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Gut Decolonisation With Neomycin/Metronidazole or Rifaximin Before Colon Surgery
Sponsor: Universität Luzern
Summary
The goal of this clinical trial is to find out if a gut cleaning using Rifaximin works as well as the usual treatment with Neomycin and Metronidazole to prevent infections after colon surgery. The study includes adult patients who will have colon surgery. The main question it aims to answer are: -Does the Rifaximin treatment prevent surgical site infections as well as the Neomycin/Metronidazole treatment? Other things the study will look at: * How often infections happen, stratified on how deep they are, the type of surgery the patients got, or if bowel cleaning was done before surgery. * How many people will die after surgery * How long people stay in hospital Participants will: * Take either Rifaximin or Neomycin/Metronidazole one day before surgery to clean their gut * Keep a diary until the surgery to record medication intake and any side effects * Be contacted by phone 30 days after surgery to ask about their condition and any side effects,
Official title: Neomycine/Metronidazole- vs Rifaximin-based Gut Decolonisation Prior to Colon Surgery: a Randomized Multicenter Trial
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
458
Start Date
2026-06-01
Completion Date
2029-06-30
Last Updated
2025-09-18
Healthy Volunteers
No
Interventions
Rifaximin (Xifaxan)
Preoperative gut decolonization protocol based on oral Rifaximin 2x550mg 10 am and 10 pm on the day preceding the surgery
Metronidazole
Preoperative gut decolonization protocols based on oral Neomycine 2x500mg and Metronidazole 2x500mg 10 am and 10pm on the day preceding the surgery
Neomycin Sulfate
Preoperative gut decolonization protocols based on oral Neomycine 2x500mg and Metronidazole 2x500mg 10 am and 10pm on the day preceding the surgery
Locations (4)
Kantonsspital Aarau
Aarau, Switzerland
Luzerner Kantonsspital
Lucerne, Switzerland
Kantonsspital St. Gallen
Sankt Gallen, Switzerland
Stadtspital Triemli
Zurich, Switzerland