2024
DOI: 10.1126/scitranslmed.adk8222
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Contribution of the patient microbiome to surgical site infection and antibiotic prophylaxis failure in spine surgery

Dustin R. Long,
Chloe Bryson-Cahn,
Adam Waalkes
et al.

Abstract: Despite modern antiseptic techniques, surgical site infection (SSI) remains a leading complication of surgery. However, the origins of SSI and the high rates of antimicrobial resistance observed in these infections are poorly understood. Using instrumented spine surgery as a model of clean (class I) skin incision, we prospectively sampled preoperative microbiomes and postoperative SSI isolates in a cohort of 204 patients. Combining multiple forms of genomic analysis, we correlated the identity, anatomic distri… Show more

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Cited by 7 publications
(1 citation statement)
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“…In broilers, the gut microbiota are well characterized within the ceca and have been directly linked to animal health and performance [42]. Recently, it has been discovered in humans that surgical site infections (SSI) are closely connected to a patient's immediate preoperative microbiome [43]. Despite the inherent differences across species, there are grounds to consider the characterization of broiler gut microbial communities and their impacts on BCO lameness etiology and pathogenesis-particularly concerning the concept of a "leaky gut" and its association with infection of leg bone microfractures in a similar fashion to SSIs.…”
Section: Discussionmentioning
confidence: 99%
“…In broilers, the gut microbiota are well characterized within the ceca and have been directly linked to animal health and performance [42]. Recently, it has been discovered in humans that surgical site infections (SSI) are closely connected to a patient's immediate preoperative microbiome [43]. Despite the inherent differences across species, there are grounds to consider the characterization of broiler gut microbial communities and their impacts on BCO lameness etiology and pathogenesis-particularly concerning the concept of a "leaky gut" and its association with infection of leg bone microfractures in a similar fashion to SSIs.…”
Section: Discussionmentioning
confidence: 99%