Analysis of early infectious compli- cations in patients after spinal surgery
| Autor: | Oleg A. Smekalenkov, Dmitry A. Ptashnikov, Svetlana A. Bozhkova, Sergey V. Masevnin, Nikita S. Zaborowsky, Dmitry A. Mikhailov |
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| Jazyk: | English<br />Russian |
| Rok vydání: | 2017 |
| Předmět: | |
| Zdroj: | Хирургия позвоночника, Vol 14, Iss 2, Pp 82-87 (2017) |
| Druh dokumentu: | article |
| ISSN: | 1810-8997 2313-1497 11531045 |
| DOI: | 10.14531/ss2017.2.82-87 |
| Popis: | Objective. To assess the incidence of early infectious complications after spine surgery and to study the structure of risk factors in pa- tients with surgical site infections. Material and Methods. Early infectious complications after spine surgery were evaluated in 77 patients. The underlying pathology, co- morbidities and surgical factors that caused the infection were analyzed. Results. Over the 10-year observation period, the frequency of early postoperative infectious complications was 1.4 %. The main micro- organisms causing infectious complication after spine surgery are methicillin-resistant S. aureus and S. epidermidis strains. The study re- vealed a direct correlation between obesity and surgical site infections. Such surgical factors as metal fixation, duration of operation and spinal fusion also contributed to the development of the inflammatory process in the early postoperative period. Conclusion. Difficulties with the arrest of the infectious process require the development of methods for predicting the risk of complica- tions and measures to reduce it. For this it is necessary to conduct comparative analysis of the frequency of occurrence of various risk fac- tors in groups of patients with surgical site infections and of those with normal course of the postoperative period. |
| Databáze: | Directory of Open Access Journals |
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