Prophylactic Intrawound Application of Vancomycin Powder in Instrumented Spinal Fusion Surgery
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김현수 | - |
dc.contributor.author | 이상구 | - |
dc.contributor.author | 김우경 | - |
dc.contributor.author | 박찬우 | - |
dc.contributor.author | 손성 | - |
dc.date.available | 2020-02-29T02:44:05Z | - |
dc.date.created | 2020-02-12 | - |
dc.date.issued | 2013-09 | - |
dc.identifier.issn | 1738-2262 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/15371 | - |
dc.description.abstract | Objective: We evaluated the effect of intrawound application of vancomycin powder for infection prophylaxis in wounds caused by instrumented spinal surgery. Methods: From July 2012 to December 2012, 74 instrumented spinal fusion procedures were performed by 1 neurosurgeon at a single institute. We divided the patients into 2 groups, depending on the use of local application of vancomycin powder: Group A (intrawound application of vancomycin powder with perioperative intravenous cefazolin) and Group B (perioperative intravenous cefazolin alone). A retrospective cohort comparative study was conducted between the 2 groups. The age, sex, comorbidities, smoking, surgical procedure, and surgical site infection (SSI) of consecutive patients were analyzed. Results: Among the 74 patients, 34 patients were assigned to group A and 40 patients to group B. No wound infections were found in group A. However, in group B, 5 cases of SSI (12.5%) were found. A statistically significant reduction in SSI incidence was observed in group A (p<0.033). The 5 cases of SSI in group B consisted of 3 cases of deep wound infection and 2 cases of superficial wound infection. All SSIs were found in cases of posterior approach surgery and tended to be more frequent in older patients. Conclusion: Adjunctive intrawound local application of vancomycin powder is a simple uncomplicated procedure and can result in a significant reduction of SSI in instrumented spinal fusions. Furthermore, culture of the drainage tip is very important for confirmation of deep wound infection. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.language.iso | en | - |
dc.publisher | 대한척추신경외과학회 | - |
dc.relation.isPartOf | 대한척추신경외과학회지 | - |
dc.title | Prophylactic Intrawound Application of Vancomycin Powder in Instrumented Spinal Fusion Surgery | - |
dc.type | Article | - |
dc.type.rims | ART | - |
dc.description.journalClass | 2 | - |
dc.identifier.doi | 10.14245/kjs.2013.10.3.121 | - |
dc.identifier.bibliographicCitation | 대한척추신경외과학회지, v.10, no.3, pp.121 - 125 | - |
dc.identifier.kciid | ART001806259 | - |
dc.description.isOpenAccess | N | - |
dc.citation.endPage | 125 | - |
dc.citation.startPage | 121 | - |
dc.citation.title | 대한척추신경외과학회지 | - |
dc.citation.volume | 10 | - |
dc.citation.number | 3 | - |
dc.contributor.affiliatedAuthor | 김현수 | - |
dc.contributor.affiliatedAuthor | 이상구 | - |
dc.contributor.affiliatedAuthor | 김우경 | - |
dc.contributor.affiliatedAuthor | 박찬우 | - |
dc.contributor.affiliatedAuthor | 손성 | - |
dc.subject.keywordAuthor | Wound infection | - |
dc.subject.keywordAuthor | Spine | - |
dc.subject.keywordAuthor | Instrumentation | - |
dc.subject.keywordAuthor | Vancomycin | - |
dc.description.journalRegisteredClass | kci | - |
dc.description.journalRegisteredClass | other | - |
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