Total n = 187 | Coagulase-neg. Staphylococci (20, 10.7%) | Other bacteria (167, 89.3%) | p-value |
---|---|---|---|
Sex | M:14 (70.0%) F: 6 (30.0%) | M: 106 (63.5%) F: 61 (36.5%) | 0.630(2) |
Age | 67 [47–82] y | 69 [23–90] y | 0.839(3) |
Spondylodiscitis | 15 (75.0%) | 110 (65.9%) | 0.464(2) |
Isolated spinal epidural empyema | 5 (25.0%) | 57 (34.1%) | |
Sepsis | 4/20 (20.0%) | 90/167 (53.9%) | 0.004(2) |
Septic embolism | 3/15 (20.0%) | 47/135 (34.8%) | 0.387(2) |
Endocarditis | 2/16 (12.5%) | 21/145 (14.5%) | 1.0(2) |
Relapse rate | 3/16 (18.8%) | 25/107 (23.4%) | 1.0(2) |
Disease-related mortality | 0/20 (0.0%) | 10/167 (6.0%) | 0.604(2) |
Length of hospital stay | 34 [17–135] d | 32 [9-165] d | 0.381(3) |
Length of intensive care unit stay | 6 [1–53] d | 0.037(3) | |
Spinal localization | |||
Cervical spine | 3 (15.0%) | 56 (33.5%) | 0.126(2) |
Thoracic spine | 7 (35.0%) | 68 (40.7%) | 0.810(2) |
Lumbar spine | 15 (75.0%) | 108 (64.7%) | 0.458(2) |
Bacterial detection via | |||
Blood cultures | 9 (45.0%) | 109 (65.3%) | 0.089(2) |
Intraoperative specimens | 20 (100.0%) | 137 (82.0%) | 0.048(2) |
CT-guided biopsies (37/65) | 2/3 (66.7%) | 35/62 (56.5%) | 1.0(2) |
Source of infection (129/187, 69.0%) | |||
Hematogenous spread | 0.005(1) | ||
Gastrointestinal tract infection | 0/13 (0.0%) | 9/116 (7.8%) | |
Respiratory tract infection (pneumonia) | 1/13 (7.7%) | 15/116 (12.9%) | |
Urinary tract infection (urosepsis) | 1/13 (7.7%) | 12/116 (10.3%) | |
Skin infection | 1/13 (7.7%) | 36/116 (31.0%) | |
Foreign body-associated infection (joint replacements, venous access port, prosthetic heart valve, and screws elsewhere in spine) | 8/13 (61.5%) | 15/116 (12.9%) | |
Odontogenic infection | 0/13 (0.0%) | 5/116 (4.3%) | |
Retropharyngeal & prevertebral infection | 0/13 (0.0%) | 6/116 (5.2%) | |
Post-interventional | |||
Epidural administration such as spinal infiltration (facet joint, epidural, periradicular) or epidural catheter analgesia | 2/13 (15.4%) | 18/116 (15.5%) |