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. 2023 Feb 7;2023(2):CD014909. doi: 10.1002/14651858.CD014909.pub2

Espin‐Basany 2005.

Study characteristics
Methods Study design: Parallel‐group randomised trials
Duration of trial: ‐
Duration of follow‐up: 30 days
Country of origin: Spain
Participants Baseline characteristics
Number randomised: 306 participants
Number analysed: 300 participants

Intervention 1: MBP+oAB
  • Number of participants [n]: 100

  • Age [years; mean]: 66.6

  • Gender [male/female; n]: 63/37


 
Intervention 2: MBP+oAB
  • Number of participants [n]: 100

  • Age [years; mean]: 67

  • Gender [male/female; n]: 67/33


 
Control: nBP
  • Number of participants [n]: 100

  • Age [years, mean]: 69

  • Gender [male/female; n]: 62/38


 
Inclusion criteria 
Quote: "Patients with elective colorectal resections"
Exclusion criteria
Quote: Pregnancy, penicillin allergy (cross reactions with cephalosporins) and contra‐in dications for a sodium phosphate (NaP) preparation (renal impairment with serum creatinine over 200 μg/l, massive ascites or severe heart failure)"
Baseline imbalances
"Treatment groups were similar, regarding age, sex, medical history of diabetes mellitus, hypertension or chronic obstructive pulmonary disease (COPD), preoperative serum albumin level and haematocrit, preoperative final diagnosis and operations performed"
Interventions Comparison
  • Intervention 1: MBP+oAB (3x)

  • Intervention 2: MBP+oAB (1x)

  • Control: MBP


 
MBP
  • Agent(s): NaP oral solution (fosfosoda)

  • Dose per administration: 45 mL in 90 mL water

  • Time(s) of intake: before 11:00 AM and 5:00 PM on the day before surgery

  • Route:oral

  • Concomitant medications: ‐


 
oAB (3x)
  • Agent(s): neomycin and metronidazole

  • Dose per administration: 1 g each

  • Time(s) of intake: at 3:00 PM, 7:00 PM and 11:00 PM

  • Route: oral

  • Concomitant medications: ‐


 
oAB (1x)
  • Agent(s): neomycin and metronidazole

  • Dose per administration: 1 g each

  • Time(s) of intake: at 3:00 PM

  • Route: oral

  • Concomitant medications: ‐


 
Perioperative intravenous antibiotic prophylaxis
  • Agent(s): cefoxitin

  • Dose per administration: 1 g

  • Time(s) of intake: before skin incision and two postoperative doses at 8 and 16 h postoperatively


 
Adherence to regimen: ‐
Outcomes Outcomes sought in review and reported in trial
  • SSI

  • Incidence of postoperative ileus

  • Side effects of Intervention(s)


Outcomes sought but not reported in trial
  • Anastomotic leakage

  • Mortality

  • Postoperative complications (mild D/C I + II or severe D/C III+IV)

  • Length of hospital stay


Outcomes reported in trial but not used in review
Notes Source of funding:
Conflicts of interest:
Ethics approval:
Informed consent: Quote: "Threehundred consecutive patients with elective colorectal resections who consented to participate in the study were included."
Clinical trials registration:
Sample size calculation: