Surgical Site Infection Prophylaxis and Wound Management in Spine Surgery

被引:19
|
作者
White, Alexandra J. [1 ]
Fiani, Brian [2 ]
Jarrah, Ryan [3 ]
Momin, Arbaz A. [1 ]
Rasouli, Jonathan [4 ]
机构
[1] Case Western Reserve Univ, Cleveland Clin, Lerner Coll Med, Cleveland, OH 44106 USA
[2] Desert Reg Med Ctr, Dept Neurosurg, Palm Springs, CA USA
[3] Mayo Clin, Dept Neurosurg, Rochester, MN USA
[4] Cleveland Clin, Dept Neurol Surg, Cleveland, OH 44106 USA
关键词
Spine; Surgical wound infection; Intraoperative care; Postoperative care; Perioperative care; INTRAWOUND VANCOMYCIN POWDER; RISK-FACTORS; ANTIMICROBIAL-PROPHYLAXIS; POSTOPERATIVE INFECTIONS; ANTIBIOTIC-PROPHYLAXIS; DOUBLE-BLIND; THERAPY; FUSION; COST; PREVENTION;
D O I
10.31616/asj.2020.0674
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Surgical site infection (SSI) is a potentially devastating complication of spinal surgery that increases patient morbidity and healthcare costs. SSIs have complex and multifactorial etiologies; therefore, there are numerous opportunities for prevention and risk mitigation. The aim of this narrative review was to describe the incidence, risk factors, and outcomes of SSIs in spine surgery with an emphasis on postoperative wound care. We list and describe the preoperative, intraoperative, and postoperative evidence-based interventions that can be applied to potentially prevent SSI after spinal surgery.
引用
收藏
页码:451 / 461
页数:11
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