Total n = 187 | Streptococci & Enterococci (31, 16.6%) | Other bacteria (156, 83.4%) | p-value |
---|---|---|---|
Sex | M: 21 (67.7%) F: 10 (32.3%) | M: 99 (63.5%) F: 57 (36.5%) | 0.688(2) |
Age | 72 [48–89] y | 67 [23–90] y | 0.190(3) |
Spondylodiscitis | 26 (83.9%) | 99 (63.5%) | 0.036(2) |
Isolated spinal epidural empyema | 5 (16.1%) | 57 (36.5%) | |
Sepsis | 16/31 (51.6%) | 78/156 (50.0%) | 1.0(2) |
Septic embolism | 12/27 (44.4%) | 38/123 (30.9%) | 0.184(2) |
Endocarditis | 8/29 (27.6%) | 15/132 (11.4%) | 0.037(2) |
Relapse rate | 6/17 (35.3%) | 22/106 (20.8%) | 0.215(2) |
Disease-related mortality | 3/31 (9.7%) | 7/156 (4.5%) | 0.218(2) |
Length of hospital stay | 38 [10–165] d | 32 [9-163] d | 0.289(3) |
Length of intensive care unit stay | 7 [1–46] d | 6 [1–53] d | 0.944(3) |
Spinal localization | |||
Cervical spine | 23 (74.2%) | 95 (60.9%) | 0.221(2) |
Thoracic spine | 13 (42.0%) | 62 (39.7%) | 0.843(2) |
Lumbar spine | 25 (80.6%) | 98 (62.8%) | 0.064(2) |
Bacterial detection via | |||
Blood cultures | 23 (74.2%) | 95 (60.9%) | 0.221(2) |
Intraoperative specimens | 19 (61.3%) | 138 (88.5%) | < 0.001(2) |
CT-guided biopsies (37/65) | 7/11 (63.6%) | 30/54 (55.6%) | 0.745(2) |
Source of infection (129/187, 69.0%) | |||
Hematogenous spread | 0.344(1) | ||
Gastrointestinal tract infection | 3/24 (12.5%) | 6/105 (5.7%) | |
Respiratory tract infection (pneumonia) | 4/24 (16.7%) | 12/105 (11.4%) | |
Urinary tract infection (urosepsis) | 0/24 (0.0%) | 13/105 (12.4%) | |
Skin infection | 5/24 (20.8%) | 32/105 (30.5%) | |
Foreign body-associated infection (joint replacements, venous access port, prosthetic heart valve, and screws elsewhere in spine) | 6/24 (25.0%) | 17/105 (16.2%) | |
Odontogenic infection | 0/24 (0.0%) | 5/105 (4.8%) | |
Retropharyngeal & prevertebral infection | 1/24 (4.2%) | 5/105 (4.8%) | |
Post-interventional | |||
Epidural administration such as spinal infiltration (facet joint, epidural, periradicular) or epidural catheter analgesia | 5/24 (20.8%) | 15/105 (14.3%) |