Risk factors for surgical site infection and urinary tract infection after spine surgery View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2016-12

AUTHORS

Hiroyuki Tominaga, Takao Setoguchi, Yasuhiro Ishidou, Satoshi Nagano, Takuya Yamamoto, Setsuro Komiya

ABSTRACT

PURPOSE: This study aimed to identify and compare risk factors for surgical site infection (SSI) and non-surgical site infections (non-SSIs), particularly urinary tract infection (UTI), after spine surgery. METHODS: We retrospectively reviewed 825 patients (median age 59.0 years (range 33-70 years); 442 males) who underwent spine surgery at Kagoshima University Hospital from January 2009 to December 2014. Patient parameters were compared using the Mann-Whitney U and Fisher's exact tests. Risk factors associated with SSI and UTI were analyzed via the multiple logistic regression analysis. P < 0.05 was considered statistically significant. RESULTS: SSI occurred in 14 of 825 cases (1.7 %), and non-SSI occurred in 23 of 825 cases (2.8 %). Most non-SSIs were UTIs (20 of 23 cases, 87.0 %). In the 14 patients with SSI, UTI occurred before SSI onset in one patient, and after SSI onset in two patients. UTI onset before SSI was not a risk factor for SSI. Multiple logistic regression analysis indicated that common risk factors for SSI and UTI were operation time (P = 0.0019 and 0.0162, respectively) and ASA classification 3 (P = 0.0132 and 0.0356, respectively). The 1 week post-operative C-reactive protein (CRP) level was a risk factor for UTI (P = 0.0299), but not for SSI (P = 0.4996). CONCLUSIONS: There was no relationship between SSI and symptomatic UTI after spine surgery. Risk factors for post-operative SSI and UTI were operative time and ASA classification 3; 1 week post-operative CRP was a risk factor for UTI only. More... »

PAGES

3908-3915

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00586-016-4674-2

DOI

http://dx.doi.org/10.1007/s00586-016-4674-2

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1002797897

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/27349753


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Turtle is a human-readable linked data format.

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curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00586-016-4674-2'


 

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