Issue |
SICOT-J
Volume 7, 2021
|
|
---|---|---|
Article Number | 31 | |
Number of page(s) | 7 | |
Section | Spine | |
DOI | https://doi.org/10.1051/sicotj/2021029 | |
Published online | 10 May 2021 |
Original Article
Perioperative antibiotic prophylaxis in spinal surgery
1
Department of Orthopaedic and Trauma Surgery, Assiut University Hospitals, 71515
Assiut, Egypt
2
Spine Center, Helios Klinikum Erfurt, Nordhaeuser Street 7, 99089
Erfurt, Germany
* Corresponding author: ahmed.shawky@aun.edu.eg, ahmed.shawky@helios-gesundheit.de
Received:
14
January
2021
Accepted:
17
April
2021
Study design: Complete audit cycle. Introduction: To highlight the unjustified overuse of perioperative antibiotics in clean non-instrumented lumbar spinal surgeries. To convince orthopedic surgeons in a methodological way of local field comparison between common practice on the use of perioperative antibiotics prophylaxis (PAP) in clean non-instrumented lumbar spinal surgeries and the ideal practice according to “The guidelines published by North American Spine Society (NASS)”. Methods: A complete audit cycle had been done. One hundred and eight patients underwent clean non-instrumented lumbar spinal surgeries in a tertiary spine center, during the period from the 1st of April to the 31st of June 2017 (primary audit period) and during the period from the 8th of May to the 21st of November 2018 (re-audit period). Group I: audit group (n = 54) was given the usual regimen (IV first-generation cephalosporin for 1–6 days, followed by oral antibiotics, till the removal of stitches) and Group II: re-audit group (n = 54) received only the IV antibiotics for one day). The study protocol was approved by our institution’s Ethical Committee (17100582). Results: This study showed a wide gap between international standards and local prescribing practices and calls for multiple interventions to improve our practice. Out of the 108 patients, only one case (1.85%) developed surgical site infection (SSI) in the audit group (Group I). The difference in infection rates between the two groups was statistically insignificant. Conclusion: A single-day postoperative dose of antibiotics effectively prevents postoperative wound infection following non-instrumented lumbar spinal surgery and is not associated with a higher infection rate.
Key words: Antibiotic prophylaxis / Lumbar spinal surgeries / Surgical site infection / First-generation cephalosporin / Clinical audit
© The Authors, published by EDP Sciences, 2021
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Current usage metrics show cumulative count of Article Views (full-text article views including HTML views, PDF and ePub downloads, according to the available data) and Abstracts Views on Vision4Press platform.
Data correspond to usage on the plateform after 2015. The current usage metrics is available 48-96 hours after online publication and is updated daily on week days.
Initial download of the metrics may take a while.