High Specialty Research Articles

Appendagitis: a non-surgical cause of acute abdominal pain. Case report

Background: Epiploic appendices are pediculated, serosa-coated fat formations that are found on the outer surface of the colon, into the peritoneal cavity; their inflammation, torsion or infarction is also known as epiploic appendicitis or appendagitis. Clinical case: We present the case of a 35-year-old man who went to the Emergency Service of the High Specialty Naval General Hospital because of sudden onset, progressive right iliac fossa pain, which was approached with laboratory and cabinet studies, integrating the diagnosis of probable acute appendicitis; surgical application sheets and informed consent were fi lled to perform open appendectomy, incidentally fi nding a cecal appendix 5 cm × 1 cm in diameter, with normal macroscopic characteristics, and infarction of ascending colon epiploic appendix at the ileocecal valve. Conclusion: This case is presented to highlight the clinical characteristics of appendagitis or epiploic appendicitis, which can help clinicians suspect this benign pathology and reach the correct diagnosis, avoiding unnecessary surgical risk.

Possible Bias in the Publication Trends of High Impact Factor Anesthesiology and Gastroenterology Journals -An Analysis of 5 Years' Data.

Background:We hypothesize that being an editorial board member (EBM) in a high impact factor specialty medical journal increases the chances of publishing in the same journal.Materials and Methods:The publication trends of the first five EBMs in the five highest impact factor Anesthesiology and Gastroenterology journals were analyzed. Preceding 5 years' publications appearing on PubMed were grouped into as follows: number of publications in the journal in which the EBM serves (N1), number of publications by the same author in the other four highest impact factor (IF) journals (N2) and number of publications in all the other journals (N3). We evaluated the probability of the observed distribution of publications in the five highest IF journals happening by chance alone, assuming that all the EBMs had the same opportunity of publishing in any of these journals. The probability of publishing in their own journal was assumed to be one fifth.Results:The EBMs published their manuscripts in their own journal at a very high frequency. Encompassing all ten journals, the calculated P value for such a distribution was <0.001. In two journals, Anesthesia and Analgesia and Anaesthesia, the EBMs' publications in their journal were more than twice the cumulative total in the remaining four journals. In three of the five gastroenterology journals analyzed, combined publications of the five EBMs were greater in their own journal than the remaining four journals combined.Conclusions:Despite proclaimed fair peer review process, EBMs seem to get preference in their own journals.

Project design for surgical department reorganization at hospital-university of Parma.

The article explains the main technical and methodological references of the reorganization of the main surgical activities (for production volumes and case mixes) of the Parma University Hospital. In defining the organizational design we considered the compliance with national laws and regional guidelines, the vision of the Public Enterprise Strategic Management, the attempt to bring the continuity of care through hospital paths, the valorization of the high technical specialty of a hub university center, the recognition of the ability and vocations of Professionals and the search for efficiency of a complex public production system. The project has also responded to the need to pursue greater production efficiency by the entire local health system of Parma, optimizing, at the same time, training courses for Medical Students and Health Professions of the University of Parma transversely with respect to surgical clinical pathways and clinical research. (www.actabiomedica.it)

Knowledge of kindergarten and elementary school teachers regarding attention deficit hyperactivity disorder at Qassim region

Background: Attention Deficit Hyperactivity Disorder (ADHD) is one of the most common mental disorders that manifest among children. Despite the fact that the teacher’s role is essential in the assessment and management of pupils with ADHD and the recommendation of participation of teachers for the success and efficiency of diagnoses and treatment, the vast majority of teachers have neither understanding nor knowledge of ADHD. Objectives: The current study explores the kindergarten and elementary school teachers’ knowledge regarding early detection and management of ADHD. Methods: Cross sectional survey using stratified random sampling technique was carried out in governmental and private elementary and Kindergarten schools in four cities of Qassim region, Saudi Arabia. Results: The study included 1095 teachers, 711 (59.3%) did not get information about ADHD during undergraduate studies. Teachers’ overall ADHD knowledge mean was 21.7+5.5 out of 38 marks. Teachers with high qualification degree and kindergarten specialty scored 56.4% and 60.2% respectively. Teachers who attended conferences related to ADHD scored 64.5%, while teachers who read about ADHD or have been ever asked to diagnose/teach an ADHD student had 59.4% and 62.1% respectively. The level of ADHD knowledge perception showed that 76% of teachers were knowledgeable in relation to overall perception about ADHD. Conclusion: Teachers who have higher qualifications or training in identifying ADHD children scored higher in our study.

