Surgical site infections following spinal surgery at a tertiary care center in Lebanon: incidence, microbiology, and risk factors

Autor:	Souha S. Kanj, Zeina A. Kanafani, Tala Bawwab, Ghenwa K. Dakdouki, Oussayma El-Dbouni
Rok vydání:	2006
Předmět:	Microbiology (medical) Adult Male medicine.medical_specialty medicine.drug_class Antibiotics Risk Factors Epidemiology medicine Humans Surgical Wound Infection Antibiotic prophylaxis Risk factor Lebanon Aged Retrospective Studies Aged 80 and over General Immunology and Microbiology business.industry Incidence (epidemiology) Incidence Case-control study Retrospective cohort study Surgical wound General Medicine Middle Aged Spine Surgery Infectious Diseases Case-Control Studies Female business
Zdroj:	Scandinavian journal of infectious diseases. 38(8)
ISSN:	0036-5548
Popis:	Surgical site infections (SSIs) following spinal surgery are associated with significant morbidity and long-term complications. The epidemiology of these infections has not been previously studied in Lebanon. This nested case-control study was conducted between 2001 and 2003 at the American University of Beirut Medical Center. Cases were defined as patients who developed surgical site infection within 30 d of surgery. Controls were patients with no evidence of infection. There were 27 cases of surgical site infections among 997 surgeries with an incidence of 2.7%. Compared to controls, cases were older (mean age 59 vs 47 y, p=0.001), and were more likely to have diabetes (OR = 4.0; 95% CI 1.2-12.8) and foreign body implantation (OR = 3.4; 95% CI 1.3-9.3). Antibiotic prophylaxis was given for a range of 0-6 d in cases and 0-7 d in controls. Coagulase-negative staphylococci were the most commonly isolated organisms. Hospital stay was significantly longer in cases than controls. The rates of surgical site infections following spinal surgery at our center are comparable to worldwide rates. There is unjustified overuse of prophylactic antibiotics in our patients that has the potential of inducing emergence of antimicrobial resistance.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f6e3a73ccc4d304c796d63a97eeab79e https://pubmed.ncbi.nlm.nih.gov/16857600 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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