| ○種別 (必須): | □ | 学術論文 (審査論文)
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| ○言語 (必須): | □ | 英語
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| ○カテゴリ (推奨): |
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| ○学究種別 (推奨): |
| ○組織 (推奨): |
| ○著者 (必須): | 1. | (英) Takashi Chikawa (日) (読)
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| 2. | 酒井 紀典 ([徳島大学.病院.中央診療施設等.高度先進整形外科診療部])
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| 3. | (英) Nitin N. Bhatia (日) (読)
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| 4. | 西良 浩一 ([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.運動機能外科学])
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| 5. | (英) Risa Utsunomiya (日) (読)
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| 6. | (英) Masaru Nakamura (日) (読)
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| 7. | 中野 俊次
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| 8. | (英) Takeaki Shimakawa (日) (読)
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| 9. | (英) Akira Minato (日) (読)
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| ○題名 (必須): | □ | (英) Retrospective Study of Deep Surgical Site Infections Following Spinal Surgery and the Effectiveness of Continuous Irrigation. (日)
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| ○要約 (任意): | □ | (英) Surgical site infection (SSI) is an unfortunate and unpreventable complication of any surgical intervention including spinal surgery. Early deep SSI (EDSSI) after instrumented spinal fusion are particularly difficult to manage due to the implanted, and possibly infected, instrumentation. The purpose of this study is to retrospectively review patients who underwent spinal surgery, investigate the rate of EDSSI, identify patient-related and surgery-related risk factors and to assess the effectiveness of continuous indwelling irrigation on the eradication of these infections. A total of 814 patients (319 women and 495 men) who underwent spinal surgery were enrolled. Mean age at the initial surgery was 57.4 years old. Infections that penetrated the deep fascia within 1 month after the initial operation were considered as EDSSI. The rate of EDSSI, causal organisms, infection management and resolution were studied. Furthermore, we examined the patient-related and the operation-related risk factors. An overall incidence of EDSSI of 1.1% was found. In 177 patients with diabetes mellitus (DM), two patients (1.1%) developed EDSSI. In 28 patients receiving chronic haemodialysis (HD), two patients with infections (7.1%) were identified, which was statistically significantly greater than the other patient populations. Both operative time and intraoperative blood loss were significantly greater in patients with EDSSI than in non-infected patients. Furthermore, the rate of EDSSI in patients undergoing instrumented spinal fusion (3.8%) was significantly higher than that in the other patients. In the nine patients who developed EDSSI, the causal organisms were identified and treated by surgical debridement, antibiotic therapy and continuous indwelling surgical site irrigation. All infections resolved, and no recurrence has been observed at final follow-up. Removal of the instrumentation was required in only one patient. Based on our results, we believe that continuous surgical site irrigation is an effective adjunct in the surgical treatment for early SSI following spinal surgery. (日)
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| ○キーワード (推奨): | 1. | (英) Adolescent (日) (読)
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| 2. | (英) Adult (日) (読)
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| 3. | (英) Aged (日) (読)
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| 4. | (英) Aged, 80 and over (日) (読)
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| 5. | (英) Anti-Bacterial Agents (日) (読)
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| 6. | (英) Blood Loss, Surgical (日) (読)
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| 7. | (英) Debridement (日) (読)
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| 8. | (英) Diabetes Mellitus (日) (読)
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| 9. | (英) Fascia (日) (読)
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| 10. | (英) Female (日) (読)
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| 11. | (英) Humans (日) (読)
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| 12. | (英) Incidence (日) (読)
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| 13. | (英) Male (日) (読)
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| 14. | (英) Middle Aged (日) (読)
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| 15. | (英) Orthopedic Fixation Devices (日) (読)
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| 16. | (英) Prosthesis-Related Infections (日) (読)
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| 17. | (英) Renal Dialysis (日) (読)
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| 18. | (英) Retrospective Studies (日) (読)
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| 19. | (英) Risk Factors (日) (読)
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| 20. | (英) Spinal Fusion (日) (読)
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| 21. | (英) Surgical Wound Infection (日) (読)
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| 22. | (英) Therapeutic Irrigation (日) (読)
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| 23. | (英) Time Factors (日) (読)
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| 24. | (英) Treatment Outcome (日) (読)
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| 25. | (英) Young Adult (日) (読)
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| ○発行所 (推奨): |
| ○誌名 (必須): | □ | British Journal of Neurosurgery (Informa Healthcare)
(pISSN: 0268-8697, eISSN: 1360-046X)
| ○ISSN (任意): | □ | 1360-046X
ISSN: 0268-8697
(pISSN: 0268-8697, eISSN: 1360-046X) Title: British journal of neurosurgeryTitle(ISO): Br J NeurosurgPublisher: Taylor & Francis (NLM Catalog)
(Scopus)
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| ○巻 (必須): | □ | 25
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| ○号 (必須): | □ | 5
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| ○頁 (必須): | □ | 621 624
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| ○都市 (任意): |
| ○年月日 (必須): | □ | 西暦 2011年 10月 初日 (平成 23年 10月 初日)
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| ○URL (任意): |
| ○DOI (任意): | □ | 10.3109/02688697.2010.546902 (→Scopusで検索)
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| ○PMID (任意): | □ | 21848439 (→Scopusで検索)
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| ○CRID (任意): |
| ○WOS (任意): | □ | 000294009100008
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| ○備考 (任意): | 1. | (英) Article.Affiliation: Department of Orthopedic Surgery, Tokushima Municipal Hospital, Tokushima, Japan. takashi07315005@yahoo.co.jp (日)
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| 2. | (英) Article.PublicationTypeList.PublicationType: Journal Article (日)
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