Evidence map›Paper›PMID 32131912›Full record

Trial reportInfection control and hospital epidemiology2020

Antiseptic efficacy of an innovative perioperative surgical skin preparation: A confirmatory FDA phase 3 analysis.

Charles E Edmiston, Philip Lavin, Maureen Spencer, Gwen Borlaug, Gary R Seabrook, David Leaper

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase IIIRandomized Controlled Trial
In one paragraph

Trial report in Infection control and hospital epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 24% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02831816 phase3completednot on this map

Clinical Evaluation of ZP, A Patient Preoperative Skin Preparation

TypeinterventionalSponsorZurex Pharma, Inc.Ran2016 to 2017Enrolled640ConditionsSurgical Skin PreparationArmsZuraPrep, ChloraPrep, ZP Vehicle
NCT02831998 phase3completednot on this map

Clinical Evaluation of the Antimicrobial Effectiveness of Topically Applied ZP

TypeinterventionalSponsorZurex Pharma, Inc.Ran2016 to 2017Enrolled440ConditionsSurgical Skin PreparationArmsZuraPrep, ChloraPrep, ZP Vehicle
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. MonocrylMedical sciences (Basel, Switzerland) · 2026
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 2 countries.

Charles E EdmistonDepartment of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, United States.
Philip LavinBoston Biostatistics Research Foundation, FraminghamMassachusetts, United States.
Maureen SpencerInfection Preventionists, Boston, Massachusetts.
Gwen BorlaugBorlaug Infection Prevention Services, Inc., Phoenix, Arizona, United States.
Gary R SeabrookDepartment of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin, United States.
David LeaperDepartment of Clinical Sciences, University of Huddersfield, Huddersfield, United Kingdom.
Medical College of Wisconsin · USArizona Department of Health Services · USFramingham State University · USInfection Prevention Society · GBUniversity of Huddersfield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAn innovative approach to perioperative antiseptic skin preparation is warranted because of potential adverse skin irritation, rare risk of serious allergic reaction, and perceived diminished clinical efficacy of current perioperative antiseptic agents. The results of a confirmatory US Food and Drug Administration (FDA) phase 3 efficacy analysis of a recently approved innovative perioperative surgical skin antiseptic agent are discussed.

methodsThe microbial skin flora on abdominal and groin sites in healthy volunteers were microbiologically sampled following randomization to either ZuraGard, a 2% chlorhexidine/70% isopropyl alcohol preparation (Chloraprep), or a control vehicle (alcohol-free ZuraGard). Mean log10 reduction of colony-forming units (CFU) was assessed at 30 seconds, 10 minutes, and 6 hours.

resultsFor combined groin sites (1,721 paired observations) at all time points, the mean log10 CFU reductions were significantly greater in the ZuraGard group than in the Chloraprep group (P < .02). Mean log10 CFU reductions across combined abdominal and groin sites at all time points (3,277 paired observations) were significantly greater in the ZuraGard group than in the Chloraprep group (P < .02).

conclusionsA confirmatory FDA phase 3 efficacy analysis of skin antisepsis in human volunteers documented that ZuraGard was efficacious in significantly reducing the microbial burden on abdominal and groin test sites, exceeding that of Chloraprep. No significant adverse reactions were observed following the application of ZuraGard.

trial registrationClinicalTrials.gov identifiers: NCT02831998 and NCT02831816.

Indexed as

Anti-Infective Agents, LocalAntisepsisAbdomenChlorhexidineColony Count, MicrobialGroinHumansPerioperative CareSkinSurgical Wound InfectionUnited StatesUnited States Food and Drug AdministrationAnti-Infective Agents, LocalChlorhexidine

Identifiers

PMID32131912
PMCPMC7282856
OpenAlexW3010179023

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.