USE OF INTRAOPERATORY VANCOMYCIN IN SPINAL SURGERIES
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Coluna/Columna |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512019000200134 |
Resumo: | ABSTRACT Objectives: Despite the use of systemic antibiotic prophylaxis, infection is still a challenge for spine surgeons, with high morbidity and mortality, long hospitalization, delayed rehabilitation, and a greater number of interventions. The purpose of this cross-sectional retrospective case-control study was to compare the incidence of postoperative infection in individuals who received a systemic antibiotic as the sole prophylactic method with those who received vancomycin in the operative wound in association with systemic antibiotic prophylaxis in spinal surgery. Methods: We evaluated 2694 medical records of individuals submitted to posterior spinal surgery in the thoracolumbar segment in the period from January 2012 to June 2017, 1360 in the treatment group and 1334 in the control group. Results: Nineteen (1.39%) of the treatment group progressed with surgical site infection, compared to 42 (3.14%) of the control group. Conclusions: There was a significant reduction in the postoperative infection rate with the use of vancomycin (p=0.0379). Level of Evidence III; Case-Control Study. |
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oai:scielo:S1808-18512019000200134 |
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Coluna/Columna |
repository_id_str |
|
spelling |
USE OF INTRAOPERATORY VANCOMYCIN IN SPINAL SURGERIESVancomycinInfectionAntibiotic ProphylaxisSpineABSTRACT Objectives: Despite the use of systemic antibiotic prophylaxis, infection is still a challenge for spine surgeons, with high morbidity and mortality, long hospitalization, delayed rehabilitation, and a greater number of interventions. The purpose of this cross-sectional retrospective case-control study was to compare the incidence of postoperative infection in individuals who received a systemic antibiotic as the sole prophylactic method with those who received vancomycin in the operative wound in association with systemic antibiotic prophylaxis in spinal surgery. Methods: We evaluated 2694 medical records of individuals submitted to posterior spinal surgery in the thoracolumbar segment in the period from January 2012 to June 2017, 1360 in the treatment group and 1334 in the control group. Results: Nineteen (1.39%) of the treatment group progressed with surgical site infection, compared to 42 (3.14%) of the control group. Conclusions: There was a significant reduction in the postoperative infection rate with the use of vancomycin (p=0.0379). Level of Evidence III; Case-Control Study.Sociedade Brasileira de Coluna2019-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512019000200134Coluna/Columna v.18 n.2 2019reponame:Coluna/Columnainstname:Sociedade Brasileira de Coluna (SBCO)instacron:SBCO10.1590/s1808-185120191802193899info:eu-repo/semantics/openAccessBondan,Eduardo TestonGraells,Xavier Soler IKulcheski,Álynson LaroccaSantoro,Pedro Grein delBenato,Marcel Luizeng2019-06-17T00:00:00Zoai:scielo:S1808-18512019000200134Revistahttps://www.revistacoluna.org/ONGhttps://old.scielo.br/oai/scielo-oai.phpcoluna.columna@uol.com.br||revistacoluna@uol.com.br2177-014X1808-1851opendoar:2019-06-17T00:00Coluna/Columna - Sociedade Brasileira de Coluna (SBCO)false |
dc.title.none.fl_str_mv |
USE OF INTRAOPERATORY VANCOMYCIN IN SPINAL SURGERIES |
title |
USE OF INTRAOPERATORY VANCOMYCIN IN SPINAL SURGERIES |
spellingShingle |
USE OF INTRAOPERATORY VANCOMYCIN IN SPINAL SURGERIES Bondan,Eduardo Teston Vancomycin Infection Antibiotic Prophylaxis Spine |
title_short |
USE OF INTRAOPERATORY VANCOMYCIN IN SPINAL SURGERIES |
title_full |
USE OF INTRAOPERATORY VANCOMYCIN IN SPINAL SURGERIES |
title_fullStr |
USE OF INTRAOPERATORY VANCOMYCIN IN SPINAL SURGERIES |
title_full_unstemmed |
USE OF INTRAOPERATORY VANCOMYCIN IN SPINAL SURGERIES |
title_sort |
USE OF INTRAOPERATORY VANCOMYCIN IN SPINAL SURGERIES |
author |
Bondan,Eduardo Teston |
author_facet |
Bondan,Eduardo Teston Graells,Xavier Soler I Kulcheski,Álynson Larocca Santoro,Pedro Grein del Benato,Marcel Luiz |
author_role |
author |
author2 |
Graells,Xavier Soler I Kulcheski,Álynson Larocca Santoro,Pedro Grein del Benato,Marcel Luiz |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Bondan,Eduardo Teston Graells,Xavier Soler I Kulcheski,Álynson Larocca Santoro,Pedro Grein del Benato,Marcel Luiz |
dc.subject.por.fl_str_mv |
Vancomycin Infection Antibiotic Prophylaxis Spine |
topic |
Vancomycin Infection Antibiotic Prophylaxis Spine |
description |
ABSTRACT Objectives: Despite the use of systemic antibiotic prophylaxis, infection is still a challenge for spine surgeons, with high morbidity and mortality, long hospitalization, delayed rehabilitation, and a greater number of interventions. The purpose of this cross-sectional retrospective case-control study was to compare the incidence of postoperative infection in individuals who received a systemic antibiotic as the sole prophylactic method with those who received vancomycin in the operative wound in association with systemic antibiotic prophylaxis in spinal surgery. Methods: We evaluated 2694 medical records of individuals submitted to posterior spinal surgery in the thoracolumbar segment in the period from January 2012 to June 2017, 1360 in the treatment group and 1334 in the control group. Results: Nineteen (1.39%) of the treatment group progressed with surgical site infection, compared to 42 (3.14%) of the control group. Conclusions: There was a significant reduction in the postoperative infection rate with the use of vancomycin (p=0.0379). Level of Evidence III; Case-Control Study. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-06-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512019000200134 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512019000200134 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/s1808-185120191802193899 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
publisher.none.fl_str_mv |
Sociedade Brasileira de Coluna |
dc.source.none.fl_str_mv |
Coluna/Columna v.18 n.2 2019 reponame:Coluna/Columna instname:Sociedade Brasileira de Coluna (SBCO) instacron:SBCO |
instname_str |
Sociedade Brasileira de Coluna (SBCO) |
instacron_str |
SBCO |
institution |
SBCO |
reponame_str |
Coluna/Columna |
collection |
Coluna/Columna |
repository.name.fl_str_mv |
Coluna/Columna - Sociedade Brasileira de Coluna (SBCO) |
repository.mail.fl_str_mv |
coluna.columna@uol.com.br||revistacoluna@uol.com.br |
_version_ |
1752126616009441280 |