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Acta Neurochirurgica

Erschienen in:

20.04.2017 | Original Article - Spine

Risk factors for surgical site infections among 1,772 patients operated on for lumbar disc herniation: a multicentre observational registry-based study

verfasst von: Samer Habiba, Øystein P. Nygaard, Jens I. Brox, Christian Hellum, Ivar M. Austevoll, Tore K. Solberg

Erschienen in: Acta Neurochirurgica | Ausgabe 6/2017

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Abstract

Background

There are no previous studies evaluating risk factors for surgical site infections (SSIs) and the effectiveness of prophylactic antibiotic treatment (PAT), specifically for patients operated on for lumbar disc herniation.

Method

This observational multicentre study comprises a cohort of 1,772 consecutive patients operated on for lumbar disc herniation without laminectomy or fusion at 23 different surgical units in Norway. The patients were interviewed about SSIs according to a standardised questionnaire at 3 months’ follow-up.

Results

Three months after surgery, 2.3% of the patients had an SSI. Only no PAT (OR = 5.3, 95% CI = 2.2–12.7, p< 0.001) and longer duration of surgery than the mean time (68 min) (OR = 2.8, 95% CI = 1.2–6.6, p = 0.02) were identified as independent risk factors for SSI. Numbers needed to have PAT to avoid one SSI was 43.

Conclusions

In summary, this study clearly lends support to the use of PAT in surgery for lumbar disc herniation. Senior surgeons assisting inexperienced colleagues to avoid prolonged duration of surgery could also reduce the occurrence of SSI.

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Titel: Risk factors for surgical site infections among 1,772 patients operated on for lumbar disc herniation: a multicentre observational registry-based study
verfasst von: Samer Habiba
Øystein P. Nygaard
Jens I. Brox
Christian Hellum
Ivar M. Austevoll
Tore K. Solberg
Publikationsdatum: 20.04.2017
Verlag: Springer Vienna
Erschienen in: Acta Neurochirurgica / Ausgabe 6/2017
Print ISSN: 0001-6268
Elektronische ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-017-3184-2

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