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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ISRCTN
Last refreshed on: 7 November 2022
Main ID:  ISRCTN57194591
Date of registration: 14/10/2005
Prospective Registration: No
Primary sponsor: University of Oxford (UK)
Public title: A randomised, open, comparison of penicillin and metronidazole for the treatment of tetanus
Scientific title: A randomised, open, comparison of penicillin and metronidazole for the treatment of tetanus
Date of first enrolment: 01/04/1993
Target sample size: 0
Recruitment status: Completed
URL:  https://www.isrctn.com/ISRCTN57194591
Study type:  Interventional
Study design:  Randomised controlled trial (Treatment)  
Phase:  Not Specified
Countries of recruitment
Bangladesh Thailand
Contacts
Name:    
Address: 
Telephone:
Email:
Affiliation: 
Name: LM    Yen
Address:  c/o Dr Nick Day Wellcome Unit Faculty of Tropical Medicine 420/6 Rajvithi Road 10400 Bangkok Thailand
Telephone: +66 (0)2 3549172
Email: nickd@tropmedres.ac
Affiliation: 
Key inclusion & exclusion criteria
Inclusion criteria:
1. Clinical diagnosis of tetanus
2. Aged more than one month
3. Informed consent from patient or attendant relative (if comatose or aged less than 16 years)

Exclusion criteria: Lack of informed consent or age less than one month

Age minimum:
Age maximum:
Gender: Both
Health Condition(s) or Problem(s) studied
Tetanus
Infections and Infestations
Tetanus
Intervention(s)

Patients entered into the study were randomised to receive:
1. Benzylpenicillin 2 million units (child 25,000 units/kg) IV six-hourly for seven days
2. Metronidazole 1 g (child):
a. 125 mg age four weeks to less than 12 months
b. 250 mg age one to four years
c. 500 mg age five to 12 years
Rectally (PR) eight-hourly for three days then 12-hourly for four days.

Once the patient could reliably tolerate oral medicines the appropriate dose of penicillin G or metronidazole was given by mouth instead of IV or PR, respectively. Patients who were known to be allergic to penicillin received erythromycin instead.
Primary Outcome(s)
The primary endpoint was mortality.
Secondary Outcome(s)
The secondary endpoints were recovery times and complication rates.
Secondary ID(s)
077166
Nil known
Source(s) of Monetary Support
The Wellcome Trust (UK) (grant ref: 077166)
Secondary Sponsor(s)
Ethics review
Status:
Approval date:
Contact:
Not provided at time of registration
Results
Results available: Yes
Date Posted:
Date Completed: 01/01/1997
URL:
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