BÜLENT KAYA, SUZAN SAHİN, SERAP DEMİR TEKOL, EVREN AYDOGMUS
Southern Clinics of Istanbul Eurasia - 2024;35(4):317-321
Objective: 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. Conclusion: The main goal should be to prevent surgical site infections (SSIs) after laminectomy surgery, rather than treating.
