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Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
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Róbert Čellár1, Erik Dorko2, Kvetoslava Rimárová2

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Summary

This study identifies chronic diseases like diabetes mellitus and hypertension as key risk factors for spondylodiscitis. It also highlights the genitourinary system as a common infection source, impacting patient prognosis and hospitalization.

Keywords:
chronic diseaseslength of stayrisk factorsspondylodiscitis

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Area of Science:

  • Infectious Diseases
  • Epidemiology
  • Clinical Medicine

Background:

  • Spondylodiscitis incidence is rising, necessitating identification of associated chronic diseases and risk factors.
  • Understanding factors influencing patient prognosis and hospitalization duration is crucial for effective management.

Purpose of the Study:

  • To investigate the relationship between spondylodiscitis and chronic diseases.
  • To identify novel risk factors and associations with chronic disorders.
  • To detect factors prolonging hospitalization and worsening patient prognosis.

Main Methods:

  • Retrospective analysis of patients with spondylodiscitis treated between 2013 and 2022.
  • Statistical analysis using IBM SPSS 21 to calculate relevant coefficients.

Main Results:

  • The study included 60 patients (53.3% female), with increasing incidence peaking in 2019.
  • The lumbar region was most affected; cardiovascular disorders (65%) and diabetes mellitus (38.3%) were most prevalent comorbidities.
  • Genitourinary infections were the most common primary source (36.7%), with an average hospital stay of 34.3 days; surgery prolonged stays, and mortality was 1.7%.

Conclusions:

  • Diabetes mellitus and hypertension are confirmed as significant non-infectious risk factors for spondylodiscitis.
  • Genitourinary pathogens represent the most frequent source of primary infection in spondylodiscitis cases.
  • Findings align with international studies, emphasizing the role of chronic conditions and infection sources.