Comparison of Antibiotic Protocols in Spine Patients With Postoperative Drains

NCT ID: NCT01608854

Last Updated: 2016-06-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

539 participants

Study Classification

OBSERVATIONAL

Study Start Date

2008-11-30

Study Completion Date

2012-04-30

Brief Summary

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In spine surgery, postoperative spinal drains are often utilized to prevent fluid buildup around the spinal cord. The purpose of this study is to determine whether postoperative antibiotic treatment continued for the duration of time a drain is in place results in a lower infection rate than antibiotics given for only 24 hours postoperatively.

Detailed Description

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Patients likely to receive postoperative spinal drains were enrolled and randomized preoperatively to receive one of two postoperative antibiotic treatments, either for 24 hours after surgery or for the duration of time the spinal drain was in place. If patients did not receive at least one spinal drain during surgery, they were excluded from the infection analysis and received the institutional standard of 24 hours of postoperative antibiotics. Patients that did receive drains were treated according to their randomization and followed for a minimum of one year for the incidence of surgical site infection. The diagnosis of surgical site infection was determined using the definition provided for the Center for Disease Control (CDC). All patients that developed surgical site infections were treated as appropriate by the attending physician.

Conditions

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Surgical Wound Infection Spinal Deformity Spinal Degeneration

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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24 Hour Antibiotics

Patients were randomized to receive 24 hours of postoperative antibiotics following spine surgery

No interventions assigned to this group

Duration Antibiotics

Patients were randomized to receive antibiotics for the duration of time a spinal drain was in place following spinal surgery

Antibiotic Protocol

Intervention Type OTHER

Patients were given postoperative antibiotics according to their randomization; antibiotic type and dosage were determined by the attending physician.

Interventions

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Antibiotic Protocol

Patients were given postoperative antibiotics according to their randomization; antibiotic type and dosage were determined by the attending physician.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Must be scheduled to undergo spine surgery with likely drain placement (3 or more vertebral levels, dependent upon attending surgeon)
* Must be over the age of 18
* Must consent to randomized postoperative antibiotic treatment

Exclusion Criteria

* Does not receive a drain at the time of surgery
* Surgery is cancelled
* Infection is present at the time of initial surgery
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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NYU Langone Health

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Baron S Lonner, MD

Role: PRINCIPAL_INVESTIGATOR

NYU Hospital for Joint Diseases

Locations

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NYU Hospital for Joint Diseases

New York, New York, United States

Site Status

Countries

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United States

References

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Other Identifiers

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NYUHJD08139

Identifier Type: -

Identifier Source: org_study_id

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