At a glance
ClinicalIndex Comparison RecordStandardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
Cesarean Section Optimal Antibiotic Prophylaxis Trial
In Brief
A clinical study evaluating Azithromycin and standard of care and Placebo and standard of care for Endometritis and 3 related conditions. Completed, enrolled 2,013 participants across 9 sites.
Detailed Summary
The Cesarean Section Optimal Antibiotic Prophylaxis (C/SOAP) study is a large pragmatic multi-center randomized clinical trial designed to evaluate the comparative effectiveness and safety of azithromycin-based extended-spectrum antibiotic prophylaxis (azithromycin plus standard narrow-spectrum cephalosporin) relative to standard single-agent cephalosporin (preferably prior to surgical incision) to prevent post-cesarean infection. Hypothesis: Compared to narrow-spectrum prophylaxis (i.e. cefazolin alone, or clindamycin if cephalosporin allergy) prior to surgical incision, the addition of extended-spectrum prophylaxis (azithromycin + cefazolin) reduces the incidence of post-cesarean infection.
Study Details
Timeline
Interventions
500 mg in 250 cc normal saline 1 time dose plus standard of care (cephazolin or clindamycin)
250 cc normal saline, plus standard of care (cephazolin or clindamycin)