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The role of poor oral health in surgical site infection following elective spinal surgery

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MUSCULOSKELETAL SURGERY Aims and scope Submit manuscript

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.

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Authors and Affiliations

  1. Joint Reconstruction Research Center (JRRC), Orthopedic Department of Imam Hospital, Tehran University of Medical Sciences, Tehran, Iran

    B. Mirzashahi

  2. School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran

    A. Tonkaboni, R. Doosti & M. J. Kharazifard

  3. Ayatollah Moosavi Hospital, Zanjan University of Medical Science, Zanjan, Iran

    M. Chehrassan

Authors
  1. B. Mirzashahi
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  2. A. Tonkaboni
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  3. M. Chehrassan
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  4. R. Doosti
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  5. M. J. Kharazifard
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Corresponding author

Correspondence to M. Chehrassan.

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The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Mirzashahi, B., Tonkaboni, A., Chehrassan, M. et al. The role of poor oral health in surgical site infection following elective spinal surgery. Musculoskelet Surg 103, 167–171 (2019). https://doi.org/10.1007/s12306-018-0568-2

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  • DOI: https://doi.org/10.1007/s12306-018-0568-2

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