Prospective multicenter surveillance and risk factor analysis of deep surgical site infection after posterior thoracic and/or lumbar spinal surgery in adults

Journal of Orthopaedic Science

Volumn 20, Issue 1, 2015, Pages 71-77

  Ogihara, Satoshi ^a   Yamazaki, Takashi ^b   Maruyama, Toru ^c   Oka, Hiroyuki ^d   Miyoshi, Kota ^e   Azuma, Seiichi ^f   Yamada, Takashi ^g   Murakami, Motoaki ^h   Kawamura, Naohiro ⁱ   Hara, Nobuhiro ^d   Terayama, Sei ^b   Morii, Jiro ^j   Kato, So ^k   Tanaka, Sakae ^d  

^a SAGAMIHARA NATIONAL HOSPITAL   (Japan)

^b MUSASHINO RED CROSS HOSPITAL   (Japan)

^c SAITAMA MEDICAL UNIVERSITY   (Japan)

^d UNIVERSITY OF TOKYO   (Japan)

^e YOKOHAMA ROSAI HOSPITAL   (Japan)

^f SAITAMA RED CROSS HOSPITAL   (Japan)

^g Nippon Telegraph and Telephone Corporation Medical Center Tokyo   (Japan)

^h TORANOMON HOSPITAL   (Japan)

ⁱ JAPANESE RED CROSS MEDICAL CENTER   (Japan)

^j Sanraku Hospital   (Japan)

^k TOKYO METROPOLITAN KOMAGOME HOSPITAL   (Japan)

more..

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; DISEASE SURVEILLANCE; FEMALE; HUMAN; INFORMATION PROCESSING; MAJOR CLINICAL STUDY; MALE; MULTICENTER STUDY; PATIENT; PREOPERATIVE EVALUATION; PROSPECTIVE STUDY; RISK FACTOR; SPINE SURGERY; SURGICAL INFECTION; SURGICAL RISK; THORAX SURGERY; CLINICAL TRIAL; EPIDEMIOLOGICAL MONITORING; LUMBAR VERTEBRA; MIDDLE AGED; MULTIVARIATE ANALYSIS; OPERATION DURATION; PATHOLOGY; REGRESSION ANALYSIS; SEX DIFFERENCE; SPINAL DISEASES; SURGICAL WOUND INFECTION; VERTEBRA; VERY ELDERLY; YOUNG ADULT;

ADULT; AGED; AGED, 80 AND OVER; EPIDEMIOLOGICAL MONITORING; FEMALE; HUMANS; LUMBAR VERTEBRAE; MALE; MIDDLE AGED; MULTIVARIATE ANALYSIS; OPERATIVE TIME; PROSPECTIVE STUDIES; REGRESSION ANALYSIS; RISK FACTORS; SEX FACTORS; SPINAL DISEASES; SURGICAL WOUND INFECTION; THORACIC VERTEBRAE; YOUNG ADULT;

EID: 84922004727     PISSN: 09492658     EISSN: 14362023     Source Type: Journal    
DOI: 10.1007/s00776-014-0669-1     Document Type: Article

References (30)

