Surgical associated factors — preoperative radiation/postoperative blood transfusion , combined anterior/posterior approach , surgical invasiveness , or levels of instrumentation were associated with increased SSI .
There is mixed evidence of age , duration of surgery , surgical team , intraoperative blood loss , dural tear , and urinary tract infection/urinary catheter in association with SSI .
Conclusion : SSIs are associated with many risk factors that can be patient or surgically related .
Objective : To perform a review of SSI risk factors and more specifically , categorize them into patient and surgical factors .
Early surgical site infections in adult spinal trauma: a prospective, multicentre study of infection rates and risk factors.
INTRODUCTION Spine surgery is known to have a high risk of surgical site infection ( SSI ) . Multiple studies have looked into the risk factors and incidence of SSI during elective surgery , but only two retrospective studies have specifically evaluated SSI during surgery following spine trauma . MATERIAL S AND METHODS This work was based on a prospect i ve cohort study that included all the patients operated on for spinal trauma at 13 French hospitals over a three-month period . The main endpoint was the occurrence of a SSI during the three-month period . Patients with multiple trauma or open fractures were excluded from the study . RESULTS Of the 169 patients re-examined after a minimum of three months , six had had an acute SSI ( 3.55 % ) . The following factors were significantly related to a SSI : age , ASA score , diabetes , procedure duration , delay elapsed between accident and procedure , number of levels fused , bleeding and prolonged presence of urinary catheter . DISCUSSION Our results were consistent with the published infection rates of 2 to 10 % . The risk factors identified have all been described in previous studies on elective spine surgery . LEVEL OF EVIDENCE Level IV , prospect i ve cohort study
Surgical associated factors — preoperative radiation/postoperative blood transfusion , combined anterior/posterior approach , surgical invasiveness , or levels of instrumentation were associated with increased SSI .
There is mixed evidence of age , duration of surgery , surgical team , intraoperative blood loss , dural tear , and urinary tract infection/urinary catheter in association with SSI .
Conclusion : SSIs are associated with many risk factors that can be patient or surgically related .
Objective : To perform a review of SSI risk factors and more specifically , categorize them into patient and surgical factors .