1. Ｐｒｅｖｅｎｔｉｎｇ Surgical Site Infection in Older Patients after Spine Surgery Application and Efficacy of Nutrition Support Team Shunji Matsunaga, Hiroaki Koga, Miyaguchi Fumihiro Imakiire General Hospital, Kagoshima, Japan Setsuro Komiya Dept.of Orthop. Surg. Kagoshima University Kagoshima, Japan EuroSpine 2010 2010/9/15 Vienna

2. Incidence on Japanese Spine Surgery Surgical Site Infection (SSI) The incidence of SSI in elderly patient ? 0.5 ％～ 14 ％

3. Purpose To investigate of incidence of SSI in elderly patients with spine surgery To clarify the efficacy of nutrition support team therapy for SSI prevention

4. Subjects for Analysis 927 patients who underwent spine surgery in our hospital from 2000~2008 > 65 yrs: 424 patients < 65 yrs: 503 patients =

6. Incidence of SSI Tota l Total patients 35/927 （ 3.8 ％） 8 （ 0.9 ％） >65Yrs 19/424 （ 4.5 ％） 6 （ 1.4 ％） <65Yrs 5/503 （ 1.0 ％） 2 （ 0.4 ％） Deep SSI =

7. The relationship with serum protein and SSI * ＜ 0.05 * * SSI (%) =

8. Introduce nutrition support team (NST) for spine surgery in elderly patients Daily oral health care Correction of poor nutrition status by transfusion From 2006 Pre and Post-operative Management

9. After Before Oral Health Care by NST

10. Effect of NST on preventing SSI for elderly Yrs (％)(％) SSI 0 0.5 1 1.5 2 2.5 3 3.5 4 4.5 5 5.5 6 200020012002200320042005200620072008 Introduce of NST

11. Conclusio n NST management should be introduced for SSI prevention in elderly patients with spine surgery.

12. Disclosure Information We hereby prove that neither I nor any co-authors of the Work or our family members have any financial relationship with any commercial entity that has an interest in the subject matter or materials discussed in the Work.