{"id":"9603960a-695b-44c1-97c9-0d5f8709eccc","slug":"the-incidence-and-risk-factors-for-surgical-site-infection-after-clean-spinal-operations-a-prospective-cohort-study-and-review-of-the-literature","title":"The incidence and risk factors for surgical site infection after clean spinal operations: A prospective cohort study and review of the literature","authors":["Saeed Saeedinia","Mohsen Nouri","Amir Azarhomayoun","Hamed Hanif","Abolghasem Mortazavi","Parisa Bahramian","Kourosh Karimi Yarandi","Abbas Amirjamshidi"],"abstract":"Background: Postoperative infection is one of the most common complications after spine surgeries. In our study, surgical site infection (SSI) is described as; superficial (i.e., skin and subcutaneous tissues) and deep (i.e., fascia and muscles) infections occurring in the short term (i.e., 1-month) after spine surgeries (Centers for Disease Control and Prevention definition 81.00–81.08). To detect the risk factors for the occurrence of such a complication, studies require a large number of patients, a high quality of data and adequate analysis. In this study, we prospectively enrolled 987 patients undergoing spinal surgery over a 3 years period. Methods: From November 2010 to November 2013, 987 patients had a variety of spinal operations that included; disc herniation, spinal stenosis, spondylolisthesis, fracture-dislocations, spine and spinal cord tumors, and syringomyelia. Patients under the age of 10, those with a recent history of infection and antibiotherapy, and patients with immunodeficiency disorders were excluded. Results: Of the 987 spine procedures performed, 27 (2.73%) developed postoperative infections. Multi-variant data analysis indicated that multiple factors correlated with an increased risk of SSI in descending order; trauma, a past history of diabetes, smoking, being confined to bed, in the perioperative period, mean blood sugar levels above 120 mg/dl, longer lengths of incisions, and longer hospital stay. Conclusion: Considering the preventable nature of most of the factors contributing to SSI, it should be possible to reduce these complications.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/9603960a-695b-44c1-97c9-0d5f8709eccc/featured/hero-1782420960717.png","publishDate":"2015-09-29T00:00:00.000Z","doi":"10.4103/2152-7806.166194","categories":["Original Article"],"fullTextUrl":"http://surgicalneurologyint.com/wp-content/uploads/2015/10/6282/SNI-6-154.pdf"}