Total n = 187 | Enterobacterales (20, 10.7%) | Other bacteria (167, 89.3%) | p-value |
---|---|---|---|
Sex | M: 12 (60.0%) F: 8 (40.0%) | M: 108 (64.7%) F: 59 (35.3%) | 0.806(2) |
Age | 72 [54–83] y | 68 [23–90] y | 0.543(3) |
Spondylodiscitis | 16 (80.0%) | 109 (65.3%) | 0.218(2) |
Isolated spinal epidural empyema | 4 (20.0%) | 58 (34.7%) | |
Sepsis | 10/20 (50.0%) | 84/167 (50.3%) | 1.0(2) |
Septic embolism | 3/19 (15.8%) | 47/131 (35.9%) | 0.117(2) |
Endocarditis | 0/18 (0.0%) | 23/143 (16.1%) | 0.078(2) |
Relapse rate | 6/17 (35.3%) | 22/106 (20.8%) | 0.215(2) |
Disease-related mortality | 1/20 (5.0%) | 9/167 (5.4%) | 1.0(2) |
Length of hospital stay | 33 [15–70] d | 32 [9-165] d | 0.629(3) |
Length of intensive care unit stay | 4 [1–17] d | 7 [1–53] d | 0.093(3) |
Spinal localization | |||
Cervical spine | 5 (25.0%) | 54 (32.3%) | 0.616(2) |
Thoracic spine | 5 (25.0%) | 70 (41.9%) | 0.227(2) |
Lumbar spine | 14 (70.0%) | 109 (65.3%) | 0.805(2) |
Bacterial detection via | |||
Blood cultures | 12 (60.0%) | 106 (63.5%) | 0.809(2) |
Intraoperative specimens | 16 (80.0%) | 141 (84.4%) | 0.535(2) |
CT-guided biopsies (37/65) | 1/4 (25.0%) | 36/61 (59.0%) | 0.307(2) |
Source of infection (129/187, 69.0%) | |||
Hematogenous spread | < 0.001(1) | ||
Gastrointestinal tract infection | 3/18 (16.7%) | 6/111 (5.4%) | |
Respiratory tract infection (pneumonia) | 0/18 (0.0%) | 16/111 (14.4%) | |
Urinary tract infection (urosepsis) | 9/18 (50.0%) | 4/111 (3.6%) | |
Skin infection | 3/18 (16.7%) | 34/111 (30.6%) | |
Foreign body-associated infection (joint replacements, venous access port, prosthetic heart valve, and screws elsewhere in spine) | 2/18 (11.1%) | 21/111 (18.9%) | |
Odontogenic infection | 0/18 (0.0%) | 5/111 (4.5%) | |
Retropharyngeal & prevertebral infection | 1/18 (5.6%) | 5/111 (4.5%) | |
Post-interventional | |||
Epidural administration such as spinal infiltration (facet joint, epidural, periradicular) or epidural catheter analgesia | 0/18 (0.0%) | 20/111 (18.0%) |