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  1. C100 医学部/医学系研究科
  2. C100a 雑誌掲載論文
  3. 学術雑誌

Is a Drain Tip Culture Required After Spinal Surgery?

http://hdl.handle.net/2237/00028403
http://hdl.handle.net/2237/00028403
64fb4507-22b8-4875-a0c0-a6cbea740f22
名前 / ファイル ライセンス アクション
Is_a_drain_tip_culture.pdf Is_a_drain_tip_culture (241.1 kB)
Item type 学術雑誌論文 / Journal Article(1)
公開日 2018-08-01
タイトル
タイトル Is a Drain Tip Culture Required After Spinal Surgery?
言語 en
著者 Kobayashi, Kazuyoshi

× Kobayashi, Kazuyoshi

WEKO 78582

en Kobayashi, Kazuyoshi

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Imagama, Shiro

× Imagama, Shiro

WEKO 78583

en Imagama, Shiro

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Ito, Zenya

× Ito, Zenya

WEKO 78584

en Ito, Zenya

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Ando, Kei

× Ando, Kei

WEKO 78585

en Ando, Kei

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Yagi, Hideki

× Yagi, Hideki

WEKO 78586

en Yagi, Hideki

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Hida, Tetsuro

× Hida, Tetsuro

WEKO 78587

en Hida, Tetsuro

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Ito, Kenyu

× Ito, Kenyu

WEKO 78588

en Ito, Kenyu

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Ishikawa, Yoshimoto

× Ishikawa, Yoshimoto

WEKO 78589

en Ishikawa, Yoshimoto

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Tsushima, Mikito

× Tsushima, Mikito

WEKO 78590

en Tsushima, Mikito

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Ishiguro, Naoki

× Ishiguro, Naoki

WEKO 78591

en Ishiguro, Naoki

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利
言語 en
権利情報 This is a non-final version of an article published in final form in (Clinical Spine Surgery. v.30, n.8, 2017, p.356-359).
抄録
内容記述 Study Design: The efficacy of use of a drain tip culture for early detection of surgical-site infection (SSI) was investigated in 329 patients after spinal surgery. Objective: To examine the efficacy of a wound drain tip culture for detection of SSI in spinal surgery. Summary of Background Data: A complication of SSI after spinal surgery has high associated morbidity and mortality, and is often difficult to treat. Materials and Methods: The subjects were patients who underwent spinal surgery at our institution between January 2010 and March 2013. All subjects were treated with antimicrobial prophylaxis based on evidence-based guidelines and were followed for at least 6 months after surgery. Data from culture studies using the distal tip of the wound drain were used for analysis. Results: Drain tip cultures were positive in 34 cases and there were 19 SSIs. Ten of the 34-tip culture-positive wounds developed SSI. Drain tip cultures had a sensitivity of 52%, specificity of 92%, positive predictive value (PPV) of 29%, and negative predictive value of 97% for predicting a wound infection. The association between a positive suction tip culture and wound infection was significant (P<0.05). The PPV for SSI was 60% in cases in which methicillin-resistant bacteria were detected in a drain tip, and the SSI rate in these cases differed significantly compared with those with non–methicillin-resistant bacteria (P=0.01). Conclusions: A drain tip culture is useful for early detection of SSI caused by methicillin-resistant bacteria.
言語 en
内容記述タイプ Abstract
内容記述
内容記述 ファイル公開:2018/10/01
言語 ja
内容記述タイプ Other
出版者
言語 en
出版者 Wolters Kluwer Health
言語
言語 eng
資源タイプ
資源タイプresource http://purl.org/coar/resource_type/c_6501
タイプ journal article
出版タイプ
出版タイプ AM
出版タイプResource http://purl.org/coar/version/c_ab4af688f83e57aa
DOI
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1097/BSD.0000000000000326
ISSN
収録物識別子タイプ PISSN
収録物識別子 2380-0186
書誌情報 en : Clinical Spine Surgery

巻 30, 号 8, p. 356-359, 発行日 2017-10
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