Infections in the operated spine: Update on risk management and therapeutic strategies - 24/09/11
, E. Fourniols a, T. Lenoir b, A. Aubry c, M.-L. Pissonnier a, B. Issartel d, M.-A. Rousseau aFrench Spine Surgery Society
Corresponding author. Tel.: +33 1 42 17 70 63; fax: +33 1 42 17 74 15.
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Summary |
Among the possible risks of spine surgery, surgical site infection (SSI) is far from negligible. Incidence is higher than in other locomotor system procedures, with more severe local and general impact. Certain broad guidelines can be formulated. The risk of SSI should be taken into account in the choice of treatment options discussed with the patient. Antibiotic prophylaxis, surgical prevention of iatrogenic infection and an SSI surveillance protocol should be implemented. SSI should be suspected in case of any abnormality in postoperative course, and biological and imaging (MRI or CT) measures should be taken. Local sampling for bacteriological identification is mandatory. Treatment strategy should ideally be discussed in a multidisciplinary coordination meeting, and adapted in the light of local bacterial ecology and resistance data. The information provided to the patient should be transparent and adapted to the patient’s individual context.
Level of evidence |
Level V.
Le texte complet de cet article est disponible en PDF.Keywords : Surgical site infection, Spinal infection, Complications of spinal surgery
Plan
Vol 97 - N° 6S
P. S107-S116 - octobre 2011 Retour au numéro
Article précédent
- Focus on perioperative management of anticoagulants and antiplatelet agents in spine surgery
- A. Steib, F. Hadjiat, W. Skibba, J.-P. Steib, French Spine Surgery Society
- SFHG Editorial Board
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