Seasonal variation in incidence and causal organism of surgical site infection after PLIF/TLIF surgery: A multicenter study
Postoperative SSI is a common and potentially serious complication in spine surgery. Seasonal variation occurs in rates of nosocomial infection, with higher rates found in the summer, during which hot, humid conditions may be optimal for proliferation of bacteria. This might also influence the rate...
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| Veröffentlicht in: | Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association 2021-07, Vol.26 (4), p.555-559 |
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| container_title | Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association |
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| creator | Kobayashi, Kazuyoshi Ando, Kei Kato, Fumihiko Kanemura, Tokumi Sato, Koji Hachiya, Yudo Matsubara, Yuji Sakai, Yoshihito Yagi, Hideki Shinjo, Ryuichi Ishiguro, Naoki Imagama, Shiro |
| description | Postoperative SSI is a common and potentially serious complication in spine surgery. Seasonal variation occurs in rates of nosocomial infection, with higher rates found in the summer, during which hot, humid conditions may be optimal for proliferation of bacteria. This might also influence the rate of SSI. The purpose of the study was to examine seasonal variation in SSI after PLIF/TLIF surgery, including relationships with experience of surgeons and causal organisms.
Cases with SSI after PLIF/TLIF surgery at 10 facilities between January 1, 2012, and December 31, 2014 were retrieved from a database. Infection was defined based on CDC guidelines for SSIs. Patients were followed for at least two years after surgery. Surgeries were examined in spring (April–June), summer (July–September), autumn (October–December), and winter (January–March). Seasonal variation and other factors with a potential association with SSIs were evaluated.
A total of 1174 patients (607 males, 567 females) who underwent PLIF/TLIF surgery were identified. The operations were PLIF (n = 667), TLIF (n = 443), MIS-PLIF (n = 27), and MIS-TLIF (n = 37). The total SSI rate for the 2-year period was 2.5% (29/1174), and the 2-year average SSI rates for surgeries in each season were spring, 2.6% (7/266); summer, 3.9% (13/335); fall, 1.3% (4/302); winter, 1.8% (5/271). The SSI rate was significantly higher in summer than non-summer (3.9% vs. 1.9%, p |
| doi_str_mv | 10.1016/j.jos.2020.05.015 |
| format | Article |
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Cases with SSI after PLIF/TLIF surgery at 10 facilities between January 1, 2012, and December 31, 2014 were retrieved from a database. Infection was defined based on CDC guidelines for SSIs. Patients were followed for at least two years after surgery. Surgeries were examined in spring (April–June), summer (July–September), autumn (October–December), and winter (January–March). Seasonal variation and other factors with a potential association with SSIs were evaluated.
A total of 1174 patients (607 males, 567 females) who underwent PLIF/TLIF surgery were identified. The operations were PLIF (n = 667), TLIF (n = 443), MIS-PLIF (n = 27), and MIS-TLIF (n = 37). The total SSI rate for the 2-year period was 2.5% (29/1174), and the 2-year average SSI rates for surgeries in each season were spring, 2.6% (7/266); summer, 3.9% (13/335); fall, 1.3% (4/302); winter, 1.8% (5/271). The SSI rate was significantly higher in summer than non-summer (3.9% vs. 1.9%, p < 0.05). SSIs were caused by a variety of pathogens, including Gram-positive cocci, and Staphylococcus aureus was the most common pathogenic organism to cause SSI.
