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Invasive dental procedures as risk factors for postoperative spinal infection and the effect of antibiotic prophylaxis
DC Field | Value | Language |
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dc.contributor.author | 권지원 | - |
dc.contributor.author | 문성환 | - |
dc.contributor.author | 이병호 | - |
dc.contributor.author | 이중석 | - |
dc.contributor.author | 이환모 | - |
dc.contributor.author | 정인경 | - |
dc.date.accessioned | 2021-11-19T01:41:42Z | - |
dc.date.available | 2021-11-19T01:41:42Z | - |
dc.date.issued | 2021-09 | - |
dc.identifier.issn | 0303-6979 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/185984 | - |
dc.description.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. | - |
dc.description.statementOfResponsibility | open | - |
dc.language | English | - |
dc.publisher | Wiley-Blackwell | - |
dc.relation.isPartOf | JOURNAL OF CLINICAL PERIODONTOLOGY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.subject.MESH | Anti-Bacterial Agents* / therapeutic use | - |
dc.subject.MESH | Antibiotic Prophylaxis* | - |
dc.subject.MESH | Dentistry | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Postoperative Complications | - |
dc.subject.MESH | Risk Factors | - |
dc.title | Invasive dental procedures as risk factors for postoperative spinal infection and the effect of antibiotic prophylaxis | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Orthopedic Surgery (정형외과학교실) | - |
dc.contributor.googleauthor | Sahyun Sung | - |
dc.contributor.googleauthor | Eun Hwa Kim | - |
dc.contributor.googleauthor | Ji-Won Kwon | - |
dc.contributor.googleauthor | Jung-Seok Lee | - |
dc.contributor.googleauthor | Soo-Bin Lee | - |
dc.contributor.googleauthor | Seong-Hwan Moon | - |
dc.contributor.googleauthor | Hwan-Mo Lee | - |
dc.contributor.googleauthor | Inkyung Jung | - |
dc.contributor.googleauthor | Byung Ho Lee | - |
dc.identifier.doi | 10.1111/jcpe.13514 | - |
dc.contributor.localId | A06027 | - |
dc.contributor.localId | A01365 | - |
dc.contributor.localId | A02801 | - |
dc.contributor.localId | A03185 | - |
dc.contributor.localId | A03333 | - |
dc.contributor.localId | A03693 | - |
dc.relation.journalcode | J01337 | - |
dc.identifier.eissn | 1600-051X | - |
dc.identifier.pmid | 34189757 | - |
dc.subject.keyword | antibiotic prophylaxis | - |
dc.subject.keyword | invasive dental procedure | - |
dc.subject.keyword | nationwide database | - |
dc.subject.keyword | postoperative spinal infection | - |
dc.subject.keyword | spinal surgery | - |
dc.contributor.alternativeName | Kwon, Ji-Won | - |
dc.contributor.affiliatedAuthor | 권지원 | - |
dc.contributor.affiliatedAuthor | 문성환 | - |
dc.contributor.affiliatedAuthor | 이병호 | - |
dc.contributor.affiliatedAuthor | 이중석 | - |
dc.contributor.affiliatedAuthor | 이환모 | - |
dc.contributor.affiliatedAuthor | 정인경 | - |
dc.citation.volume | 48 | - |
dc.citation.number | 9 | - |
dc.citation.startPage | 1270 | - |
dc.citation.endPage | 1280 | - |
dc.identifier.bibliographicCitation | JOURNAL OF CLINICAL PERIODONTOLOGY, Vol.48(9) : 1270-1280, 2021-09 | - |
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