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- Title
Invasive dental procedures as risk factors for postoperative spinal infection and the effect of antibiotic prophylaxis.
- Authors
Sung, Sahyun; Kim, Eun Hwa; Kwon, Ji‐Won; Lee, Jung‐Seok; Lee, Soo‐Bin; Moon, Seong‐Hwan; Lee, Hwan‐Mo; Jung, Inkyung; Lee, Byung Ho
- Abstract
Aim: To identify invasive dental procedures as a risk factor for postoperative spinal infection (PSI) and evaluate the effectiveness of antibiotic prophylaxis. Materials and Methods: We analysed 229,335 patients who underwent spinal surgery with instrumentation from 2010 to 2017, using the nationwide database. The incidence of spinal infection 2 years after surgery was determined. Invasive dental procedures as a risk factor for PSI and the effects of antibiotic prophylaxis during this period were also analysed. Results: A total of 15,346 patients (6.69%) were diagnosed with PSI. It was found that advanced age, male sex, and a high Charlson Comorbidity Index were risk factors for PSI. The risk of PSI did not increase following dental procedures (adjusted hazard ratio [HR] 0.850; 95% confidence interval [CI], 0.793–0.912) and was not affected by antibiotics (adjusted HR 1.097; 95% CI, 0.987–1.218). Patients who received dental treatment as early as 3 months after spinal surgery had the lowest risk of postoperative infection (adjusted HR 0.869; 95% CI, 0.795–0.950). Conclusions: Invasive dental procedure does not increase the risk of PSI, and antibiotic prophylaxis before dental procedure was not effective in preventing spinal infection.
- Subjects
PREVENTION of surgical complications; SPINE diseases; SPINAL surgery; INFECTION risk factors; DENTAL care; PATIENTS; ANTIBIOTIC prophylaxis; TREATMENT effectiveness
- Publication
Journal of Clinical Periodontology, 2021, Vol 48, Issue 9, p1270
- ISSN
0303-6979
- Publication type
Article
- DOI
10.1111/jcpe.13514