The implementation of an infection prevention bundle did not reduce surgical site infections following elective first time spinal surgery
EANS Academy. Pump C. 09/25/19; 275612; EP02113
Christoph Pump
Christoph Pump

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Background: The benefit of an infection prevention bundle made up of 5 basic procedures to avoid surgical site infections (SSIs) following elective spinal surgery was evaluated.
Methods: Data from all patients with first time elective spinal surgery from March 2014 till May 2016 were analyzed. In April 2015, an infection prevention bundle was implemented. The rate of SSIs after first time elective spinal surgery of patients operated 1 year before and 1 year after the implementation was compared.
Results: Of the 524 cases operated before the implementation of the infection prevention bundle, 14 cases (2.7%) developed a SSI. After the implementation 18 patients out of 490 were re-operated due to a SSI (3.7%). SSIs occurred in both groups more frequently in staged procedures than in single surgeries (control group: 6.4% of all staged operations vs. 2.0% of all single surgeries; study group: 4.6% of all staged operations vs. 3.6% of all single surgeries). In both groups SSIs were noticed more often after following instrumentation cases than simple decompression cases (control group 2.1% and 1.7%, respectively; study group: 4.6% and 0.9%, respectively). There were no SSIs after percutaneous procedures in both groups. The most frequent etiological germ cultivated in both groups was Staphylococcus epidermidis, followed by Staphylococcus aureus.
Conclusion: The implementation of a bundle of five basic infection prevention steps did not reduce the rate of SSIs after spine operations. SSIs most frequently occurred after staged procedures and after open posterior fusion surgeries.
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