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Risk Factors and Prevention of Surgical Site Infections Following Spinal Procedures
STUDY DESIGN: Focused literature review. OBJECTIVE: The objective of this article was to help identify potential risk factors as well as strategies to help prevent surgical site infections (SSIs) in spine surgery. METHODS: An article search was performed using PubMed, EMBASE, and the Cochrane databa...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295823/ https://www.ncbi.nlm.nih.gov/pubmed/30574437 http://dx.doi.org/10.1177/2192568218806275 |
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author | Nasser, Rani Kosty, Jennifer A. Shah, Sanjit Wang, Jeffrey Cheng, Joseph |
author_facet | Nasser, Rani Kosty, Jennifer A. Shah, Sanjit Wang, Jeffrey Cheng, Joseph |
author_sort | Nasser, Rani |
collection | PubMed |
description | STUDY DESIGN: Focused literature review. OBJECTIVE: The objective of this article was to help identify potential risk factors as well as strategies to help prevent surgical site infections (SSIs) in spine surgery. METHODS: An article search was performed using PubMed, EMBASE, and the Cochrane database of systematic reviews using the terms “surgery” OR “surgical” AND “spine” OR “spinal” AND “infection”. Systematic review articles, meta-analyses, and clinical trials with more than 100 patients were reviewed. RESULTS: Both patient and perioperative factors contribute to the development of SSIs. Patient factors such as smoking, obesity, diabetes, Methicillin-resistant Staphylococcus aureus (MRSA) colonization, and malnutrition are all modifiable risk factors that can lead to SSIs. Procedural steps, including preoperative MRSA screening and treatment for colonization, preoperative antibiotics, skin preparation, minimizing operative time, antibiotic or betadine irrigation, avoiding personnel turnover, and postoperative wound care have also been shown to decrease infection rates. CONCLUSION: There are several measures a spine practitioner may be able to take in the preoperative, intraoperative, and postoperative settings. Protocols to counsel patients regarding modification of preexisting risk factors and ensure adequate antimicrobial therapy in the perioperative period may be developed to reduce SSIs in spine surgery. |
format | Online Article Text |
id | pubmed-6295823 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-62958232018-12-20 Risk Factors and Prevention of Surgical Site Infections Following Spinal Procedures Nasser, Rani Kosty, Jennifer A. Shah, Sanjit Wang, Jeffrey Cheng, Joseph Global Spine J Article STUDY DESIGN: Focused literature review. OBJECTIVE: The objective of this article was to help identify potential risk factors as well as strategies to help prevent surgical site infections (SSIs) in spine surgery. METHODS: An article search was performed using PubMed, EMBASE, and the Cochrane database of systematic reviews using the terms “surgery” OR “surgical” AND “spine” OR “spinal” AND “infection”. Systematic review articles, meta-analyses, and clinical trials with more than 100 patients were reviewed. RESULTS: Both patient and perioperative factors contribute to the development of SSIs. Patient factors such as smoking, obesity, diabetes, Methicillin-resistant Staphylococcus aureus (MRSA) colonization, and malnutrition are all modifiable risk factors that can lead to SSIs. Procedural steps, including preoperative MRSA screening and treatment for colonization, preoperative antibiotics, skin preparation, minimizing operative time, antibiotic or betadine irrigation, avoiding personnel turnover, and postoperative wound care have also been shown to decrease infection rates. CONCLUSION: There are several measures a spine practitioner may be able to take in the preoperative, intraoperative, and postoperative settings. Protocols to counsel patients regarding modification of preexisting risk factors and ensure adequate antimicrobial therapy in the perioperative period may be developed to reduce SSIs in spine surgery. SAGE Publications 2018-12-13 2018-12 /pmc/articles/PMC6295823/ /pubmed/30574437 http://dx.doi.org/10.1177/2192568218806275 Text en © The Author(s) 2018 http://creativecommons.org/licenses/by-nc-nd/4.0/ This article is distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 License (http://www.creativecommons.org/licenses/by-nc-nd/4.0/) which permits non-commercial use, reproduction and distribution of the work as published without adaptation or alteration, without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Article Nasser, Rani Kosty, Jennifer A. Shah, Sanjit Wang, Jeffrey Cheng, Joseph Risk Factors and Prevention of Surgical Site Infections Following Spinal Procedures |
title | Risk Factors and Prevention of Surgical Site Infections Following Spinal Procedures |
title_full | Risk Factors and Prevention of Surgical Site Infections Following Spinal Procedures |
title_fullStr | Risk Factors and Prevention of Surgical Site Infections Following Spinal Procedures |
title_full_unstemmed | Risk Factors and Prevention of Surgical Site Infections Following Spinal Procedures |
title_short | Risk Factors and Prevention of Surgical Site Infections Following Spinal Procedures |
title_sort | risk factors and prevention of surgical site infections following spinal procedures |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295823/ https://www.ncbi.nlm.nih.gov/pubmed/30574437 http://dx.doi.org/10.1177/2192568218806275 |
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