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Master Thesis

Prise en charge médicochirurgicale des infections de site opératoire sur rachis thoracolombaire instrumenté : facteurs de risque de mauvaise évolution

Abstract : Surgical site infection (SSI) after thoracolumbar osteosynthesis is a common complication. Its diagnosic and therapeutic management relies on the surgeon-infectiologist tandem. Sometimes infection persists despite this treatment. The aim of our study was to assess the number and occurence of SSI management failure. A retrospective cohort made up of patients hospitalized from 2011 to 2019 at University Hospital of Caen was carried out. The infection rate as well as the time to onset of failure were assessed with a minimum follow-up of 1 year. We compared the failure group with the good evolution group in order to determine risk factors for treatment failure. A total of 92 patients were included in the study corresponding to an SSI rate of 3%. 36% of the patients presented a failure of management. The mean duration of follow-up was 26.5 months with a median onset of failure of 31 days. The risk factors for failure identified were diabete mellitus, multi-microbial infection and the lack of antibiotic therapy delivered as recommended. The prolonged duration of post-operative drainage was a protective factor. The number of failures was significant and occured early in the care. Some of the risk factors identified were modifiable, and a prolonged duration of post-operative drainage seems recommended. The results underline the importance of strict monitoring of thoracolumbar SSI by experts in osteo-articular infections field in order to reduce the risk of failure.
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https://dumas.ccsd.cnrs.fr/dumas-03330934
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Submitted on : Wednesday, September 1, 2021 - 12:53:57 PM
Last modification on : Thursday, September 9, 2021 - 3:30:59 AM

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  • HAL Id : dumas-03330934, version 1

Citation

Paul Frechon. Prise en charge médicochirurgicale des infections de site opératoire sur rachis thoracolombaire instrumenté : facteurs de risque de mauvaise évolution. Médecine humaine et pathologie. 2021. ⟨dumas-03330934⟩

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