Infections in the operated spine: Update on risk management and therapeutic strategies
| Autor: | E. Fourniols, M.-L. Pissonnier, Jean Yves Lazennec, A. Aubry, T. Lenoir, B. Issartel, Marc-Antoine Rousseau |
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| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Prosthesis-Related Infections medicine.medical_treatment Complications of spinal surgery MEDLINE Context (language use) Urinary catheterization Risk Factors Humans Surgical Wound Infection Medicine Orthopedics and Sports Medicine Sampling (medicine) Antibiotic prophylaxis Risk management Risk Management business.industry Incidence Incidence (epidemiology) Spinal infection Laminectomy Evidence-based medicine Magnetic Resonance Imaging Spine Surgery Spinal Diseases Urinary Catheterization business Surgical site infection Diskectomy |
| Zdroj: | Orthopaedics & Traumatology: Surgery & Research. 97:S107-S116 |
| ISSN: | 1877-0568 |
| DOI: | 10.1016/j.otsr.2011.07.002 |
| Popis: | Summary Among the possible risks of spine surgery, surgical site infection (SSI) is far from negligible. Incidence is higher than in other locomotor system procedures, with more severe local and general impact. Certain broad guidelines can be formulated. The risk of SSI should be taken into account in the choice of treatment options discussed with the patient. Antibiotic prophylaxis, surgical prevention of iatrogenic infection and an SSI surveillance protocol should be implemented. SSI should be suspected in case of any abnormality in postoperative course, and biological and imaging (MRI or CT) measures should be taken. Local sampling for bacteriological identification is mandatory. Treatment strategy should ideally be discussed in a multidisciplinary coordination meeting, and adapted in the light of local bacterial ecology and resistance data. The information provided to the patient should be transparent and adapted to the patient's individual context. Level of evidence Level V. |
| Databáze: | OpenAIRE |
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