Factors associated with deep surgical site infection in spinal surgery

Introduction: Surgical site infection (SSI) rate in spinal surgery ranges from 1% to 9%, depending on the type of procedure and institution. SSI gives rise to increased morbidity, poorer outcomes and increased healthcare costs. Various risk factors have been reported in the literature but there is n...

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Main Authors:	Mor Japar Khan, Ed Simor Khan, Kow, Ren Yi, Mohamad Arifin, Khairul Bariyyah, Komahen, Colin, Low, Chooi Leng
Format:	Article
Language:	English
Published:	Kulliyyah of Medicine, International Islamic University Malaysia 2018
Subjects:	RD701 Orthopedics
Online Access:	http://irep.iium.edu.my/64347/ http://irep.iium.edu.my/64347/ http://irep.iium.edu.my/64347/1/Factors%20Associated%20with%20Deep%20Surgical%20Site%20Infection%20in%20Spinal%20%282%29.pdf

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recordtype	eprints
spelling	iium-643472019-01-15T07:25:41Z http://irep.iium.edu.my/64347/ Factors associated with deep surgical site infection in spinal surgery Mor Japar Khan, Ed Simor Khan Kow, Ren Yi Mohamad Arifin, Khairul Bariyyah Komahen, Colin Low, Chooi Leng RD701 Orthopedics Introduction: Surgical site infection (SSI) rate in spinal surgery ranges from 1% to 9%, depending on the type of procedure and institution. SSI gives rise to increased morbidity, poorer outcomes and increased healthcare costs. Various risk factors have been reported in the literature but there is no such related report from Malaysia. This pilot study aimed to determine the incidence and risk factors of deep surgical site infections which require surgical debridement in patients who had undergone spinal surgeries. Materials and Methods: Patients who had undergone spinal surgery at Hospital Tengku Ampuan Afzan, Kuantan from the 1st January 2016 to the 31st December 2017 were included in this study. Associations between SSI and risk factors were analysed with IBM SPSS version 21. Age, body mass index, number of vertebral level involvement, hemoglobin reduction and white blood cell count were analysed by the student t-test while gender, smoking status, spinal cord involvement, fracture dislocation at thoraco-lumbar junction and history of pre-operative blood product transfusion were analysed by Fisher’s exact test. Results: Four (17%) out of 24 patients developed deep SSI which required surgical debridement. Fracture dislocation at the thoraco-lumbar junction (p=0.008) and history of pre-operative blood product transfusion (p=0.003) were associated with deep SSI. Conclusions: This study highlighted different risk factors associated with deep SSI in spinal surgeries. A larger study is needed to further confirm these findings. Kulliyyah of Medicine, International Islamic University Malaysia 2018-12-14 Article PeerReviewed application/pdf en http://irep.iium.edu.my/64347/1/Factors%20Associated%20with%20Deep%20Surgical%20Site%20Infection%20in%20Spinal%20%282%29.pdf Mor Japar Khan, Ed Simor Khan and Kow, Ren Yi and Mohamad Arifin, Khairul Bariyyah and Komahen, Colin and Low, Chooi Leng (2018) Factors associated with deep surgical site infection in spinal surgery. International Medical Journal Malaysia, 17 (Supplementary Issue 1). p. 53. E-ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/vol_17_no_3_supp_1/MRS2018-56.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RD701 Orthopedics
spellingShingle	RD701 Orthopedics Mor Japar Khan, Ed Simor Khan Kow, Ren Yi Mohamad Arifin, Khairul Bariyyah Komahen, Colin Low, Chooi Leng Factors associated with deep surgical site infection in spinal surgery
description	Introduction: Surgical site infection (SSI) rate in spinal surgery ranges from 1% to 9%, depending on the type of procedure and institution. SSI gives rise to increased morbidity, poorer outcomes and increased healthcare costs. Various risk factors have been reported in the literature but there is no such related report from Malaysia. This pilot study aimed to determine the incidence and risk factors of deep surgical site infections which require surgical debridement in patients who had undergone spinal surgeries. Materials and Methods: Patients who had undergone spinal surgery at Hospital Tengku Ampuan Afzan, Kuantan from the 1st January 2016 to the 31st December 2017 were included in this study. Associations between SSI and risk factors were analysed with IBM SPSS version 21. Age, body mass index, number of vertebral level involvement, hemoglobin reduction and white blood cell count were analysed by the student t-test while gender, smoking status, spinal cord involvement, fracture dislocation at thoraco-lumbar junction and history of pre-operative blood product transfusion were analysed by Fisher’s exact test. Results: Four (17%) out of 24 patients developed deep SSI which required surgical debridement. Fracture dislocation at the thoraco-lumbar junction (p=0.008) and history of pre-operative blood product transfusion (p=0.003) were associated with deep SSI. Conclusions: This study highlighted different risk factors associated with deep SSI in spinal surgeries. A larger study is needed to further confirm these findings.
format	Article
author	Mor Japar Khan, Ed Simor Khan Kow, Ren Yi Mohamad Arifin, Khairul Bariyyah Komahen, Colin Low, Chooi Leng
author_facet	Mor Japar Khan, Ed Simor Khan Kow, Ren Yi Mohamad Arifin, Khairul Bariyyah Komahen, Colin Low, Chooi Leng
author_sort	Mor Japar Khan, Ed Simor Khan
title	Factors associated with deep surgical site infection in spinal surgery
title_short	Factors associated with deep surgical site infection in spinal surgery
title_full	Factors associated with deep surgical site infection in spinal surgery
title_fullStr	Factors associated with deep surgical site infection in spinal surgery
title_full_unstemmed	Factors associated with deep surgical site infection in spinal surgery
title_sort	factors associated with deep surgical site infection in spinal surgery
publisher	Kulliyyah of Medicine, International Islamic University Malaysia
publishDate	2018
url	http://irep.iium.edu.my/64347/ http://irep.iium.edu.my/64347/ http://irep.iium.edu.my/64347/1/Factors%20Associated%20with%20Deep%20Surgical%20Site%20Infection%20in%20Spinal%20%282%29.pdf
first_indexed	2023-09-18T21:31:19Z
last_indexed	2023-09-18T21:31:19Z
_version_	1777412529843077120

Factors associated with deep surgical site infection in spinal surgery

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