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Bone Wax as a Risk Factor for Surgical-Site Infection Following Neurospinal Surgery

Published online by Cambridge University Press:  02 January 2015

Laurel Gibbs
Affiliation:
Department of Hospital Epidemiology and Infection Control, University of California San Francisco Medical Center, San Francisco, California
Anthony Kakis
Affiliation:
Department of Hospital Epidemiology and Infection Control, University of California San Francisco Medical Center, San Francisco, California
Philip Weinstein
Affiliation:
Department of Neurosurgery, University of California San Francisco, San Francisco, California
John E. Conte Jr.*
Affiliation:
Departments of Epidemiology and Biostatistics, Medicine, and Microbiology and Immunology, University of California San Francisco, San Francisco, California
*
Department of Hospital Epidemiology and Infection Control, 350 Parnassus Avenue, Suite 210, San Francisco, CA 94117

Abstract

Surgical-site infection occurred in 6 of 42 neurospinal cases in which bone wax was used and in 1 of 72 cases in which it was not used during a 3-month period (P < .01). Increased risk of infection should be considered when using bone wax as a hemostatic agent.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2004

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References

1.Katz, SE, Rootman, J. Adverse effects of bone wax in surgery of the orbit. Ophthal Plast Reconstr Surg 1996;12:121126.Google Scholar
2.Robicsek, F, Daugherty, HK, Cook, JW, et al.Mycobacterium fortuitum epidemics after open-heart surgery. J Thorac Cardiovasc Surg 1978;75:9196.Google Scholar
3.Mangram, AJ, Horan, TC, Pearson, ML, Silver, LC, Jarvis, WR. Guideline for prevention of surgical site infection, 1999: Hospital Infection Control Practices Advisory Committee. Infect Control Hosp Epidemiol 1999;20:250278.Google Scholar
4.National Nosocomial Infections Surveillance (NNIS) System report: data summary from January 1992-June 2002, issued August 2002. Am J Infect Control 2002;30:458475.CrossRefGoogle Scholar
5.Apisarnthanarak, A, Jones, M, Waterman, BM, Carroll, CM, Bernardi, R, Fraser, VJ. Risk factors for surgical-site infections in a community hospital: a case-control study. Infect Control Hosp Epidemiol 2003;24:3136.Google Scholar
6.Olsen, MA, Mayfield, J, Lauryssen, C, et al.Risk factors for surgical site infection in spinal surgery. J Neurosurg 2003;98(suppl):149155.Google ScholarPubMed
7.Momata, Y, Miyamota, , Ishikawa, K, et al.Evaluation of feasibility of hydroxyapatite putty as a local hemostatic agent for bone. J Biomed Mater Res 2002;63:542547.Google Scholar
8.Patel, RB, Kwatler, JA, Hodosh, RM. Bone wax as a cause of body granuloma in the cerebellopontine angle: case illustration. J Neurosurg 2000;92:362.Google Scholar
9.Nelson, DR, Buxton, TB, Quyen, NL, Rissing, P. The promotional effect of bone wax on experimental Staphylococcus aureus osteomyelitis. J Thorac Cardiovasc Surg 1991;99:977980.CrossRefGoogle Scholar
10.Anfinsen, OG, Sudmann, B, Rait, M, Bang, F, Sudmann, E. Complications secondary to the use of standard bone wax in seven patients. J Foot Ankle Surg 1993;32:505508.Google Scholar
11.Johnson, P, Fromm, D. Effects of bone wax on bacterial clearance. Surgery 1981;89:206209.Google ScholarPubMed
12.Baldauf, R, Kanat, IO. The use of bone wax. J Foot Surg 1986;25:456458.Google Scholar