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WELCOME TO THE FALCON TRIAL

NIHR Global Health Research Unit on Global Surgery

What is FALCON?

Hypothesis:-

Whether different types of skin preparation and suture can reduce the incidence of surgical site infection at 30 days post-operatively in patients undergoing abdominal surgeries that are anticipated to have either clean-contaminated or contaminated/dirty wound contamination

Objectives:-

1.     To assess whether either (1) 2% alcoholic chlorhexidine versus 10% povidone-iodine for skin preparation, or (2) triclosan-coated suture versus non-coated suture for fascial closure, can reduce surgical site infection at 30-days post-surgery for each of (i) clean-contaminated and (ii) contaminated or dirty abdominal surgery.

2.     To assess the impact of the interventions on secondary clinical outcomes up to 30 days post-surgery including: SSI at discharge, mortality, unplanned wound opening, re-operation, length of hospital stay, re-admission, and return to normal activities.

3.     To assess the impact of the interventions on the resistance of organisms isolated from wound swabs to prophylactic antibiotics administered.

4.     To explore the impact of the interventions on service delivery and additional costs to the secondary health service provider.

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