Risk factors for acute surgical site infections after lumbar surgery: a retrospective study

被引：42

作者：

Lai, Qi ^{[1
,2
]}

Song, Quanwei ^{[1
,2
]}

Guo, Runsheng ^{[1
,2
]}

Bi, Haidi ^{[1
,2
]}

Liu, Xuqiang ^{[1
,2
]}

Yu, Xiaolong ^{[1
,2
]}

Zhu, Jianghao ^{[1
,2
]}

Dai, Min ^{[1
,2
]}

Zhang, Bin ^{[1
,2
]}

机构：

[1] Nanchang Univ, Dept Orthoped, Artificial Joints Engn & Technol Res Ctr Jiangxi, Affiliated Hosp 1, 17 Yongwai St, Nanchang 330006, Jiangxi, Peoples R China

[2] Nanchang Univ, Dept Orthoped, Multidisciplinary Therapy Ctr Musculoskeletal Tum, Affiliated Hosp 1, Nanchang 330006, Jiangxi, Peoples R China

来源：

JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH | 2017年 / 12卷

关键词：

Postoperative infection; Lumbar surgery; Risk factor; Prevention; Strategy; SPINAL SURGERY; ARTHRODESIS; FUSION;

D O I：

10.1186/s13018-017-0612-1

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：

Background: Currently, many scholars are concerned about the treatment of postoperative infection; however, few have completed multivariate analyses to determine factors that contribute to the risk of infection. Therefore, we conducted a multivariate analysis of a retrospectively collected database to analyze the risk factors for acute surgical site infection following lumbar surgery, including fracture fixation, lumbar fusion, and minimally invasive lumbar surgery. Methods: We retrospectively reviewed data from patients who underwent lumbar surgery between 2014 and 2016, including lumbar fusion, internal fracture fixation, and minimally invasive surgery in our hospital's spinal surgery unit. Patient demographics, procedures, and wound infection rates were analyzed using descriptive statistics, and risk factors were analyzed using logistic regression analyses. Results: Twenty-six patients (2.81%) experienced acute surgical site infection following lumbar surgery in our study. The patients' mean body mass index, smoking history, operative time, blood loss, draining time, and drainage volume in the acute surgical site infection group were significantly different from those in the non-acute surgical site infection group (p < 0.05). Additionally, diabetes mellitus, chronic obstructive pulmonary disease, osteoporosis, preoperative antibiotics, type of disease, and operative type in the acute surgical site infection group were significantly different than those in the non-acute surgical site infection group (p < 0.05). Using binary logistic regression analyses, body mass index, smoking, diabetes mellitus, osteoporosis, preoperative antibiotics, fracture, operative type, operative time, blood loss, and drainage time were independent predictors of acute surgical site infection following lumbar surgery. Conclusions: In order to reduce the risk of infection following lumbar surgery, patients should be evaluated for the risk factors noted above.

引用

页数：7

共 25 条

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