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Invasive dental procedures as risk factors for postoperative spinal infection and the effect of antibiotic prophylaxis

Authors
 Sahyun Sung  ;  Eun Hwa Kim  ;  Ji-Won Kwon  ;  Jung-Seok Lee  ;  Soo-Bin Lee  ;  Seong-Hwan Moon  ;  Hwan-Mo Lee  ;  Inkyung Jung  ;  Byung Ho Lee 
Citation
 JOURNAL OF CLINICAL PERIODONTOLOGY, Vol.48(9) : 1270-1280, 2021-09 
Journal Title
JOURNAL OF CLINICAL PERIODONTOLOGY
ISSN
 0303-6979 
Issue Date
2021-09
MeSH
Anti-Bacterial Agents* / therapeutic use ; Antibiotic Prophylaxis* ; Dentistry ; Humans ; Male ; Postoperative Complications ; Risk Factors
Keywords
antibiotic prophylaxis ; invasive dental procedure ; nationwide database ; postoperative spinal infection ; spinal surgery
Abstract
Aim: To identify invasive dental procedures as a risk factor for postoperative spinal infection (PSI) and evaluate the effectiveness of antibiotic prophylaxis. Materials and methods: We analysed 229,335 patients who underwent spinal surgery with instrumentation from 2010 to 2017, using the nationwide database. The incidence of spinal infection 2 years after surgery was determined. Invasive dental procedures as a risk factor for PSI and the effects of antibiotic prophylaxis during this period were also analysed. Results: A total of 15,346 patients (6.69%) were diagnosed with PSI. It was found that advanced age, male sex, and a high Charlson Comorbidity Index were risk factors for PSI. The risk of PSI did not increase following dental procedures (adjusted hazard ratio [HR] 0.850; 95% confidence interval [CI], 0.793-0.912) and was not affected by antibiotics (adjusted HR 1.097; 95% CI, 0.987-1.218). Patients who received dental treatment as early as 3 months after spinal surgery had the lowest risk of postoperative infection (adjusted HR 0.869; 95% CI, 0.795-0.950). Conclusions: Invasive dental procedure does not increase the risk of PSI, and antibiotic prophylaxis before dental procedure was not effective in preventing spinal infection.
Files in This Item:
T202104545.pdf Download
DOI
10.1111/jcpe.13514
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Biomedical Systems Informatics (의생명시스템정보학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
2. College of Dentistry (치과대학) > Dept. of Periodontics (치주과학교실) > 1. Journal Papers
Yonsei Authors
Kwon, Ji-Won(권지원) ORCID logo https://orcid.org/0000-0003-4880-5310
Moon, Seong Hwan(문성환)
Lee, Byung Ho(이병호) ORCID logo https://orcid.org/0000-0001-7235-4981
Lee, Jung Seok(이중석) ORCID logo https://orcid.org/0000-0003-1276-5978
Lee, Hwan Mo(이환모) ORCID logo https://orcid.org/0000-0002-5405-3832
Jung, Inkyung(정인경) ORCID logo https://orcid.org/0000-0003-3780-3213
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/185984
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