The Role of Poor Oral Health in Surgical Site Infection Following Elective Spinal Surgery

The Role of Poor Oral Health in Surgical Site Infection Following Elective Spinal Surgery Publisher Pubmed

Mirzashahi B¹ ; Tonkaboni A² ; Chehrassan M³ ; Doosti R² ; Kharazifard MJ²

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1. Joint Reconstruction Research Center (JRRC), Orthopedic Department of Imam Hospital, Tehran University of Medical Sciences, Tehran, Iran
2. School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
3. Ayatollah Moosavi Hospital, Zanjan University of Medical Science, Zanjan, Iran

Source: Musculoskeletal Surgery Published:2019

Abstract

Study design: Cross-sectional study. Objectives: To describe oral health and hygiene as a risk factor for surgical site infection (SSI). Methods: This cross-sectional study was conducted on patients over 18 years of age who were candidates for elective spinal surgery. The exclusion criteria were immunodeficiency, history of cancer, history of previous infection at the surgical site, cutaneous diseases and long-term use of corticosteroids. Questionnaires were filled out for patients via an interview in order to collect the demographic data of patients. Oral and dental examinations were performed using DMFT (D: decayed, M: missing, F: filled, T: total) and PUFA (P: pulp, U: ulcer, F: fistula, A: abscess) indices. Data were analyzed using Fisher’s exact test and Mann–Whitney test. Results: A total of 78 patients were evaluated. There were 59 females (75.6%) and 19 males (24.6%). Eight patients were positive for SSI. Teeth caries (P = 0.016) and periodontal disease (P = 0.049) were significantly correlated with SSI. No significant association was noted between PUFA and SSI (P > 0.05). Sixty-five patients (83.3%) had a history of dental infection before surgery. Fifty% of patients being positive for SSI had a history of dental abscess (P = 0.023). Conclusions: A significant association exists between SSI and caries, gingivitis/periodontitis and history of dental abscess. © 2018, Istituto Ortopedico Rizzoli.

Style	Citing Format
MLA	Mirzashahi B, et al.. "The Role of Poor Oral Health in Surgical Site Infection Following Elective Spinal Surgery." Musculoskeletal Surgery, vol. 103, no. 2, 2019, pp. 167-171.
APA	Mirzashahi B, Tonkaboni A, Chehrassan M, Doosti R, Kharazifard MJ (2019). The Role of Poor Oral Health in Surgical Site Infection Following Elective Spinal Surgery. Musculoskeletal Surgery, 103(2), 167-171.
Chicago	Mirzashahi B, Tonkaboni A, Chehrassan M, Doosti R, Kharazifard MJ. "The Role of Poor Oral Health in Surgical Site Infection Following Elective Spinal Surgery." Musculoskeletal Surgery 103, no. 2 (2019): 167-171.
Harvard	Mirzashahi B et al. (2019) 'The Role of Poor Oral Health in Surgical Site Infection Following Elective Spinal Surgery', Musculoskeletal Surgery, 103(2), pp. 167-171.
Vancouver	Mirzashahi B, Tonkaboni A, Chehrassan M, Doosti R, Kharazifard MJ. The Role of Poor Oral Health in Surgical Site Infection Following Elective Spinal Surgery. Musculoskeletal Surgery. 2019;103(2):167-171.
BibTex	@article{ author = {Mirzashahi B and Tonkaboni A and Chehrassan M and Doosti R and Kharazifard MJ}, title = {The Role of Poor Oral Health in Surgical Site Infection Following Elective Spinal Surgery}, journal = {Musculoskeletal Surgery}, volume = {103}, number = {2}, pages = {167-171}, year = {2019} }
RIS	TY - JOUR AU - Mirzashahi B AU - Tonkaboni A AU - Chehrassan M AU - Doosti R AU - Kharazifard MJ TI - The Role of Poor Oral Health in Surgical Site Infection Following Elective Spinal Surgery JO - Musculoskeletal Surgery VL - 103 IS - 2 SP - 167 EP - 171 PY - 2019 ER -

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