title: Collaboration with an infection control team for patients with infection after spine surgery.
abstract: BACKGROUND
  The risk of infection, including surgical site infection (SSI), after spine surgery has increased due to aging and more immunocompromised hosts. An infection control team (ICT) is responsible for management of health care-associated infections at our institution.
  
  
  METHODS
  The study subjects were 40 patients (18 men and 22 women with an average age of 54 years) referred to the ICT after spine surgery since 2010. Pathogenic bacteria and treatment in these cases were reviewed.
  
  
  RESULTS
  Collaboration with the ICT involved guidance on use of antibiotics for infection in 30 patients (16 SSI and 14 non-SSI) and a search for the infection focus for fever of unknown origin in 10 patients (7 patients were found to have urinary tract infections and 2 patients were found to have pneumonia). The detection rate of causative bacteria in ICT consultation was 88% (35 out of 40 patients). SSI patients with instrumentation involved had a significantly higher rate of methicillin-resistant Staphylococcus aureus infection compared with those without instrumentation (42% vs 13%; P < .05).
  
  
  CONCLUSIONS
  All cases of SSI with instrumentation involved were cured by ICT support without removal of instrumentation. Early assistance from the ICT was important for prevention of worsening of methicillin-resistant S aureus infection.
  
  
  CONCLUSIONS
  Collaboration with the ICT was helpful for detection of pathogenic bacteria and allowed appropriate use of antibiotics at an early stage.
authors.affiliation: Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Aichi, Japan.
authors.forename: Kazuyoshi
authors.initials: K
authors.lastname: Kobayashi
authors.affiliation: Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Aichi, Japan. Electronic address: imagama@med.nagoya-u.ac.jp.
authors.forename: Shiro
authors.initials: S
authors.lastname: Imagama
authors.affiliation: Department of Infectious Disease, Nagoya University Hospital, Nagoya, Japan.
authors.forename: Daizo
authors.initials: D
authors.lastname: Kato
authors.affiliation: Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Aichi, Japan.
authors.forename: Kei
authors.initials: K
authors.lastname: Ando
authors.affiliation: Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Aichi, Japan.
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Hida
authors.affiliation: Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Aichi, Japan.
authors.forename: Kenyu
authors.initials: K
authors.lastname: Ito
authors.affiliation: Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Aichi, Japan.
authors.forename: Mikito
authors.initials: M
authors.lastname: Tsushima
authors.affiliation: Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Aichi, Japan.
authors.forename: Akiyuki
authors.initials: A
authors.lastname: Matsumoto
authors.affiliation: Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Aichi, Japan.
authors.forename: Masayoshi
authors.initials: M
authors.lastname: Morozumi
authors.affiliation: Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Aichi, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Tanaka
authors.affiliation: Department of Infectious Disease, Nagoya University Hospital, Nagoya, Japan.
authors.forename: Tetsuya
authors.initials: T
authors.lastname: Yagi
authors.affiliation: Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Aichi, Japan.
authors.forename: Yoshihiro
authors.initials: Y
authors.lastname: Nishida
authors.affiliation: Department of Orthopedic Surgery, Nagoya University Graduate School of Medicine, Aichi, Japan.
authors.forename: Naoki
authors.initials: N
authors.lastname: Ishiguro
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000900:Anti-Bacterial Agents / Q000494:pharmacology / Q000627:therapeutic use; D001419:Bacteria / Q000145:classification / Q000302:isolation & purification; D001424:Bacterial Infections / Q000175:diagnosis / Q000188:drug therapy / Q000517:prevention & control*; D002648:Child; D005260:Female; D006801:Humans; D017053:Infection Control / Q000379:methods*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013131:Spine / Q000601:surgery*; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000188:drug therapy / Q000517:prevention & control*; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents
keywords: Antimicrobial prophylaxis; Risk management; Surgical site infection