Auditoría transfusional en un Hospital de Alta Especialidad. Análisis retrospectivo de 12 meses.

Human blood is the only source of red blood cells, platelets and plasma, and includes the clotting factors. Transfusion of concentrated erythrocyte and blood products is a simple form of organ transplant, the benefits of blood transfusion are real, and the life of the patients depends on how is used. to know the transfusion adherence to the recommendations in the Hospital of High Specialty of Veracruz. For a period of 12 months an audit took place in the Transfusion Service of the Hospital of High Specialty of Veracruz, México, on a basis of 3 168 requests for transfusion from which 2314 corresponded to erythrocyte concentrate, 220 to platelet concentrate, 493 to fresh frozen plasma and 41 to cryoprecipitate. An analysis of concordance was made with the different established regulations for a right indication and the results showed that 2171 (67.26%) were appropriate and 1037 were inadequate, which means that the lack of academic training in medicine transfusional affects the risk for patients and cost for Health Institutions.

National Study of Burnout and Career Satisfaction Among Physician Assistants in Oncology: Implications for Team-Based Care.

A high rate of burnout has been reported in oncology physicians. Physician assistants (PAs) may also face similar risks of burnout. We sought to measure the personal and professional characteristics associated with burnout and career satisfaction and the potential impact on the oncology PA workforce. A national survey of PAs in oncology was completed by using the Maslach Burnout Inventory from September 2015 to January 2016. In all, 855 PAs were contacted and 250 submitted complete surveys (response rate, 29.2%). Respondents were representative of PAs in oncology with a mean age of 41.8 years, females (88.8%), academic practice (55.2%), urban location (61.2%), outpatient (74.4%), medical oncology (75.2%), worked 41 to 50 hours per week (52.8%), and had a mean of 9.6 years as a PA in oncology. Burnout was reported in 34.8% of PAs, 30.4% reported high emotional exhaustion, 17.6% reported high depersonalization, and 19.6% reported a low sense of personal accomplishment. In multivariable analysis, age, time spent on indirect patient care, oncology subspecialty, and relationship with collaborating physician were factors associated with burnout. Career and specialty satisfaction was high (86.4% and 88.8%, respectively). In the next 2 years, only 3.6% of PAs plan to pursue a different career or specialty and only 2.0% plan to retire. Despite high career and specialty satisfaction, burnout is reported in one third of PAs in oncology. Further exploration of the relationship between PAs and collaborating physicians may provide insight on methods to decrease burnout. Negligible short-term attrition of the current oncology PA workforce is anticipated.

Cannabinoid hyperemesis syndrome: a case report in Mexico

Background. The first case report on the Cannabinoid hyperemesis syndrome (CHS) was registered in 2004. Years later, other research groups complemented the description of CHS, adding that it was associated with such behaviors as chronic cannabis abuse, acute episodes of nausea, intractable vomiting, abdominal pain and compulsive hot baths, which ceased when cannabis use was stopped. Objective. To provide a brief review of CHS and report the first documented case of CHS in Mexico. Method. Through a systematic search in PUBMED from 2004 to 2016, a brief review of CHS was integrated. For the second objective, CARE clinical case reporting guidelines were used to register and manage a patient with CHS at a high specialty general hospital. Results. Until December 2016, a total of 89 cases had been reported worldwide, although none from Latin American countries. Discussion and conclusions. Despite the cases reported in the scientific literature, experts have yet to achieve a comprehensive consensus on CHS etiology, diagnosis and treatment. The lack of a comprehensive, standardized CHS algorithm increases the likelihood of malpractice, in addition to contributing to the patient’s biopsychosocial deterioration and raising care costs.

Clinical and epidemiological features in 495 gastroenteropancreatic neuroendocrine patients in Mexico.

