Service de chirurgie orthopédique et traumatologie, groupe hospitalier Pitié-Salpêtrière, Assistance publique des Hôpitaux de Paris, 47, boulevard de l'hôpital, 75013 Paris cedex, France.
Orthop Traumatol Surg Res. 2011 Oct;97(6 Suppl):S107-16. doi: 10.1016/j.otsr.2011.07.002.
Among the possible risks of spine surgery, surgical site infection (SSI) is far from negligible. Incidence is higher than in other locomotor system procedures, with more severe local and general impact. Certain broad guidelines can be formulated. The risk of SSI should be taken into account in the choice of treatment options discussed with the patient. Antibiotic prophylaxis, surgical prevention of iatrogenic infection and an SSI surveillance protocol should be implemented. SSI should be suspected in case of any abnormality in postoperative course, and biological and imaging (MRI or CT) measures should be taken. Local sampling for bacteriological identification is mandatory. Treatment strategy should ideally be discussed in a multidisciplinary coordination meeting, and adapted in the light of local bacterial ecology and resistance data. The information provided to the patient should be transparent and adapted to the patient's individual context.
Level V.
在脊柱手术的可能风险中，手术部位感染（SSI）远不能被忽视。其发生率高于其他运动系统手术，具有更严重的局部和全身影响。可以制定一些广泛的指南。在与患者讨论治疗方案时，应考虑 SSI 的风险。应实施抗生素预防、手术预防医源性感染和 SSI 监测方案。如果术后出现任何异常，应怀疑 SSI，并应采取生物和影像学（MRI 或 CT）措施。必须对局部样本进行细菌学鉴定。理想情况下，应在多学科协调会议上讨论治疗策略，并根据当地细菌生态学和耐药数据进行调整。向患者提供的信息应透明，并适应患者的个体情况。
V 级。
