Can hospitals safely cut unnecessary antibiotics after Kids' surgeries?

NCT ID NCT04366440

First seen Jul 09, 2026 · Last updated Jul 10, 2026 · Updated 1 time

Summary

This study compares two strategies to reduce unnecessary antibiotic use after low-risk surgeries in children. One approach involves changing standard order sets to remove automatic post-operative antibiotics. The other adds extra training and support for hospital staff to help them adopt these changes. The goal is to see which method works better at cutting antibiotic use without increasing surgical site infections.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

What this could lead to
If successful, this could establish a safe, effective way to reduce unnecessary antibiotic use in children after low-risk surgeries, helping fight antibiotic resistance.
What could go wrong
The study focuses on changing hospital practices, not a new drug or treatment. Success depends on whether hospitals adopt and stick with the changes, and results may vary across different settings.

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Conditions

The condition(s) this trial relates to.

Surgical Wound Infection

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • Baylor College of Medicine / Texas Children's Hospital

    Houston, Texas, 77030, United States

  • Harvard Medical School / Boston Children's Hospital

    Boston, Massachusetts, 02115, United States

  • Johns Hopkins University School of Medicine / Johns Hopkins All Children's Hospital

    St. Petersburg, Florida, 33701, United States

  • The Ohio State University College of Medicine / Nationwide Children's Hospital

    Columbus, Ohio, 43205, United States

  • University of Michigan / CS Mott Children's Hospital

    Ann Arbor, Michigan, 48109, United States

  • University of Missouri - Kansas City / The Children's Mercy Hospital

    Kansas City, Missouri, 64108, United States

  • University of Utah / Primary Children's Hospital

    Salt Lake City, Utah, 84108, United States

  • University of Washington / Seattle Children's Hospital

    Seattle, Washington, 98105, United States

  • Vanderbilt University / Monroe Carell Jr. Children's Hospital at Vanderbilt

    Nashville, Tennessee, 37232, United States

  • Washington University in St. Louis / St. Louis Children's Hospital

    St Louis, Missouri, 63110, United States

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