Collaboration with an infection control team for patients with infection after spine surgery


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Abstract

HIGHLIGHTSThe risk of infection after spine surgery has increased due to aging of society.An infection control team (ICT) manages infected cases at our hospital.The ICT guided use of antibiotics in 30 cases and investigated infection in 10.The bacteria detection rate was 88% (35/40 patients) in cases treated by the ICT.Early assistance from the ICT is a key to preventing onset of MRSA infection.Background:The risk of infection, including surgical site infection (SSI), after spine surgery has increased due to aging and more immunocompromised hosts. An infection control team (ICT) is responsible for management of health care-associated infections at our institution.Methods:The study subjects were 40 patients (18 men and 22 women with an average age of 54 years) referred to the ICT after spine surgery since 2010. Pathogenic bacteria and treatment in these cases were reviewed.Results:Collaboration with the ICT involved guidance on use of antibiotics for infection in 30 patients (16 SSI and 14 non-SSI) and a search for the infection focus for fever of unknown origin in 10 patients (7 patients were found to have urinary tract infections and 2 patients were found to have pneumonia). The detection rate of causative bacteria in ICT consultation was 88% (35 out of 40 patients). SSI patients with instrumentation involved had a significantly higher rate of methicillin-resistant Staphylococcus aureus infection compared with those without instrumentation (42% vs 13%; P < .05).Discussion:All cases of SSI with instrumentation involved were cured by ICT support without removal of instrumentation. Early assistance from the ICT was important for prevention of worsening of methicillin-resistant S aureus infection.Conclusions:Collaboration with the ICT was helpful for detection of pathogenic bacteria and allowed appropriate use of antibiotics at an early stage.

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