes the addition of benzylpenicillin shorten the duration of stay of patients and/or decrease the number of beta-lactam therapy failures.

Please note that as of 23/09/09 inclusion and exclusion criteria for this trial have been updated.
Ethics approval(s)Received from local medical ethics committee
ConditionCellulitis
InterventionIn non-penicillin allergic patients, after consent they will be randomised to receive one of 2 treatments:
1. Intravenous (IV) flucloxacillin 1g four times a day (qds) and IV benzylpenicillin 1.2 g qds
2. IV flucloxacillin 1g qds and IV placebo (N Saline) qds.
Intervention typeOther
Primary outcome measureDuration of stay, as determined by the number of 6 hourly doses of antibiotic the patient received prior to discharge.
Secondary outcome measuresTherapy failure rate
Overall study start date01/10/2001
Overall study end date01/04/2003

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants81 (intervention group: 41, control group:40)
Participant inclusion criteriaCurrent information as of 23/09/09:
1. Patients with lower limb cellulitis and who require admission
2. Initial diameter of cellulitis >100 mm
3. Able to understand spoken and written english

Initial information at time of registration:
Patients with lower limb cellulitis and who require admission
Participant exclusion criteriaAdded 23/09/09:
1. Known allergy to the study drugs
2. Known renal or hepatic impairment,
3. Random capillary glucose >13 mmol/l
4. Acute co-existent illness in the affected leg, such as deep venous
thrombosis, or wound/abscess requiring operative debridement/
repair.
Recruitment start date01/10/2001
Recruitment end date01/04/2003

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Oral Medicine Department
London
SE1 9RT
United Kingdom

Sponsor information

Department of Health
Government

Richmond House
79 Whitehall
London
SW1A 2NL
United Kingdom

Website http://www.dh.gov.uk/Home/fs/en

Funders

Funder type

Hospital/treatment centre

Guy's and St Thomas' NHS Trust (UK)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/05/2005 Yes No