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Review Question - QID 211674

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QID 211674 (Type "211674" in App Search)
A 49-year-old-male that is a current pack-per-day smoker underwent a lumbar L3-S1 posterior spinal fusion for severe multilevel spinal stenosis. The patient has a history of diabetes mellitus and a body mass index (BMI) of 37. Perioperatively the patient received 900 mg of clindamycin every 8 hours, which continued for 24 hours post-operatively. Intraoperatively two drains were placed, one subfascial and one suprafascial. Post-operatively there was a large volume of drainage that necessitated drains for 5 days before removal. At the patient's 5-week post-operative follow-up he was found to have a surgical site infection. Which factor is most related to developing the surgical site infection?
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