Drain Tip Culture is Not Prognostic for Surgical Site Infection in Spinal Surgery Under Prophylactic Use of Antibiotics

Spine
Tsuyoshi YamadaAtsushi Okawa

Abstract

A retrospective observational study. We evaluated the prognostic value of drain tip culture performed for surgical site infection (SSI) after spinal surgery with a large number of subjects, and investigated whether the type of surgery or timing of drain removal correlated with positive drain culture and SSI rates. In many institutions, routine culture of suction drain tips that are placed in the surgical site of spinal surgeries has been performed to detect contamination after removal. However, few reports have evaluated whether drain tip culture is prognostic for SSI after spinal surgery. A total of 1240 suction drain tips that had been used in spinal surgeries were cultured after removal. Prophylactic antibiotics were administered during and after the surgery for 48 hours. We evaluated the correlation between the results of positive drain tip culture, SSI, and drain removal timing. Positive drain tip cultures were found in 55 cases (4.4%). True SSI was identified in 18 cases (1.5%). The most frequently isolated microorganism in the both cases was Staphylococcus. The sensitivity of drain tip culture for SSI after spinal surgery was calculated as 0% according to the concordance rate between bacteria isolated in drain tip cultur...Continue Reading

References

Jun 9, 1977·The New England Journal of Medicine·D G MakiH W Sarafin
Oct 1, 1991·Acta Orthopaedica Scandinavica·A I Sørensen, T S Sørensen
Apr 1, 1995·The Journal of Arthroplasty·C J Drinkwater, M J Neil
Apr 29, 1999·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·A J MangramW R Jarvis
Aug 17, 2004·Scandinavian Journal of Infectious Diseases·Louis BernardUNKNOWN Groupe D'Etude Sur L'Ostéite
Dec 31, 2010·Spine·Justin S SmithUNKNOWN Scoliosis Research Society Morbidity and Mortality Committee
May 3, 2011·Journal of Neurosurgery. Spine·Hiroyuki AonoMotoki Iwasaki

❮ Previous
Next ❯

Citations

Feb 23, 2018·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Kazuyoshi KobayashiShiro Imagama
Jun 21, 2019·Clinical Spine Surgery : a Spine Publication·Patrick B MorrisseyI David Kaye
Oct 13, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Hirohito TakeuchiMasanori Fujiya
Mar 9, 2019·Journal of Orthopaedic Surgery and Research·Tsuyoshi YamadaYoshiyasu Arai
Aug 4, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Nathan RingevalAlexis Perrin
Dec 1, 2018·The Journal of Hospital Infection·H MacaigneA Lefebvre

❮ Previous
Next ❯

Methods Mentioned

BETA
lavage
PCR
total hip arthroplasty

Related Concepts

Related Feeds

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.