Risk factors and care of early surgical site infection after primary posterior lumbar interbody fusion

作     者：Xiao-Lin Zuo Yan Wen Xiao-Lin Zuo;Yan Wen

作者机构：Orthopedic traumaLuohe Central Hospital(The First Affiliated Hospital of Luohe Medical College)LuoheHenan 462000China Department of NursingLuohe Central Hospital(The First Affiliated Hospital of Luohe Medical College)LuoheHenan 462000China 

出 版 物：《Frontiers of Nursing》 (护理前沿（英文）)

年 卷 期：2023年第10卷第2期

页      面：203-211页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：incisional infection nursing measures posterior lumbar interbody fusion risk factors multivariate regression analysis 

摘      要：Objectives:To explore the risk factors and nursing measures of early surgical site infection(SSI)after posterior lumbar interbody fusion(PLIF).Methods:A total of 468 patients who received PLIF in our hospital from January 2017 to June 2020 were enrolled into this *** to the occurrence of early SSI,the patients were divided into two groups,and the general data were analyzed by univariate *** logistic regression analysis was conducted with the dichotomous variable of whether early SSI occurred and other factors as independent variables to identify the risk factors of early SSI and put forward targeted prevention and nursing ***:Among 468 patients with PLIF,18 patients developed early SSI(3.85%).The proportion of female,age,diabetes mellitus and urinary tract infection(UTI),operation segment,operation time,post-operative drainage volume,and drainage time were significantly higher than those in the uninfected group,with statistical significance(P0.05).Logistic regression analysis showed that preoperative diabetes mellitus(OR=2.109,P=0.012)/UTI(OR=1.526,P=0.035),prolonged drainage time(OR=1.639,P=0.029)were risk factors for early ***(OR=0.736,P=0.027)and albumin level(OR=0.526,P=0.004)were protective factors in reducing early ***:Women,preoperative diabetes/UTI,hypoproteinemia,and prolonged drainage time are risk factors for early SSI after *** effective preventive measures should be taken in combination with targeted nursing intervention to reduce the risk of early SSI.