Neurological Surgery 脳神経外科41巻7号

2013年07月発行

研究

脊椎脊髄手術後の手術部位深部感染症（deep incisional Surgical Site Infection：dSSI）に関する検討

著者： 関俊隆¹³ 木村輝夫¹ 杉村敏秀¹ 川崎和凡¹ 宮野真¹ 福田信¹ 橋本政明²

所属機関： ¹社会医療法人明生会道東脳神経外科病院脳神経外科 ²社会医療法人明生会網走脳神経外科・リハビリテーション病院脳神経外科 ³北海道大学大学院医学研究科脳神経外科

ページ範囲：P.593 - P.599

Ⅰ．はじめに

　脊椎脊髄手術後の手術部位感染症（surgical site infection：SSI）は早期に診断し，適切な処置が行われなかった場合は重篤化し，治療に難渋することがある．近年の，抗生剤の使用による多剤耐性菌の出現，糖尿病，慢性腎疾患，免疫抑制剤や抗がん剤の多用，後天性免疫不全症候群（AIDS）といった易感染性宿主に対する手術や，高齢者に対する手術，さらにインストルメンテーションを使用した手術の増加などによって，今後ますますSSIの危険性は高くなってくると思われる．SSIは，患者のquality of lifeを損なうだけではなく，医療従事者に対しても多大な精神的負担を与える．また，在院日数や医療費の増加など，さまざまな問題を含んでいる^3,7,16,23)．今回われわれは，当院における脊椎脊髄手術後の手術部位深部感染症（deep incisional SSI：dSSI）について検討したので報告する．

参考文献

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