e15687 Background: Data, incidence and/or prevalence about gastroenteropancreatic neuroendocrine tumors remains unknown in Mexico. Also there is no evidence about any Mexican multicenter study reporting information such as clinical presentation, diagnostic approach and treatment. The biggest problem is the lack of clinical and therapeutic management results so physicians can validate the proper patient protocols. Methods: To know the clinical, epidemiological and therapeutic characteristics of NET-GEP patients treated at the 5 biggest Concentration Mexican Medical Institutions.This paper was developed with the support of 5 Public Medical Institutions: Mexican Social Security Institute (IMSS), Institute for Social Security and Services for State Workers (ISSSTE), Secretary of the Mexican Navy, Petroleos Mexicanos (PEMEX), Ministry of Public Health 495 Patients from 6 hospitals where included: Oncology Hospital, CMN XXI Century, Hospital No. 25 25, Monterrey IMSS, National Cancer Institute (INCAN), National Medical Center November 20, Naval General Hospital of High Specialty and Private Institutions. This was a observational and retrospective academic paper . Results: :Of 495 patients, 59.7% (296) were women and 40.32% (200) were men, 26% of them had around 50 years old. Diagnosis symptoms included: abdominal pain 47.27% (234), gastrointestinal bleeding 18.58% (92) no-predominant symptoms 28.88% (143). Around 32.25% (160) had Carcinoid syndrome and 67.74% (336) were nonfunctioning. The predominant location was pancreas 33.27% (165) and stomach 28.02% (139). 36% resulted circumscribed neoplasia (179), features polypoid 26% (129) and infiltrative 15% (73). The size was &gt; 2cm in 49% (242) &gt; 1-2cm: 36% (180) 0.5 to 1 cm 9% (45) &lt; 0.5 cm 6% (29). Grade: GI 64% (316), GII 13% (66), GIII 23% (114). Metastasis positive ganglioanres (6%) (31), negative (94%) (465). Only seven cases extra nodal metastases (liver (3), lung (2), spleen (2)) Conclusions:This is the first multi-center study in Mexico. Which reflects the clinical characteristics of the NET_GET. The results differ in their epidemiology from that reported in other countries. However, the clinical and therapeutic results are very similar.

Multi-functional fiber optic sensors based on mode division multiplexing

There is an upward trend in applying the spatial division multiplexing (SDM) technologies from the telecom field towards multi-functional optical sensing applications attributable to enhanced spatial sensitivity and multi-parameter discriminative proficiency. In addition to our preliminary experimental demonstrations, in this paper we analytically evaluated the performance of few-mode Brillouin sensors via diverse refractive index profiles and dopant material compositions. Our results show five to ten folder improvements on the measurement accuracy associated with the intermodal differential Brillouin frequency shifts, which would be of great importance for sensing in sophisticated target environments. This work pave the way for next-generation mode division multiplexed sensing system design and corresponding high nonlinearity specialty fiber fabrication for structure health monitoring as well as oil and gas pipeline monitoring.

Knowledge of kindergarten and elementary schools’ teachers regarding attention deficit hyperactivity disorder

BackgroundAttention deficit hyperactivity disorder (ADHD) is one of the most common mental disorders that manifest among children. Despite the fact that the teacher's role is essential in the assessment and management of pupils with ADHD and the recommendation of participation of teachers for the success and efficiency of diagnoses and treatment, the vast majority of teachers have neither understanding nor knowledge of ADHD.ObjectivesThe current study explores the kindergarten and elementary school teachers’ knowledge regarding early detection and management of ADHD.MethodsCross sectional survey using stratified random sampling technique was carried out in governmental and private elementary and kindergarten schools in four cities of Qassim region, Saudi Arabia.ResultsThe study included 1095 teachers, 711 (59.3%) did not get information about ADHD during undergraduate studies. Teachers’ overall ADHD knowledge mean was 21.7 + 5.5 out of 38 marks. Teachers with high qualification degree and kindergarten specialty scored 56.4% and 60.2%, respectively. Teachers who attended conferences related to ADHD scored 64.5%, while teachers who read about ADHD or have been ever asked to diagnose/teach an ADHD student had 59.4% and 62.1%, respectively. The sources for those who got their information through reading were statistically significant in overall knowledge, general knowledge and treatment dimensions. As scientific studies and books were the highest with percentage of 24.6% and 23.3%, respectively, 4% and 3.6%, respectively, 3% and 3%, respectively. The level of ADHD knowledge perception showed that 76% of teachers were knowledgeable in relation to overall ADHD perception.ConclusionTeachers who have higher qualifications or training in identifying ADHD children scored higher in our study.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Ice cider fingerprinting using optical spectroscopy and simple laboratory measurements

