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Surgical Site Infection in Spine and Spinal Cord Surgery Yasuhiro TAKESHIMA 1 , Hiroyuki NAKASE 1 1Department of Neurosurgery, Nara Medical University School of Medicine Keyword: 脊椎 , 脊髄 , 感染 , 予防 , 治療 , spine , spinal cord , surgical site infection , prevention , treatment pp.1044-1052
Published Date 2022/9/10
DOI https://doi.org/10.11477/mf.1436204664
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 Surgical site infection(SSI)is among the most serious complications of spinal surgery in terms of patient health status and clinical outcomes. The use of prophylactic antimicrobials does not eliminate SSIs. Risk factors for SSI exist during not only the intraoperative period, but also all perioperative periods. In addition to intraoperative surgical risk factors, patient-related factors such as age, nutritional status, diabetes, smoking, obesity, coexistent infections in a remote part of the body, and colonization with microorganisms have also been reported. Therefore, it is important to reduce the risk of SSIs even before surgery, which requires knowledge about SSIs and prevention efforts.

 Spinal surgery can cause deep SSIs, instrumented infections, and meningitis resulting from cerebrospinal fluid infection. Spinal SSIs can be predicted by detecting changes in wound sites, pain and fever, and trends in hematological examination. However, special attention should be given to instrumented surgeries because of the subclinical nature of bacterial biofilm formation on the surface of implants. Therefore, it is important to aim for early detection and treatment of SSIs while reducing perioperative risks to decrease the potential for poor outcomes due to spinal SSIs.


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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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