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Prevention of Surgical Site Infections in Spine Surgery: An International Survey of Clinical Practices Among Expert Spine Surgeons

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dc.description.abstractStudy Design: Questionnaire-based survey. Objectives: Surgical site infection (SSI) is a common complication in spine surgery but universal guidelines for SSI prevention are lacking. The objectives of this study are to depict a global status quo on implemented prevention strategies in spine surgery, common themes of practice and determine key areas for future research. Methods: An 80-item survey was distributed among spine surgeons worldwide via email. The questionnaire was designed and approved by an International Consensus Group on spine SSI. Consensus was defined as more than 60% of participants agreeing to a specific prevention strategy. Results: Four hundred seventy-two surgeons participated in the survey. Screening for Staphylococcus aureus (SA) is not common, whereas preoperative decolonization is performed in almost half of all hospitals. Body mass index (BMI) was not important for surgery planning. In contrast, elevated HbAIc level and hypoalbuminemia were often considered as reasons to postpone surgery. Cefazoline is the common drug for antimicrobial prophylaxis. Alcohol-based chlorhexidine is mainly used for skin disinfection. Double-gloving, wound irrigation, and tissue-conserving surgical techniques are routine in the operating room (OR). Local antibiotic administration is not common. Wound closure techniques and postoperative wound dressing routines vary greatly between the participating institutions. Conclusions: With this study we provide an international overview on the heterogeneity of SSI prevention strategies in spine surgery. We demonstrated a large heterogeneity for pre-, peri- and postoperative measures to prevent SSI. Our data illustrated the need for developing universal guidelines and for testing areas of controversy in prospective clinical trails.-
dc.publisherGeorg Thieme Verlag KG-
dc.relation.isPartOfGLOBAL SPINE JOURNAL-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titlePrevention of Surgical Site Infections in Spine Surgery: An International Survey of Clinical Practices Among Expert Spine Surgeons-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Neurosurgery (신경외과학교실)-
dc.contributor.googleauthorDimitri Tkatschenko-
dc.contributor.googleauthorSonja Hansen-
dc.contributor.googleauthorJulia Koch-
dc.contributor.googleauthorChristopher Ames-
dc.contributor.googleauthorMichael G Fehlings-
dc.contributor.googleauthorSigurd Berven-
dc.contributor.googleauthorLali Sekhon-
dc.contributor.googleauthorChristopher Shaffrey-
dc.contributor.googleauthorJustin S Smith-
dc.contributor.googleauthorRobert Hart-
dc.contributor.googleauthorHan Jo Kim-
dc.contributor.googleauthorJeffrey Wang-
dc.contributor.googleauthorYoon Ha-
dc.contributor.googleauthorKenny Kwan-
dc.contributor.googleauthorYong Hai-
dc.contributor.googleauthorMarcelo Valacco-
dc.contributor.googleauthorAsdrubal Falavigna-
dc.contributor.googleauthorNéstor Taboada-
dc.contributor.googleauthorAlfredo Guiroy-
dc.contributor.googleauthorJuan Emmerich-
dc.contributor.googleauthorBernhard Meyer-
dc.contributor.googleauthorFrank Kandziora-
dc.contributor.googleauthorClaudius Thomé-
dc.contributor.googleauthorMarkus Loibl-
dc.contributor.googleauthorWilco Peul-
dc.contributor.googleauthorAlessandro Gasbarrini-
dc.contributor.googleauthorIbrahim Obeid-
dc.contributor.googleauthorMartin Gehrchen-
dc.contributor.googleauthorAndrej Trampuz-
dc.contributor.googleauthorPeter Vajkoczy-
dc.contributor.googleauthorJulia Onken-
dc.contributor.alternativeNameHa, Yoon-
dc.identifier.bibliographicCitationGLOBAL SPINE JOURNAL, Vol.13(7) : 2007-2015, 2023-09-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers


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