Surgical Site Infections in Spinal Surgery

被引:22
作者
Boody, Barrett S. [1 ]
Jenkins, Tyler J. [1 ]
Hashmi, Sohaib Z. [1 ]
Hsu, Wellington K. [1 ]
Patel, Alpesh A. [1 ]
Savage, Jason W. [1 ]
机构
[1] NW Mem Hosp, Dept Orthopaed Surg, 676 N St Clair,Suite 1350, Chicago, IL 60611 USA
来源
JOURNAL OF SPINAL DISORDERS & TECHNIQUES | 2015年 / 28卷 / 10期
关键词
spine surgery; infections; SSI; INTRAWOUND VANCOMYCIN POWDER; ROUTINE LOCAL APPLICATION; RISK-FACTORS; POSTOPERATIVE INFECTION; WOUND-INFECTION; STAPHYLOCOCCUS-AUREUS; SMOKING-CESSATION; DIABETES-MELLITUS; MRSA COLONIZATION; FUSION;
D O I
10.1097/BSD.0000000000000339
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Surgical site infections (SSIs) are a potentially devastating complication of spine surgery. SSIs are defined by the Centers for Disease Control and Prevention as occurring within 30 days of surgery or within 12 months of placement of foreign bodies, such as spinal instrumentation. SSIs are commonly categorized by the depth of surgical tissue involvement (ie, superficial, deep incisional, or organ and surrounding space). Postoperative infections result in increased costs and postoperative morbidity. Because continued research has improved the evaluation and management of spinal infections, spine surgeons must be aware of these modalities. The controversies in evaluation and management of SSIs in spine surgery will be reviewed.
引用
收藏
页码:352 / 362
页数:11
相关论文
共 89 条
[61]   Therapy of spinal wound infections using vacuum-assisted wound closure: Risk factors leading to resistance to treatment [J].
Ploumis, Avraam ;
Mehbod, Amir A. ;
Dressel, Thomas D. ;
Dykes, Daryll C. ;
Transfeldt, Ensor E. ;
Lonstein, John E. .
JOURNAL OF SPINAL DISORDERS & TECHNIQUES, 2008, 21 (05) :320-323
[62]   Preoperative Delay of More Than 1 Hour Increases the Risk of Surgical Site Infection [J].
Radcliff, Kris E. ;
Rasouli, Mohammad R. ;
Neusner, Alex ;
Kepler, Christopher K. ;
Albert, Todd J. ;
Rihn, Jeffrey A. ;
Hilibrand, Alan S. ;
Vaccaro, Alexander R. .
SPINE, 2013, 38 (15) :1318-1323
[63]   Preoperative Screening/Decolonization for Staphylococcus aureus to Prevent Orthopedic Surgical Site Infection Prospective Cohort Study With 2-Year Follow-Up [J].
Rao, Nalini ;
Cannella, Barbara A. ;
Crossett, Lawrence S. ;
Yates, Adolph J., Jr. ;
McGough, Richard L., III ;
Hamilton, Cindy W. .
JOURNAL OF ARTHROPLASTY, 2011, 26 (08) :1501-1507
[64]   Does Obesity Affect Outcomes of Treatment for Lumbar Stenosis and Degenerative Spondylolisthesis? Analysis of the Spine Patient Outcomes Research Trial (SPORT) [J].
Rihn, Jeffrey A. ;
Radcliff, Kristen ;
Hilibrand, Alan S. ;
Anderson, David T. ;
Zhao, Wenyan ;
Lurie, Jon ;
Vaccaro, Alexander R. ;
Freedman, Mitch K. ;
Albert, Todd J. ;
Weinstein, James N. .
SPINE, 2012, 37 (23) :1933-1946
[65]   A standardized protocol to reduce pediatric spine surgery infection: a quality improvement initiative [J].
Ryan, Sheila L. ;
Sen, Anish ;
Staggers, Kristen ;
Luerssen, Thomas G. ;
Jea, Andrew .
JOURNAL OF NEUROSURGERY-PEDIATRICS, 2014, 14 (03) :259-265
[66]   Postoperative spinal wound lnfections [J].
Sasso, Rick C. ;
Garrido, Ben J. .
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS, 2008, 16 (06) :330-337
[67]  
SAVITZ SI, 1991, MT SINAI J MED, V58, P179
[68]   Risk factors for deep surgical site infections after spinal fusion [J].
Schimmel, J. J. P. ;
Horsting, P. P. ;
de Kleuver, M. ;
Wonders, G. ;
van Limbeek, J. .
EUROPEAN SPINE JOURNAL, 2010, 19 (10) :1711-1719
[69]   The Influence of Perioperative Risk Factors and Therapeutic Interventions on Infection Rates After Spine Surgery A Systematic Review [J].
Schuster, James M. ;
Rechtine, Glenn ;
Norvell, Daniel C. ;
Dettori, Joseph R. .
SPINE, 2010, 35 (09) :S125-S137
[70]   An evidence-based clinical guideline for antibiotic prophylaxis in spine surgery [J].
Shaffer, William O. ;
Baisden, Jamie L. ;
Fernand, Robert ;
Matz, Paul G. .
SPINE JOURNAL, 2013, 13 (10) :1387-1392