Risk factors and care of early surgical site infection after primary posterior lumbar interbody fusion
Article Category: Original Article
Published Online: Jun 22, 2023
Page range: 203 - 211
Received: Oct 30, 2022
Accepted: Dec 11, 2022
DOI: https://doi.org/10.2478/fon-2023-0021
Keywords
© 2023 Xiao-Lin Zuo et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.
Objectives
To explore the risk factors and nursing measures of early surgical site infection (SSI) after posterior lumbar interbody fusion (PLIF).
Methods
A total of 468 patients who received PLIF in our hospital from January 2017 to June 2020 were enrolled into this study. According to the occurrence of early SSI, the patients were divided into two groups, and the general data were analyzed by univariate analysis. Multivariate logistic regression analysis was conducted with the dichotomous variable of whether early SSI occurred and other factors as independent variables to identify the risk factors of early SSI and put forward targeted prevention and nursing measures.
Results
Among 468 patients with PLIF, 18 patients developed early SSI (3.85%). The proportion of female, age, diabetes mellitus and urinary tract infection (UTI), operation segment, operation time, post-operative drainage volume, and drainage time were significantly higher than those in the uninfected group, with statistical significance (
Conclusions
Women, preoperative diabetes/UTI, hypoproteinemia, and prolonged drainage time are risk factors for early SSI after PLIF. Clinical effective preventive measures should be taken in combination with targeted nursing intervention to reduce the risk of early SSI.