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Is a Drain Tip Culture Required After Spinal Surgery?
http://hdl.handle.net/2237/00028403
http://hdl.handle.net/2237/0002840364fb4507-22b8-4875-a0c0-a6cbea740f22
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
Is_a_drain_tip_culture (241.1 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||
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| 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× Imagama, Shiro× Ito, Zenya× Ando, Kei× Yagi, Hideki× Hida, Tetsuro× Ito, Kenyu× Ishikawa, Yoshimoto× Tsushima, Mikito× Ishiguro, Naoki |
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| 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 | ||||||
| 内容記述タイプ | Abstract | |||||
| 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 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | ファイル公開：2018/10/01 | |||||
| 言語 | ja | |||||
| 出版者 | ||||||
| 出版者 | Wolters Kluwer Health | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | 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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| 著者版フラグ | ||||||
| 値 | author | |||||
