Spinal hardware infection - Revision history

Aidan: /* Management */

2022-08-22T12:31:21Z

Management

← Older revision		Revision as of 12:31, 22 August 2022
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	== Management ==		== Management ==

			* Empiric therapy should be with [[vancomycin]] plus [[ceftriaxone]] or [[vancomycin]] plus [[piperacillin-tazobactam]]
	* Antimicrobial management depends on the surgical approach:		* Antimicrobial management depends on the surgical approach:
	**For removal of all hardware, treat with 6 weeks total (at least 2 weeks IV)		** For removal of all hardware, treat with 6 weeks total (at least 2 weeks IV)
	** For retainment with plan for eradication, treat with 12 weeks total (at least 2 weeks IV)		** For retainment with plan for eradication, treat with 12 weeks total (at least 2 weeks IV)
	** For single-stage replacement, treat with 12 weeks total (at least 2 weeks IV)		** For single-stage replacement, treat with 12 weeks total (at least 2 weeks IV)

Aidan: /* Further Reading */

2022-08-22T12:29:11Z

Aidan at 23:14, 12 March 2022

2022-03-12T23:14:01Z

← Older revision		Revision as of 23:14, 12 March 2022
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	\|-		\|-
	\|Typical pathogens		\|Typical pathogens
	\|[[Staphylococcus aureus]], [[Streptococcus~~\|Streptococcus species~~]], [[Gram-negative bacteria]]		\|[[Staphylococcus aureus]], [[Streptococcus]], [[Gram-negative bacteria]]
	\|[[coagulase-negative staphylococci]], [[Cutibacterium acnes]]		\|[[coagulase-negative staphylococci]], [[Cutibacterium acnes]]
	\|}		\|}

Aidan: /* Management */

2022-03-10T15:47:46Z

Management

← Older revision		Revision as of 15:47, 10 March 2022
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	== Management ==		== Management ==

			* Antimicrobial management depends on the surgical approach:
	* For removal of all hardware, treat with 6 weeks total (at least 2 weeks IV)
	* For ~~retainment with~~ ~~plan~~ ~~for~~ ~~eradication~~, treat with 12 weeks total (at least 2 weeks IV)		**For removal of all hardware, treat with 6 weeks total (at least 2 weeks IV)
	* For ~~single-stage~~ ~~replacement~~, treat with 12 weeks total (at least 2 weeks IV)		** For retainment with plan for eradication, treat with 12 weeks total (at least 2 weeks IV)
	* For ~~retainment~~ ~~with~~ ~~plan~~ ~~for~~ ~~eventual~~ ~~removal,~~ ~~treat with~~ at least 2 weeks IV ~~followed by oral suppression until hardware removal~~		** For single-stage replacement, treat with 12 weeks total (at least 2 weeks IV)
			** For retainment with plan for eventual removal, treat with at least 2 weeks IV followed by oral suppression until hardware removal
	* Chronic suppressive antibiotics should be considered with difficult-to-treat organisms		* Chronic suppressive antibiotics should be considered with difficult-to-treat organisms ([[Staphylococcus aureus]], resistant [[Gram-negative bacteria]], and fungal infections)

	== Further Reading ==		== Further Reading ==

Aidan: Aidan moved page Spinal hardware infections to Spinal hardware infection without leaving a redirect

2022-03-10T15:16:41Z

Aidan moved page Spinal hardware infections to Spinal hardware infection without leaving a redirect

← Older revision		Revision as of 15:16, 10 March 2022
(No difference)

Aidan at 15:08, 10 March 2022

2022-03-10T15:08:37Z

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 == Further Reading ==
 * [https://dx.doi.org/10.4103%2F2152-7806.120783 Infection with spinal instrumentation: Review of pathogenesis, diagnosis, prevention, and management]. ''Surg Neurol Int''. 2013;4(Suppl 5):S392-403.
 [[Category:Trauma and surgical patients]]

Aidan at 11:57, 16 August 2019

2019-08-16T11:57:02Z

← Older revision		Revision as of 11:57, 16 August 2019
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	= Further Reading =		== Further Reading ==

	* [https://dx.doi.org/10.4103%2F2152-7806.120783 Infection with spinal instrumentation: Review of pathogenesis, diagnosis, prevention, and management]. ''Surg Neurol Int''. 2013;4(Suppl 5):S392-403.		* [https://dx.doi.org/10.4103%2F2152-7806.120783 Infection with spinal instrumentation: Review of pathogenesis, diagnosis, prevention, and management]. ''Surg Neurol Int''. 2013;4(Suppl 5):S392-403.

			[[Category:Trauma and surgical patients]]

Aidan at 18:11, 11 August 2019

2019-08-11T18:11:02Z

← Older revision		Revision as of 18:11, 11 August 2019
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		⚫	= Further Reading =
	= Spinal hardware infections =

⚫	== Further Reading ==

	* [https://dx.doi.org/10.4103%2F2152-7806.120783 Infection with spinal instrumentation: Review of pathogenesis, diagnosis, prevention, and management]. ''Surg Neurol Int''. 2013;4(Suppl 5):S392-403.		* [https://dx.doi.org/10.4103%2F2152-7806.120783 Infection with spinal instrumentation: Review of pathogenesis, diagnosis, prevention, and management]. ''Surg Neurol Int''. 2013;4(Suppl 5):S392-403.

Aidan: Aidan moved page Surgical site Spinal hardware infections to Spinal hardware infections without leaving a redirect

2019-08-11T18:10:46Z

Aidan moved page Surgical site Spinal hardware infections to Spinal hardware infections without leaving a redirect

← Older revision		Revision as of 18:10, 11 August 2019
(No difference)

Maintenance script: Imported from text file

2019-08-11T18:06:00Z

Imported from text file

New page

= Spinal hardware infections =

== Further Reading ==

* [https://dx.doi.org/10.4103%2F2152-7806.120783 Infection with spinal instrumentation: Review of pathogenesis, diagnosis, prevention, and management]. ''Surg Neurol Int''. 2013;4(Suppl 5):S392-403.

← Older revision		Revision as of 12:29, 22 August 2022
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	== Further Reading ==		== Further Reading ==

	* ~~[https://dx.doi.org/10.4103%2F2152-7806.120783~~ Infection with spinal instrumentation: Review of pathogenesis, diagnosis, prevention, and management]. ''Surg Neurol Int''. 2013;4(Suppl 5):S392-403.		* Infection with spinal instrumentation: Review of pathogenesis, diagnosis, prevention, and management. ''Surg Neurol Int''. 2013;4(Suppl 5):S392-403. doi: [https://doi.org/10.4103/2152-7806.120783 10.4103/2152-7806.120783]
	*Antibiotic treatment of postoperative spinal implant infections. ''J Spine Surg''. 2020;6(4):785–792. doi: [https://doi.org/10.21037/jss-20-456 10.21037/jss-20-456]		*Antibiotic treatment of postoperative spinal implant infections. ''J Spine Surg''. 2020;6(4):785–792. doi: [https://doi.org/10.21037/jss-20-456 10.21037/jss-20-456]