Risk Factors for Infectious Spondylodiscitis in Patients Receiving Hemodialysis
From the Faculty of Medicine (R.M.H.), Section of Infectious Diseases, Department of Medicine (J.M.E.), Department of Medical Microbiology (J.M.E., E.T.), Biostatistical Consulting Unit, Department of Community Health Sciences (M.C.), Section of Orthopedics and Neurosurgery, Department of Surgery (M.G.), Section of Nephrology, Department of Medicine, University of Manitoba (J.M.Z.), and Clinical Support Services, Health Sciences Centre (C.G.B.), Winnipeg, Manitoba, Canada; and the Department of Orthopedic Surgery, Grand Itasca Clinic and Hospital, Grand Rapids, Minnesota (E.T.).
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).
Received November 28, 2007; accepted March 12, 2008; electronically published May 30, 2008