Seasonality should be taken into account in strategies for SSI prevention, with particular attention on mitigation of increased temperature and humidity in the summer and on infection caused by Gram-positive cocci and S. aureus.</description><identifier>ISSN: 0949-2658</identifier><identifier>EISSN: 1436-2023</identifier><identifier>DOI: 10.1016/j.jos.2020.05.015</identifier><language>eng</language><publisher>Elsevier B.V</publisher><ispartof>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association, 2021-07, Vol.26 (4), p.555-559</ispartof><rights>2020 The Japanese Orthopaedic Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c354t-77dc7675ea099b2ca0c89308bf9445ad9ef8464e8c9bdd527df74699b547dc1e3</citedby><cites>FETCH-LOGICAL-c354t-77dc7675ea099b2ca0c89308bf9445ad9ef8464e8c9bdd527df74699b547dc1e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Kobayashi, Kazuyoshi</creatorcontrib><creatorcontrib>Ando, Kei</creatorcontrib><creatorcontrib>Kato, Fumihiko</creatorcontrib><creatorcontrib>Kanemura, Tokumi</creatorcontrib><creatorcontrib>Sato, Koji</creatorcontrib><creatorcontrib>Hachiya, Yudo</creatorcontrib><creatorcontrib>Matsubara, Yuji</creatorcontrib><creatorcontrib>Sakai, Yoshihito</creatorcontrib><creatorcontrib>Yagi, Hideki</creatorcontrib><creatorcontrib>Shinjo, Ryuichi</creatorcontrib><creatorcontrib>Ishiguro, Naoki</creatorcontrib><creatorcontrib>Imagama, Shiro</creatorcontrib><title>Seasonal variation in incidence and causal organism of surgical site infection after PLIF/TLIF surgery: A multicenter study</title><title>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association</title><description>Postoperative SSI is a common and potentially serious complication in spine surgery. Seasonal variation occurs in rates of nosocomial infection, with higher rates found in the summer, during which hot, humid conditions may be optimal for proliferation of bacteria. This might also influence the rate of SSI. The purpose of the study was to examine seasonal variation in SSI after PLIF/TLIF surgery, including relationships with experience of surgeons and causal organisms.
Cases with SSI after PLIF/TLIF surgery at 10 facilities between January 1, 2012, and December 31, 2014 were retrieved from a database. Infection was defined based on CDC guidelines for SSIs. Patients were followed for at least two years after surgery. Surgeries were examined in spring (April–June), summer (July–September), autumn (October–December), and winter (January–March). Seasonal variation and other factors with a potential association with SSIs were evaluated.
A total of 1174 patients (607 males, 567 females) who underwent PLIF/TLIF surgery were identified. The operations were PLIF (n = 667), TLIF (n = 443), MIS-PLIF (n = 27), and MIS-TLIF (n = 37). The total SSI rate for the 2-year period was 2.5% (29/1174), and the 2-year average SSI rates for surgeries in each season were spring, 2.6% (7/266); summer, 3.9% (13/335); fall, 1.3% (4/302); winter, 1.8% (5/271). The SSI rate was significantly higher in summer than non-summer (3.9% vs. 1.9%, p < 0.05). SSIs were caused by a variety of pathogens, including Gram-positive cocci, and Staphylococcus aureus was the most common pathogenic organism to cause SSI.
Seasonality should be taken into account in strategies for SSI prevention, with particular attention on mitigation of increased temperature and humidity in the summer and on infection caused by Gram-positive cocci and S. aureus.</description><issn>0949-2658</issn><issn>1436-2023</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp9kEFLwzAYQIMoOKc_wFuOXtolbdI2ehrD6WCg4DyHLPk6UrpmJq0w_POmm2chJPDxXuB7CN1TklJCi1mTNi6kGclISnhKKL9AE8ryIomj_BJNiGAiyQpeXaObEBpCaMkFn6CfD1DBdarF38pb1VvXYTsebQ10GrDqDNZqCJFwfqc6G_bY1TgMfmd1HAbbQ8Rr0CdX1T14_L5eLWebeJ048MdHPMf7oe2thm4EQj-Y4y26qlUb4O7vnaLP5fNm8Zqs315Wi_k60TlnfVKWRpdFyUERIbaZVkRXIifVthaMcWUE1BUrGFRabI3hWWnqkhUR5SyaFPIpejj_e_Dua4DQy70NGtpWdeCGIDOWs5JTRmlE6RnV3oXgoZYHb_fKHyUlcgwtGxlDyzG0JFzG0NF5OjsQd_i24GXQdmxnrI9VpHH2H_sXTTuHxw</recordid><startdate>202107</startdate><enddate>202107</enddate><creator>Kobayashi, Kazuyoshi</creator><creator>Ando, Kei</creator><creator>Kato, Fumihiko</creator><creator>Kanemura, Tokumi</creator><creator>Sato, Koji</creator><creator>Hachiya, Yudo</creator><creator>Matsubara, Yuji</creator><creator>Sakai, Yoshihito</creator><creator>Yagi, Hideki</creator><creator>Shinjo, Ryuichi</creator><creator>Ishiguro, Naoki</creator><creator>Imagama, Shiro</creator><general>Elsevier