Ice cider is a high value specialty product that was developed in Quebec, Canada. It is typically very sweet and has an intense apple taste due to specific production practices. Other fruit wines can be produced at a lower cost, and there is a need for ice cider authentication methods. An experiment was conducted to determine the uniqueness of ice cider in terms of physico-chemistry. Simple laboratory procedures were considered in addition to infrared and fluorescence spectroscopy. One hundred bottles with vintages from 2001 to 2015 were collected. Besides, 11 comparable apple wines (CAW) were selected, including quiet, fortified, aperitif and fire ciders. In addition, 36 ‘laboratory wines’ (LW) were prepared by mixing various juices, ethanol and sugars. A linear discriminant analysis with variable selection was performed to classify products as ice cider or not. Input variables were results from laboratory test or scores from principal component analysis of spectra. Ninety four percent of ice ciders and 45% of CAW were correctly identified by simple laboratory tests but the method was not specific as 6 LWs were confused with ice cider. Infrared spectroscopy or fluorescence at 280, 330, 415 and 460 nm excitation wavelengths allowed for correct classification of 95% of samples and all LW. Infrared was poor at distinguishing CAW (45% correct classification) while fluorescence was better (73% correct classification). Measuring intrinsic fluorescence represents an opportunity for a simple and low cost instrument for the authentication of ice cider.

Double strand RNA delivery system for plant-sap-feeding insects.

Double-stranded RNA (dsRNA)-mediated gene silencing, also known as RNA interference (RNAi), has been a breakthrough technology for functional genomic studies and represents a potential tool for the management of insect pests. Since the inception of RNAi numerous studies documented successful introduction of exogenously synthesized dsRNA or siRNA into an organism triggering highly efficient gene silencing through the degradation of endogenous RNA homologous to the presented siRNA. Managing hemipteran insect pests, especially Halyomorpha halys (Stål) (Heteroptera: Pentatomidae), the brown marmorated stink bug (BMSB), is critical to food productivity. BMSB was recently introduced into North America where it is both an invasive agricultural pest of high value specialty, row, and staple crops, as well as an indoor nuisance pest. RNAi technology may serve as a viable tool to manage this voracious pest, but delivery of dsRNA to piercing-sucking insects has posed a tremendous challenge. Effective and practical use of RNAi as molecular biopesticides for biocontrol of insects like BMSB in the environment requires that dsRNAs be delivered in vivo through ingestion. Therefore, the key challenge for molecular biologists in developing insect-specific molecular biopesticides is to find effective and reliable methods for practical delivery of stable dsRNAs such as through oral ingestion. Here demonstrated is a reliable delivery system of effective insect-specific dsRNAs through oral feeding through a new delivery system to induce a significant decrease in expression of targeted genes such as JHAMT and Vg. This state-of-the-art delivery method overcomes environmental delivery challenges so that RNAi is induced through insect-specific dsRNAs orally delivered to hemipteran and other insect pests.

Pimavanserin: A Novel Antipsychotic for Parkinson's Disease Psychosis.

To review the pharmacology, pharmacokinetics, efficacy, safety, and place in therapy of pimavanserin for the treatment of hallucinations and delusions of Parkinson's disease psychosis (PDP). A comprehensive PubMed search (1966 to January 2017) was conducted using the search terms Parkinson's disease psychosis, hallucinations, delusions, pimavanserin, and ACP-103. Additional data were obtained from references of identified articles, governmental sources, manufacturer product labeling and website, and Clinicaltrials.gov. All English-language trials evaluating pimavanserin in PDP were included. Data from review articles were included if relevant to clinical practice. One phase II and 3 phase III trials are discussed. Pimavanserin was approved in April 2016 for the treatment of delusions and hallucinations of PDP. One phase II and 2 phase III trials reported no difference for primary outcomes when pimavanserin was compared with placebo. The pivotal phase III ACP-103-020 trial adapted a scale to target more specific symptoms prevalent in PDP and showed that least-squares mean differences of the total PD-adapted Scale for the Assessment of Positive Symptoms score were significantly improved for pimavanserin-treated patients as compared with placebo-treated patients (difference = -3.06; 95% CI [-4.91 to -1.20]; P = 0.0014]). Pimavanserin's adverse effect profile includes urinary tract infections, falls, peripheral edema, hallucinations, confusion, nausea, and headaches. Pimavanserin is a novel 5-HT2A inverse agonist that has shown promising results for managing hallucinations and delusions in patients with PDP without worsening motor effects or orthostasis. Yet its high cost and specialty pharmacy access may limit use in clinical practice.

