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Risk Factors for Infectious Spondylodiscitis in Patients Receiving Hemodialysis

Published online by Cambridge University Press:  02 January 2015

Ramzi M. Helewa
Faculty of Medicine, Winnipeg, Manitoba, Canada
John M. Embil*
Section of Infectious Diseases, Department of Medicine, Winnipeg, Manitoba, Canada Department of Medical Microbiology, Winnipeg, Manitoba, Canada
Cynthia G. Boughen
Clinical Support Services, Health Sciences Centre, Winnipeg, Manitoba, Canada
Mary Cheang
Biostatistical Consulting Unit, Department of Community Health Sciences, Winnipeg, Manitoba, Canada
Michael Goytan
Section of Orthopedics and Neurosurgery, Department of Surgery, Winnipeg, Manitoba, Canada
James M. Zacharias
Section of Nephrology, Department of Medicine, University of Manitoba, Winnipeg, Manitoba, Canada
Elly Trepman
Department of Medical Microbiology, Winnipeg, Manitoba, Canada Department of Orthopedic Surgery, Grand Itasca Clinic and Hospital, Grand Rapids, Minnesota
Infection Prevention and Control Unit, Health Sciences Centre, MS 673-820 Sherbrook Street, Winnipeg, MB R3A 1R9, Canada (


A retrospective case-control and cohort analysis of hemodialysis patients was done to identify risk factors for spondylodiscitis. These risk factors included bacteremia, receipt of blood products, invasive procedures, and establishment of vascular access. The death rate was greater for case subjects than for control subjects (odds ratio, 2.7).

Concise Communications
Copyright © The Society for Healthcare Epidemiology of America 2008

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