B.V</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>202107</creationdate><title>Seasonal variation in incidence and causal organism of surgical site infection after PLIF/TLIF surgery: A multicenter study</title><author>Kobayashi, Kazuyoshi ; Ando, Kei ; Kato, Fumihiko ; Kanemura, Tokumi ; Sato, Koji ; Hachiya, Yudo ; Matsubara, Yuji ; Sakai, Yoshihito ; Yagi, Hideki ; Shinjo, Ryuichi ; Ishiguro, Naoki ; Imagama, Shiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c354t-77dc7675ea099b2ca0c89308bf9445ad9ef8464e8c9bdd527df74699b547dc1e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kobayashi, Kazuyoshi</creatorcontrib><creatorcontrib>Ando, Kei</creatorcontrib><creatorcontrib>Kato, Fumihiko</creatorcontrib><creatorcontrib>Kanemura, Tokumi</creatorcontrib><creatorcontrib>Sato, Koji</creatorcontrib><creatorcontrib>Hachiya, Yudo</creatorcontrib><creatorcontrib>Matsubara, Yuji</creatorcontrib><creatorcontrib>Sakai, Yoshihito</creatorcontrib><creatorcontrib>Yagi, Hideki</creatorcontrib><creatorcontrib>Shinjo, Ryuichi</creatorcontrib><creatorcontrib>Ishiguro, Naoki</creatorcontrib><creatorcontrib>Imagama, Shiro</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kobayashi, Kazuyoshi</au><au>Ando, Kei</au><au>Kato, Fumihiko</au><au>Kanemura, Tokumi</au><au>Sato, Koji</au><au>Hachiya, Yudo</au><au>Matsubara, Yuji</au><au>Sakai, Yoshihito</au><au>Yagi, Hideki</au><au>Shinjo, Ryuichi</au><au>Ishiguro, Naoki</au><au>Imagama, Shiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Seasonal variation in incidence and causal organism of surgical site infection after PLIF/TLIF surgery: A multicenter study</atitle><jtitle>Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association</jtitle><date>2021-07</date><risdate>2021</risdate><volume>26</volume><issue>4</issue><spage>555</spage><epage>559</epage><pages>555-559</pages><issn>0949-2658</issn><eissn>1436-2023</eissn><abstract>Postoperative SSI is a common and potentially serious complication in spine surgery. Seasonal variation occurs in rates of nosocomial infection, with higher rates found in the summer, during which hot, humid conditions may be optimal for proliferation of bacteria. This might also influence the rate of SSI. The purpose of the study was to examine seasonal variation in SSI after PLIF/TLIF surgery, including relationships with experience of surgeons and causal organisms.
Cases with SSI after PLIF/TLIF surgery at 10 facilities between January 1, 2012, and December 31, 2014 were retrieved from a database. Infection was defined based on CDC guidelines for SSIs. Patients were followed for at least two years after surgery. Surgeries were examined in spring (April–June), summer (July–September), autumn (October–December), and winter (January–March). Seasonal variation and other factors with a potential association with SSIs were evaluated.
A total of 1174 patients (607 males, 567 females) who underwent PLIF/TLIF surgery were identified. The operations were PLIF (n = 667), TLIF (n = 443), MIS-PLIF (n = 27), and MIS-TLIF (n = 37). The total SSI rate for the 2-year period was 2.5% (29/1174), and the 2-year average SSI rates for surgeries in each season were spring, 2.6% (7/266); summer, 3.9% (13/335); fall, 1.3% (4/302); winter, 1.8% (5/271). The SSI rate was significantly higher in summer than non-summer (3.9% vs. 1.9%, p < 0.05). SSIs were caused by a variety of pathogens, including Gram-positive cocci, and Staphylococcus aureus was the most common pathogenic organism to cause SSI.
Seasonality should be taken into account in strategies for SSI prevention, with particular attention on mitigation of increased temperature and humidity in the summer and on infection caused by Gram-positive cocci and S. aureus.</abstract><pub>Elsevier B.V</pub><doi>10.1016/j.jos.2020.05.015</doi><tpages>5</tpages></addata></record> |
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| title | Seasonal variation in incidence and causal organism of surgical site infection after PLIF/TLIF surgery: A multicenter study |
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