Incidence of surgical site infections after cervical spine surgery: results of a single-center cohort study adhering to multimodal preventive wound control protocol.

Autor: Spatenkova V; Neurocenter, Neurointensive Care Unit, Regional Hospital, Husova 357/10, 46063, Liberec, Czech Republic. vera.spatenkova@nemlib.cz.; Department of Anaesthesia and Intensive Care, 3 Medical Faculty, Charles University, Srobarova 50, 100 34, Prague, Czech Republic. vera.spatenkova@nemlib.cz.; Institute of Physiology, First Medical Faculty, Charles University in Prague, Albertov 5, 12800, Prague 2, Czech Republic. vera.spatenkova@nemlib.cz.; Faculty of Health Studies, Technical University of Liberec, Studentská 1402/2, 461 17, Liberec 1, Czech Republic. vera.spatenkova@nemlib.cz., Bradac O; Department of Neurosurgery, 2nd Faculty of Medicine, Charles University in Prague and Motol University Hospital, V Úvalu 84/1, 150 06, Prague, Czech Republic., Mareckova Z; Neurocenter, Department of Neurosurgery, Regional Hospital, Husova 357/10, 46063, Liberec, Czech Republic., Suchomel P; Faculty of Health Studies, Technical University of Liberec, Studentská 1402/2, 461 17, Liberec 1, Czech Republic.; Neurocenter, Department of Neurosurgery, Regional Hospital, Husova 357/10, 46063, Liberec, Czech Republic., Hradil J; Neurocenter, Department of Neurosurgery, Regional Hospital, Husova 357/10, 46063, Liberec, Czech Republic., Kuriscak E; Institute of Physiology, First Medical Faculty, Charles University in Prague, Albertov 5, 12800, Prague 2, Czech Republic., Halacova M; Department of Clinical Pharmacology, Na Homolce Hospital, Roentgenova 37/2, 150 30, Prague 5, Czech Republic.
Jazyk: angličtina
Zdroj: European journal of orthopaedic surgery & traumatology : orthopedie traumatologie [Eur J Orthop Surg Traumatol] 2023 Jul; Vol. 33 (5), pp. 1997-2004. Date of Electronic Publication: 2022 Sep 14.
DOI: 10.1007/s00590-022-03379-9
Abstrakt: Purpose: The incidence of surgical site infections is considered a relevant indicator of perioperative and postoperative care quality. The aim of this study is to analyze and evaluate SSIs after elective cervical spine surgery under the guidance of our preventive multimodal wound protocol.
Methods: A monocentric observational cohort study analyzed 797 patients who underwent cervical spine surgery from 2005 to 2010 (mean age 51.58 ± 11.74 year, male 56.09%, mean BMI 26.87 ± 4.41, ASA score 1-2 in 81.68% of patients), fulfilling the entry criteria: (1) cervical spine surgery performed by neurosurgeons (degenerative disease 85.19%, trauma 11.04%, tumor 3.76%), (2) elective surgery, (3) postoperative care in our neurointensive care unit. Our preventive wound control protocol management focused mainly on antibiotic prophylaxis, wound hygiene regime, and drainage equipment. All wound complications and surgical site infections were monitored up for 1 year after surgery.
Results: We had only 2 (0.25%) patients with SSI after cervical spine surgery-one organ/space infection (osteomyelitis, primary due to liquorrhea) after anterior surgical approach, and one deep surgical site infection (due to dehiscence) after posterior approach. We had 17 (2.13%) patients with some wound complications (secretion 7, dehiscence 4, hematoma 1, edema 3, and liquorrhea 2) that were not classified as SSI according to the CDC guidelines.
Conclusion: Concerning our study population of patients undergoing elective cervical surgery, with ASA scores 1-2 in 81.68% of our patients, the incidence of SSI was 0.14% after anterior surgical approach, 1.4% after posterior surgical approach, and 0.25% altogether in the referred cohort.
(© 2022. The Author(s).)
Databáze: MEDLINE
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