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The duration of postsurgical antibiotic therapy is debated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We will perform two unblinded randomized controlled trials (RCTs). We hypothesize that shorter durations of systemic antibiotic therapy after surgery for SI are noninferior (10% margin, 80% power, \u03b1\u2009=\u20095%) to existing (long) treatment durations. The RCTs allocate the participants to two arms of 2\u2009\u00d7\u200959 episodes each: 3 vs. 6\u2009weeks of targeted postsurgical systemic antibiotic therapy for implant-free SIs or 6 vs. 12\u2009weeks for implant-related SIs. This equals a total of 236 adult SI episodes (randomization scheme\u00a01:1) with a minimal follow-up of 12\u2009months. All participants receive concomitant multidisciplinary surgical, re-educational, internist, and infectious disease care. We will perform three interim analyses that are evaluated, in a blinded analysis, by an independent study data monitoring committee. Besides the primary outcome of remission, we will also assess adverse events of antibiotic therapy, changes of the patient\u2019s nutritional status, the influence of immune suppression, total costs, functional scores, and the timely evolution of the (surgical) wounds. We define\n                      <jats:italic>infection<\/jats:italic>\n                      as the presence of local signs of inflammation (pus, wound discharge, calor, and rubor) together with microbiological evidence of the same pathogen(s) in at least two intraoperative samples, and we define\n                      <jats:italic>remission<\/jats:italic>\n                      as the absence of clinical, laboratory, and\/or radiological evidence of (former or new) infection.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Provided that there is adequate surgical debridement, both RCTs will potentially enable prescription of less antibiotics during the therapy of SI, with potentially less adverse events and reduced overall costs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"http:\/\/clinicaltrial.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      , NCT04048304. Registered on 5 August 2019.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Protocol version<\/jats:title>\n                    <jats:p>2, 5 July 2019.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s13063-020-4047-3","type":"journal-article","created":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T11:07:07Z","timestamp":1580987227000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Short postsurgical antibiotic therapy for spinal infections: protocol of prospective, randomized, unblinded, noninferiority trials (SASI trials)"],"prefix":"10.1186","volume":"21","author":[{"given":"Michael","family":"Betz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5552-0973","authenticated-orcid":false,"given":"Ilker","family":"U\u00e7kay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Regula","family":"Sch\u00fcpbach","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanja","family":"Gr\u00f6ber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sander M.","family":"Botter","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jan","family":"Burkhard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dominique","family":"Holy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yvonne","family":"Achermann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mazda","family":"Farshad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,2,6]]},"reference":[{"key":"4047_CR1","doi-asserted-by":"publisher","first-page":"128","DOI":"10.21037\/jss.2016.06.06","volume":"2","author":"J Billi\u00e8res","year":"2016","unstructured":"Billi\u00e8res J, U\u00e7kay I, Faundez A, Douissard J, Kuczma P, Suv\u00e0 D, et al. 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