1. Xing D, Ma JX, Ma XL, Song DH, Wang J, Chen Y, Yang Y, Zhu SW, Ma BY, Feng R. A methodological, systematic review of evidence-based independent risk factors for surgical site infections after spinal surgery. Eur Spine J. 2013;22(3):605–15.
2. Olsen MA, Mayfield J, Lauryssen C, Polish LB, Jones M, Vest J, Fraser VJ. Risk factors for surgical site infection in spinal surgery. J Neurosurg. 2003;98(2 Suppl):149–55.
3. Klein JD, Hey LA, Yu CS, Klein BB, Coufal FJ, Young EP, Marshall LF, Garfin SR. Perioperative nutrition and postoperative complications in patients undergoing spinal surgery. Spine. 1996;21(22):2676–82.
4. Rao SB, Vasquez G, Harrop J, Maltenfort M, Stein N, Kaliyadan G, Klibert F, Epstein R, Sharan A, Vaccaro A, Flomenberg P. Risk factors for surgical site infections following spinal fusion procedures: a case-control study. Clin Infect Dis. 2011;53(7):686–92.
5. Wimmer C, Gluch H, Franzreb M, Ogon M. Predisposing factors for infection in spine surgery: a survey of 850 spinal procedures. J Spinal Disord. 1998;11(2):124–8.
6. Olsen MA, Nepple JJ, Riew KD, Lenke LG, Bridwell KH, Fraser VJ. Risk factors for surgical site infection following orthopaedic spinal operations. J Bone Joint Surg Am. 2008;90(1):62–9.
7. Hikata T, Iwanami A, Hosogane N, Watanabe K, Ishii K, Nakamura M, Kamata M, Toyama Y, Matsumoto M. High preoperative hemoglobin A1c is a risk factor for surgical site infection after posterior thoracic and lumbar spinal instrumentation surgery. J Orthop Sci. 2014;19(2):223–8.
8. Blam OG, Vaccaro AR, Vanichkachorn JS, Albert TJ, Hilibrand AS, Minnich JM, Murphey SA. Risk factors for surgical site infection in the patient with spinal injury. Spine. 2003;28(13):1475–80.
9. Watanabe M, Sakai D, Matsuyama D, Yamamoto Y, Sato M, Mochida J. Risk factors for surgical site infection following spine surgery: efficacy of intraoperative saline irrigation. J Neurosurg Spine. 2010;12(5):540–6.
10. Klekamp J, Spengler DM, McNamara MJ, Haas DW. Risk factors associated with methicillin-resistant staphylococcal wound infection after spinal surgery. J Spinal Disord. 1991;12(3):187–91.
11. Maragakis LL, Cosgrove SE, Martinez EA, Tucker MG, Cohen DB, Perl TM. Intraoperative fraction of inspired oxygen is a modifiable risk factor for surgical site infection after spinal surgery. Anesthesiology. 2009;110(3):556–62.
12. Picada R, Winter RB, Lonstein JE, Denis F, Pinto MR, Smith MD, Perra JH. Postoperative deep wound infection in adults after posterior lumbosacral spine fusion with instrumentation: incidence and management. J Spinal Disord. 2000;13(1):42–5.
13. Sasso RC, Garrido BJ. Postoperative spinal wound infections. J Spinal Disord. 2000;13(1):42–5.
14. Emori TG, Culver DH, Horan TC, Jarvis WR, White JW, Olson DR, Banerjee S, Edwards JR, Martone WJ, Gaynes RP, Hughes JM. National nosocomial infections surveillance system (NNIS): description of surveillance methods. Am J Infect Control. 1991;19(1):19–35.
15. Surveillance National Nosocomial Infections. (NNIS) report, data summary from October 1986-April 1996, issued May 1996. A report from the National Nosocomial Infections Surveillance (NNIS) System. Am J Infect Control. 1996;24(5):380–8.
16. Roberts FJ, Walsh A, Wing P, Dvorak M, Schweigel J. The influence of surveillance methods on surgical wound infection rates in a tertiary care spinal surgery service. Spine. 1998;23(3):366–70.
17. Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection, 1999. Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol. 1999;20(4):250–78.
18. Owens WD, Felts JA, Spitznagel EL Jr. ASA physical status classifications: a study of consistency of ratings. Anesthesiology. 1978;49(4):239–43.
19. Ahn DK, Park HS, Kim TW, Yang JH, Boo KH, Kim IJ, Lee HJ. The degree of bacterial contamination while performing spine surgery. Asian Spine J. 2013;7(1):8–13.
20. Lim MR, Lee JY, Vaccaro AR. Surgical infections in the traumatized spine. Clin Orthop Relat Res. 2006;444:114–9.
21. Namba RS, Inacio MC, Paxton EW. Risk factors associated with deep surgical site infections after primary total knee arthroplasty: an analysis of 56,216 knees. J Bone Joint Surg Am. 2013;95(9):775–82.
22. Song KH, Kim ES, Kim YK, Jin HY, Jeong SY, Kwak YG, Cho YK, Sung J, Lee YS, Oh HB, Kim TK, Koo KH, Kim EC, Kim JM, Choi TY, Kim HY, Choi HJ, Kim HB. Differences in the risk factors for surgical site infection between total hip arthroplasty and total knee arthroplasty in the Korean Nosocomial Infections Surveillance System (KONIS). Infect Control Hosp Epidemiol. 2012;33(11):1086–93.
23. Kim ES, Kim HB, Song KH, Kim YK, Kim HH, Jin HY, Jeong SY, Sung J, Cho YK, Lee YS, Oh HB, Kim EC, Kim JM, Choi TY, Choi HJ, Kim HY. Prospective nationwide surveillance of surgical site infections after gastric surgery and risk factor analysis in the Korean Nosocomial Infections Surveillance System (KONIS). Infect Control Hosp Epidemiol. 2012;33(6):572–80.
24. Kasliwal MK, Tan LA, Traynelis VC. Infection with spinal instrumentation: review of pathogenesis, diagnosis, prevention, and management. Surg Neurol Int. 2013;4(Suppl 5):S392–403.
25. Yoshiike N, Matsumura Y, Zaman MM, Yamaguchi M. Descriptive epidemiology of body mass index in Japanese adults in a representative sample from the National Nutrition Survey 1990–1994. Int J Obes Relat Metab Disord. 1998;22(7):684–7.
26. Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999–2008. JAMA. 2010;303(3):235–41.
27. Mehta AI, Babu R, Karikari IO, Grunch B, Agarwal VJ, Owens TR, Friedman AH, Bagley CA, Gottfried ON. The distribution of body mass as a significant risk factor for lumbar spinal fusion postoperative infections. Spine. 2012;37(19):1652–6.
28. Mehta AI, Babu R, Sharma R, Karikari IO, Grunch BH, Owens TR, Agarwal VJ, Sampson JH, Lad SP, Friedman AH, Kuchibhatla M, Bagley CA, Gottfried ON. Thickness of subcutaneous fat as a risk factor for infection in cervical spine fusion surgery. J Bone Joint Surg Am. 2013;95(4):323–8.
29. Sweet FA, Roh M, Sliva C. Intrawound application of vancomycin for prophylaxis in instrumented thoracolumbar fusions: efficacy, drug levels, and patient outcomes. Spine. 2011;36(24):2084–8.
30. Caroom C, Tullar JM, Benton EG Jr, Jones JR, Chaput CD. Intrawound vancomycin powder reduces surgical site infections in posterior cervical fusion. Spine. 2013;38(14):1183–7.