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Table 4 Clinical characteristics of Streptococcus spp. und Enterococcus spp

From: The importance of the bacterial spectrum in the clinical diagnostics and management of patients with spontaneous pyogenic spondylodiscitis and isolated spinal epidural empyema: a 20-year cohort study at a single spine center

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%)

  1. Bold values are significant results (p < 0.05) as indicated in the methods, CT: computed tomography, (1): Chi-squared test, (2): Fisher’s exact test, (3): Mann–Whitney U test