SC30.04 Impact of Working Time Directives on Thoracic Surgical Training: The North-American Experience

The following is in part the STS, TSDA and AATS combined response to ACGME (collated and written up by Dr. Ara Vaporciyan) regarding the effect of Duty hour regulations on resident education in Thoracic Surgery in North America. This has impacted the profession in terms of additional cost from their much higher salaries, which are anywhere from 50% to 100% higher, but also a subtle but steady transfer of bedside teaching previously focused on the trainee to bedside teaching focused on the mid-level provider. Our profession still fills the bulk of its training position from general surgery graduates. Duty hour restrictions have contracted the ability of those programs to provide elective rotations in thoracic and cardiac. Limited exposure translates into limited interest and diminished applications. This is where we have felt the greatest impact. We, like all surgical professions, have developed an increasing variety of procedures necessitating expansion of our case log requirements. This puts pressure on trainees to participate in every available case. Appropriate cases are harder to find due to increasing case complexity and outcome reporting. Therefore, the inability to scrub on just one or two of these cases can be significant. While some large surgery programs have implemented float pools to ensure that all cases provide someone a learning experience most CT training programs are small and cannot implement that solution Even more difficult to overcome is when a trainee misses a rare postoperative event. As a high acuity specialty our patients will frequently develop rapid changes in their condition which, if not recognized, can quickly become catastrophic. Most occur in the immediate postoperative period at night. The use of mid-level providers and other services to cover call in an effort to preserve a trainee’s ability to do cases the next day prevents them from taking part in the bedside assessment and management of these rare events. One solution is to lengthen training to allow more opportunities but there is concurrent pressure to reduce what is already one of the longest training paradigms (up to 9 years for congenital surgeons without considering any time for research). Alternatively simulation has been used but these are expensive and are not easily implemented at all programs. While there is no clear study demonstrating documented impact on patient safety there are many surveys of resident and faculty perceptions of patient safety. The majority of these, especially in surgery, have shown that the perception is that safety is compromised. The increased number of handoffs, especially of high acuity cases, is frequently the target of that perception. The subtle aspects of the intraoperative findings cannot always be accurately communicated in a handoff. While patient safety data is not conclusive there is data on worse outcomes in spinal and meningioma surgery post implementation of duty hour regulations. These data may serve to corroborate the perceived concerns. Education, duty hour regulation, working time directives

Krukenberg Tumor in A 22 Year Old Patient with Primary Tumor in the Transverse Colon. Clinical Case

Background: In 1896 Friedrik Krukenberg described a bilateral ovarian tumor, which he called "mucocellular ovarii fibrosarcoma" (carcinomatodes), considering it to be fibrosarcomatous in nature. Clinical Case: A 22-year-old female patient admitted to the emergency department of our hospital with grade IV anemic syndrome. Two weeks after his admission to the emergency room, he presented melenic evacuations accompanied by asthenia, adynamia, hyporexia and dyspnea. His vital signs were normal except for TA 100/60 mmHg. Their laboratories of admission showed a hemoglobin of 6.3 g rest within normal parameters; Guayaco (++). First Ultrasound reported thickening of the colon walls. His control blood biometry reported hemoglobin of 3.4 g being transfused with globular packages increasing to 12.8 g. Carcinoembryonic antigens reported CA 19.9, 315.27, 15.3 = 7.29. A panendoscopy and colonoscopy was performed, reporting ulcerated lesions in the transverse stenotic colon. It refers to a Regional Hospital of High Specialty to the service of oncology for its integral management. Discussion: Previously, any metastatic ovarian cancer was categorized as Krukenberg's tumor; however, Novak and Gray established new diagnostic criteria to eliminate this confusion. Therefore, a mucin-secreting carcinoma with ring-seal cells in an ovarian fibroblast stroma is a Krukenberg tumor. Most of these tumors are of gastric origin (76%). Colorectal cancers carry a poor 5-year survival prognosis of only 13.1%.

P02.05 Peripheral Nerve Sheath Tumor Epidemiology in the South Central Hospital of High Specialty from PEMEX in Mexico

