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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 79(4)

Intrawound Vancomycin powder as the prophylaxis of surgical site infection after invasive spine surgery with a high risk of infection

https://doi.org/10.18999/nagjms.79.4.545
https://doi.org/10.18999/nagjms.79.4.545
c8e77581-b7fc-4f4a-b893-942af16eb85d
名前 / ファイル ライセンス アクション
13_Hida.pdf 13_Hida.pdf (527.1 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2017-11-24
タイトル
タイトル Intrawound Vancomycin powder as the prophylaxis of surgical site infection after invasive spine surgery with a high risk of infection
著者 Hida, Tetsuro

× Hida, Tetsuro

WEKO 74168

Hida, Tetsuro

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Ando, Kei

× Ando, Kei

WEKO 74169

Ando, Kei

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Kobayashi, Kazuyoshi

× Kobayashi, Kazuyoshi

WEKO 74170

Kobayashi, Kazuyoshi

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Ito, Kenyu

× Ito, Kenyu

WEKO 74171

Ito, Kenyu

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Tsushima, Mikito

× Tsushima, Mikito

WEKO 74172

Tsushima, Mikito

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Matsumoto, Akiyuki

× Matsumoto, Akiyuki

WEKO 74173

Matsumoto, Akiyuki

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Morozumi, Masayoshi

× Morozumi, Masayoshi

WEKO 74174

Morozumi, Masayoshi

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Tanaka, Satoshi

× Tanaka, Satoshi

WEKO 74175

Tanaka, Satoshi

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Machino, Masaaki

× Machino, Masaaki

WEKO 74176

Machino, Masaaki

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Ota, Kyotaro

× Ota, Kyotaro

WEKO 74177

Ota, Kyotaro

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Kanbara, Shunsuke

× Kanbara, Shunsuke

WEKO 74178

Kanbara, Shunsuke

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Ito, Sadayuki

× Ito, Sadayuki

WEKO 74179

Ito, Sadayuki

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Nishida, Yoshihiro

× Nishida, Yoshihiro

WEKO 74180

Nishida, Yoshihiro

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Ishiguro, Naoki

× Ishiguro, Naoki

WEKO 74181

Ishiguro, Naoki

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Imagama, Shiro

× Imagama, Shiro

WEKO 74182

Imagama, Shiro

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キーワード
主題Scheme Other
主題 surgical site infection
キーワード
主題Scheme Other
主題 vancomycin hydrochloride
キーワード
主題Scheme Other
主題 intrawound administration
キーワード
主題Scheme Other
主題 local administration
キーワード
主題Scheme Other
主題 spine surgery
抄録
内容記述 Surgical site infections (SSIs) are one of the most serious complications in spine surgery. We investigated the efficacy of locally administered vancomycin (VCM) powder for prophylaxis on SSI after invasive spine surgery. We retrospectively studied 174 consecutive patients who underwent spine surgery. In patients of the VCM group (n = 81), VCM powder was administered in the wound before closing wound. Patients who did not receive VCM treatment were set as a control group (n = 93). We compared the patients’ background, operation time, intraoperative blood loss, usage of implants, presence of deep SSI, and side effects between the two groups. There were no significant differences between the groups in age, gender, and BMI. The operation time and the intraoperative blood loss were longer and greater in the VCM group than in the control group (P < 0.005, P < 0.001, respectively). Implants were used in 85% of the VCM group, and in 31% of the control group (P < 0.001). Deep SSI was not observed in the VCM group, whereas it was observed in 4 patients in the control group. No side effects were observed in any of the cases. In conclusion, surgeons applied VCM for cases which were invasive or had a high risk of infection. However, deep SSI was not observed in anyone in the VCM group. The intrawound administration of VCM might be effective to prevent SSI in cases with high risks of infection.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.79.4.545
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 79, 号 4, p. 545-550, 発行日 2017-11
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/794.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/27123
識別子タイプ HDL
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