2015
DOI: 10.3171/2014.10.spine14559
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Postoperative infection in spine surgery: does the month matter?

Abstract: OBJECT The relationship between time of year and surgical site infection (SSI) following neurosurgical procedures is poorly understood. Authors of previous reports have demonstrated that rates of SSI following neurosurgical procedures performed during the summer months were higher compared with rates during other seasons. It is unclear, however, if this difference was related to climatological changes or inexperienced medical trainees (the July effect). The aim of th… Show more

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Cited by 58 publications
(78 citation statements)
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References 35 publications
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“…Encouraging is the recent publication of a prospectively Table 1 gathered spinal SSI population meeting CDC criteria, although those patients did not have the same increased risk as our patient population of universally having an intraoperative drain placed. 19 An interesting finding was the prevalence of P. acnes, which occurred as frequently as MSSA and MRSA in our series and comprised 10% of the culturepositive organisms found in our series (Table 1); this incidence is consistent with recent literature. [20][21] Also consistent with the majority of the postoperative spinal infection literature was that our most common causative organism was S. aureus (comprising 20% of International Journal of Spine Surgerythe culture-positive organisms in our study) with coagulase-negative staphylococcus and E. coli comprising a significant representation as well.…”
Section: -211-13supporting
confidence: 81%
See 1 more Smart Citation
“…Encouraging is the recent publication of a prospectively Table 1 gathered spinal SSI population meeting CDC criteria, although those patients did not have the same increased risk as our patient population of universally having an intraoperative drain placed. 19 An interesting finding was the prevalence of P. acnes, which occurred as frequently as MSSA and MRSA in our series and comprised 10% of the culturepositive organisms found in our series (Table 1); this incidence is consistent with recent literature. [20][21] Also consistent with the majority of the postoperative spinal infection literature was that our most common causative organism was S. aureus (comprising 20% of International Journal of Spine Surgerythe culture-positive organisms in our study) with coagulase-negative staphylococcus and E. coli comprising a significant representation as well.…”
Section: -211-13supporting
confidence: 81%
“…[20][21] Also consistent with the majority of the postoperative spinal infection literature was that our most common causative organism was S. aureus (comprising 20% of International Journal of Spine Surgerythe culture-positive organisms in our study) with coagulase-negative staphylococcus and E. coli comprising a significant representation as well. 19,[22][23][24][25] In conclusion our series, which represents one of the first analyses of prospectively collected thoracolumbar postoperative spine infections meeting CDC criteria, revealed an overall infection incidence of 12.7%, of which only 50% grew organisms on culture. The three most common organisms in our analysis (S. aureus, P. acnes, E. coli) are consistent with previous reports.…”
Section: -211-13mentioning
confidence: 99%
“…Particularly in orthopedics, Gruskay et al demonstrated a statistically significant increase in post-operative infection rate in summer (4.1%) vs. spring (2.8%; P=0.03) following spine surgery (13). Furthermore, Durkin et al confirmed the higher rate of superficial skin infection following spine surgery during the summer, and since their study was performed in a nonteaching hospital, they attributed the increases in the rate of complications during the summer to be related to ecological and/or environmental factors rather than the July effect (14).…”
Section: Introductionsupporting
confidence: 52%
“…For example, some studies have demonstrated an increased incidence of SSIs for surgeries performed during summer months. 12,2224 …”
Section: Introductionmentioning
confidence: 99%