Save
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

Access to this content is reserved for EANS members and attendees of this event. Click here to become an EANS member and gain your access to the full content of the EANS Academy


Abstract
Discussion Forum (0)
Rate & Comment (0)
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.
Code of conduct/disclaimer available in General Terms & Conditions
Anonymous User Privacy Preferences

Strictly Necessary Cookies (Always Active)

MULTILEARNING platforms and tools hereinafter referred as “MLG SOFTWARE” are provided to you as pure educational platforms/services requiring cookies to operate. In the case of the MLG SOFTWARE, cookies are essential for the Platform to function properly for the provision of education. If these cookies are disabled, a large subset of the functionality provided by the Platform will either be unavailable or cease to work as expected. The MLG SOFTWARE do not capture non-essential activities such as menu items and listings you click on or pages viewed.


Performance Cookies

Performance cookies are used to analyse how visitors use a website in order to provide a better user experience.



Google Analytics is used for user behavior tracking/reporting. Google Analytics works in parallel and independently from MLG’s features. Google Analytics relies on cookies and these cookies can be used by Google to track users across different platforms/services.


Save Settings