How would you manage an early postoperative spinal implant infection when intraoperative cultures while on antibiotics are negative, no frank purulence or other evidence of infection is observed during washout, but there were fascial defects and fluid tracking down to the hardware?

Answer from: at Community Practice

This is quite an interesting spread of responses. I avoid using the term “broad,” as it is not a meaningful concept in infectious diseases. Unfortunately, there are no randomized trials to guide our practice in PSI. The closest comparable evidence is likely from the DATIPO trial, where 1...

Comments

at University of Illinois College of Medicine
Thank you for your response! After 12 weeks of the...

at University of Minnesota Medical School, Minneapolis, Minnesota, United States
I would. It is almost impossible to ...

at University of Illinois College of Medicine
Thank you!!

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How would you manage an early postoperative spinal implant infection when intraoperative cultures while on antibiotics are negative, no frank purulence or other evidence of infection is observed during washout, but there were fascial defects and fluid tracking down to the hardware?

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