South Clin Ist Euras. 2024; 35(4): 317-321 | DOI: 10.14744/scie.2024.59455

Laminectomy Infections

Bülent Kaya¹, Suzan Sahin¹, Serap Demir Tekol², Evren Aydogmus^3
1Department of Infectious Diseases and Clinical Microbiology, Kartal Dr. Lütfi Kýrdar City Hospital, Istanbul, Türkiye
²Department of Microbiology, Kartal Dr. Lütfi Kýrdar City Hospital, Istanbul, Türkiye
³Department of Neurosurgery, Kartal Dr. Lütfi Kýrdar City Hospital, Istanbul, Türkiye

INTRODUCTION: Hematoma, infections, and wound dehiscence are the most common causes of readmission following laminectomy operations. The aim of this study was to identify and prevent infectious agents to reduce additional costs and mortality.
METHODS: A retrospective analysis was conducted on 4295 laminectomies performed over a 7-year period. The study included 30 infected adult patients and 40 isolated microorganisms. The analysis determined demographic data, risk factors, isolated microorganisms, and resistance patterns.
RESULTS: Out of 4295 laminectomy operations, only 30 patients (0.7%) developed surgical site infections (SSIs). The median age of the patients was 55.18 years, and the median duration of hospitalization was 35.54 days. Of the patients, 56.7% were female and 43.3% were male. The risk factors for SSI were the use of peripheral venous catheters (93.3%), urinary catheters (26.7%), and central venous catheters (16.7%). The isolated agents were A.baumannii, K.pneumoniae, and E.coli, which accounted for only 50% of the total cases.
DISCUSSION AND CONCLUSION: The main goal should be to prevent surgical site infections (SSIs) after laminectomy surgery, rather than treating.

Keywords: Laminectomy, spondylolisthesis, surgical site infections.

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Laminektomi Enfeksiyonlarý

Bülent Kaya¹, Suzan Sahin¹, Serap Demir Tekol², Evren Aydogmus^3
1
2
3

GÝRÝÞ ve AMAÇ: Laminektomi ameliyatlarýna baðlý yeniden yatýþlarýn en sýk nedenleri hematom, enfeksiyonlar ve yara açýlmasýdýr. Ek maliyetleri ve mortaliteyi engellemek için enfeksiyon etkenlerinin belirlenip önlenmesi amaçlandý.
YÖNTEM ve GEREÇLER: Yedi yýllýk süreçte yapýlan 4295 laminektomi ameliyatý retrospektif olarak irdelendi. Enfekte olan 30 eriþkin hasta ve bunlardan izole edilen 40 mikroorganizma çalýþmaya dahil edildi. Hastalarýn demografik verileri, risk faktörleri, izole edilen mikroorganizmalar ve direnç paternleri belirlendi.
BULGULAR: 4295 laminektomi ameliyatýnýn 30’unda (%0.7) cerrahi alan enfeksiyonu (CAE) geliþti. Hastalarýn %56.7’si kadýn, %43.3’ü erkek olup ortanca yaþlarý 55.18 yýl, ortanca hastane yatýþý 35.54 gündü. CAE için risk faktörleri periferik venöz kateter (%93.3), üriner kateter (%26.7) ve santral venöz kateter (%16.7) kullanýmýydý. Ýzole edilen etkenlerin sadece %50’si A.baumannii, K.pneumoniae ve E.coli’den ibaretti.
TARTIÞMA ve SONUÇ: Laminektomi ameliyatlarýndan sonra geliþen CAE’yý tedavi etmek yerine, oluþmasýný engellemek primer amaç olmalýdýr.

Anahtar Kelimeler: Cerrahi alan enfeksiyonlarý, laminektomi, spondilolistezis.

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