AbstractIntroduction:The peripheral sheath tumors are part of a large group of neoplasms that range from biologically benign with minimal disorders in life quality to highly malign with life quality deterioration and high mortality. There are subtypes with high prevalence like Schwannomas and some much rarer like the intracranial peripheral nerve sheath tumor which happen to have very bad prognosis. The aim of this study is to describe the epidemiologic and clinical characteristics of patients with peripheral nerve sheat tumors in a hospital of high specialty.Method and materials:Observational study with patients from March 1999 to March 2016 with confirmed diagnosis of peripheral nerve sheath tumor in the electronic files of the South Central Hospital of High Specialty PEMEX. A statistical analysis is made through the SPSS Statistics of the disease in this Institution program.Results:There were 84 patients with the diagnosis of peripheral nerve sheath tumor with a median age of 48.04 years, 65.5% were males, the most common histological type found was the Schwannoma with a 72.6%, followed by senescent Schwannoma 13.1%, neurofibroma 8.3%, and malign peripheral nerve sheath tumor 2.4%. The most frequent location was at the site of cranial nerves, followed by cervical level 27.4%, lumbar 16.7% and thoracic 9.5%. The most common initial symptom was pain in 23.8% of the patients, and the time of the onset of symptoms to the diagnosis was 31.6 months. From the total of patients 8.3% had neurofibromatosis type 1, 6.0% neurofibromatosis type 2.Conclusions:We realized in our series of reported cases that the frequency is similar to those reported in worldwide population; nevertheless the time between the onset of symptoms and the diagnosis is much higher in our cases as well as the population of patients with neurofibromatosis. This study justifies the need of attention quality improvement and the knowledge of this information the medical doctor of first contact so that the right diagnosis can be made and the treatment given in the shortest time possible.

P12.01 Epidemiology in spinal tumors treated surgically at the South Central Hospital of High Specialty from PEMEX in Mexico

P12.01 Epidemiology in spinal tumors treated surgically at the South Central Hospital of High Specialty from PEMEX in Mexico

P17.05 Epidemiology and clinical in patients with primary and secondary lymphomas with a nervous system condition in the South Central Hospital of High Specialty from PEMEX in Mexico

P17.05 Epidemiology and clinical in patients with primary and secondary lymphomas with a nervous system condition in the South Central Hospital of High Specialty from PEMEX in Mexico

دراسة إمراضیة نسیجیة لتأثیرات العزلة المحلیة لفیروس Spodoptera littoralis Nucleopolyhedrovirus على یرقات دودة ورق القطن Spodoptera littoralis (Boisd.) فی العراق

The aim of this current study is to focus on the histopathological changes that happens to the midgut of the cotton leaf worm Spodoptera littoralis (Boisd) larvae especially in the Peritrophic membrane as a main defense line against the occulosion bodies OBs (A crystalline protein matrix which occludes the nucleocapsids) of the Spodoptera littoralis nucleopolyhedrovirus from a local Iraqi isolation that was used as a biological control factor to control this pest. The high specialty of the baculovirus when used as a biological control factor for certain insect families has an important role in full control programs to control pests, especially the SpoNPV virus which is highly specialized in infecting the cotton leaf worm S. littoralis larvae. And it was pointed out by results that there was dissociation and disintegration in the midgut Peritrophic membrane of the larva of the cotton leaf worm at the forth larva stage after 24 hours of exposing them to semi-synthesized nutrition with OBs of the SpoNPV. The microscopic test of the cross section of the larva's midgut showed that after 72 hours of viral infection virus particles have speeded through the rest of the inner tissue of the digestive system and invaded it to reach the fat bodies and tracheal system up to the dermis tissues and the outer cuticle cells of the larva. According to the results of the histopathological study of the infected S. littoralis with the SpoNPV, the virus is considered to be an effective, specialized and ecological safe biological control factor to control this serious pest.

FACTORS ASSOCIATED WITH INFECTIONS IN SPINAL SURGERY

ABSTRACT Objective: To identify the factors associated with postoperative infections in spinal surgery. Methods: Descriptive, retrospective, cross-sectional study conducted in the spine surgery department of the Medical Unit of High Specialty (UMAE) at the Hospital of Traumatology and Orthopedics Lomas Verdes, Mexican Institute of Social Security (IMSS) between January 01, 2013 and June 30, 2014 through medical records of the service and the records of clinical care. Data were gathered in accordance with the records of patients with infection after spinal surgery. The factors considered were age group, etiologic agent, surgical site, type of treatment, bleeding volume and pharmacotherapy. Frequency and descriptive statistic was conducted. The rank sum test with the Wilcoxon test for a single sample was performed in different measurements; Pearson's correlation was calculated and all p&lt;0.05 values were considered significant. Results: The sample was composed of 14 patients of which 11 were female (78.6%) and 3 male (21.4%) with predominance of surgical area in the lumbar and dorsolumbar region. There was a significant correlation between the surgical time and the amount of bleeding with p&lt;0.001. Conclusions: It was clear that the infections present in patients after spinal surgery are multifactorial. However, in this study the correlation between time of surgery and bleeding amount had the highest importance and relevance.