Ｐｒｅｖｅｎｔｉｎｇ Surgical Site Infection in Older Patients after

Spine Surgery

Application and Efficacy of Nutrition Support Team

Shunji Matsunaga, Hiroaki Koga, Miyaguchi Fumihiro

Imakiire General Hospital, Kagoshima , Japan

Setsuro Komiya

Dept.of Orthop. Surg. Kagoshima University Kagoshima, Japan

EuroSpine 2010

2010/9/15 Vienna

Incidence on Japanese Spine Surgery

　　　

Surgical Site Infection (SSI)

The incidence of SSI in elderly patient 　 ?

0.5 ％～ 14 ％

Purpose

To investigate of incidence of SSI

in elderly patients with spine

surgery

To clarify the efficacy of nutrition

support team therapy for SSI

prevention

Subjects for Analysis

927 patients who underwent

spine surgery in our hospital

from 2000~2008

> 65 yrs: 424 patients

< 65 yrs: 503 patients

=

The rate of elderly (>65 yrs) patients with spine surgery％

0

10

20

30

40

50

60

2000 2001 2002

2003 2004 2005 2006 2007 2008

Male

Female

Total

Yrs

=

Incidence of SSI

Total

Total patients 　　　 35/927 （ 3.8 ％）　 　8 （ 0.9 ％）

>65Yrs 　　 19/424 （ 4.5 ％）　　 6 （ 1.4 ％）

<65Yrs 　　　　 5/503 （ 1.0 ％）　　 2 （ 0.4 ％）

Deep SSI

=

The relationship with serum protein and SSI

0

1

2

3

4

5

6

7

8

Male Female

>6.5 /ｇ ｄｌ<6.5 /ｇ ｄｌ

* ＜ 0.05

*

*

SSI 　(%)

=

Introduce nutrition support team (NST) for spine surgery in elderly patients

Daily oral health care

Correction of poor nutrition status 　 by transfusion

From 2006

Pre and Post-operative Management

After

Before

Oral Health Care by NST

Effect of NST on preventing SSI for elderly

Yrs

(％ )SSI

0

0.5

1

1.5

2

2.5

3

3.5

4

4.5

5

5.5

6

2000 2001 2002 2003 2004 2005 2006 2007 2008

Introduce of NST

Conclusion

NST management

should be introduced

for SSI prevention in

elderly patients with

spine surgery.

Disclosure Information

We hereby prove that neither I

nor any co-authors of the Work

or our family members have any

financial relationship with any

commercial entity that has an

interest in the subject matter or

materials discussed in the Work.