Iranian Journal of Neurosurgery
مجله جراحی مغز و اعصاب ایران
Iran J Neurosurg
Medical Sciences
http://irjns.org
1
admin
2423-6497
2423-6829
10.32598/irjns
en
jalali
1400
10
1
gregorian
2022
1
1
8
1
online
1
fulltext
en
Management and Prevention of Surgical Site Infections in Spine Surgery in a Resource Poor Setting: The Irrua Protocol
Basic Neurosurgery
Review
<div style="text-align: justify;"><span style="font-size:11pt"><span style="line-height:200%"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">Background and Aim: </span></span></span></b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">Surgical site infections (SSIs) in spine surgeries represent one of the most common hospital-acquired infections. SSI (refers to surgical wound infection within 30 days of surgery or 1 year after implant) portends a huge disease burden with devastating consequences for the patient and the hospital facilities with physical and psychological trauma to the patient and it is associated with an increased rate of morbidity and mortality. Despite improvements in the surgical protocol for asepsis and the role of prophylactic antibiotics in clean spine surgeries, a substantial increase still exists in the rate of SSIs. It is essential to review and identify factors predisposing patients with spinal problems to SSIs and its goal is to formulate a local protocol that helps to curtail SSIs and can be replicated in any setting in the world, considering the limitations of our setting.</span></span></span><b> </b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">This study aims to review the risk factors for SSI following spine surgeries considering a 54-year-old woman with obesity who had SSI and highlights prevention ways. </span></span></span><b><span style="font-size:12.0pt"><span style="line-height:200%"><span style="font-family:"Times New Roman",serif"></span></span></span></b></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:200%"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">Methods and Materials/Patients: </span></span></span></b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">This study includes the search of the literature using several platforms, such as Google Scholar, Hinari, PubMed, Academia, and other search engines with related keywords to surgical site infections in spine surgery. The retrieved articles were reviewed and in some parts, the narrative case of the 54-year-old obese woman was discussed in the</span></span></span><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""> literature. </span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:200%"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">Results: </span></span></span></b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">A total of 37 articles were found that matched the search words and satisfied the objective of the study. These articles were reviewed and used in writing this manuscript.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:200%"><span calibri="" style="font-family:"><b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times="">Conclusion:</span></span></span></b><span style="font-size:12.0pt"><span style="line-height:200%"><span new="" roman="" style="font-family:" times=""> SSIs are on the increase, and identifying risk factors on a patient basis is key to prevention. Protocol on preventive measures should be strictly followed to avoid catastrophes associated with SSIs.</span></span></span></span></span></span><br>
</div>
Surgical site infection (SSI), Predisposing factors, Challenges, Prevention, Local protocol
0
0
http://irjns.org/browse.php?a_code=A-10-509-1&slc_lang=en&sid=1
Eghosa
Morgan
eghosa.morgan@npmcn.edu.ng
10031947532846009312
10031947532846009312
Yes
Department of Surgery, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria
John
Enekele Onuminya
10031947532846009313
10031947532846009313
No
Department of Orthopedic and Traumatology, Spine Unit, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria AND Department of Orthopedic and Traumatology, Spine Unit, Ambrose Alli University, Ekpoma, Edo State, Nigeria
Edward
Poluyi
10031947532846009314
10031947532846009314
No
Department of Surgery, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria
Itaman
Usifoh
10031947532846009315
10031947532846009315
No
Department of Surgery, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria