Antibiotics for Spinal Cord Stimulation Trials

Myth 1: Patients undergoing spinal cord or dorsal root ganglion stimulation trials must be kept on prophylactic antibiotics throughout the entire course of either a percutaneous or staged trial while electrodes remain externalized.

Myth 2: Only patients undergoing a staged trial should be placed on prophylactic antibiotics during the trial period.

Learn about the facts surrounding this myth and the best practices to support safe performance of interventional pain procedures in your practice.

Each participant will read the FactFinder and will answer post-test questions to earn continuing medical education (CME) credits.    

Authors
Ryan Mattie, MD; David C. Miller, MD, MA; and Zachary L. McCormick, MD on behalf of the Spine Intervention Society’s Patient Safety Committee

Copyright
Materials presented in this activity have been made available by the Spine Intervention Society for educational purposes only. We reserve all rights to such material.

Educational Objectives
Upon completion of this activity, participants should be able to:

• Identify best practices to ensure patient safety during interventional pain procedures.
• Cite the evidentiary basis for risk mitigation strategies in the safe performance of interventional pain procedures.

Author Disclosures Information
RELEVANT FINANCIAL RELATIONSHIPS WITH ACCME-DEFINED COMMERCIAL INTERESTS
Ryan Mattie, MD
Nothing to disclose

David C. Miller, MD, MA
Nothing to disclose

Zachary L. McCormick, MD
Nothing to disclose

OTHER DISCLOSURES
Ryan Mattie, MD
Consultant and Speaker: SPR Therapeutics
Position in a physician society/association: Pacific Spine & Pain Society

David C. Miller, MD, MA
Speaker: Kauai Pain Conference

Zachary L. McCormick, MD
Consultant: FUSMobile
Research support: Avanos Medical, Relievant Medsystems, EpiMed International
Position in a physician society/association: AAPM –Research Committee, Annual Program Planning Committee, Nominating Committee; NASS – Guidelines Committee, ISMM Fellowship Committee; PSPS – BOD, Research Committee, Education Committee
Consultant: Medicolegal
Expert witness: Various law firms
Speaker: AAMPM; AAPM; NASS; PSPS
Editorial board: Pain Medicine Journal; PM&R Journal; The Spine Journal
Grant and research support: Foundation of PM&R; SIS; RSNA Research & Education Foundation; Skaggs Research Foundation; DOD; NIH

References
References are provided within the FactFinder.

Accreditation Statement    
The Spine Intervention Society (SIS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.    

Credit Designation Statement    
SIS designates this enduring material for a maximum of 0.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.    

Date of Activity Release: 2/4/2021    
Date of Activity Expiration: 2/3/2024