Positive cultures from cardiopulmonary bypass: prevalence and relevance regarding postoperative infection

Hamers, Linda A.C.; Linssen, Catharina F. M.; Lancé, Marcus D.; Weerwind, Patrick W.; Winkens, Björn; Bergmans, Dennis C. J. J.; Mook, Walther N. K. A. van

doi:10.1016/j.ejcts.2010.11.063

Cited by 6 publications

(11 citation statements)

References 23 publications

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“…The group with CBP duration of up to 85 minutes presented a higher percentage for this complication (25%). A recent research on the epidemiology of CBP fluid and blood sample cultures demonstrated that 5.7% of the patients presented fever of unknown origin during the postoperative period, without any significant difference between patients with positive or negative cultures, and no association was established with CBP duration either (26) . Some complications, like bleeding, hemothorax and pneumothorax, only appeared in the group with CBP duration of more than 85 minutes.…”

Section: Discussionmentioning

confidence: 99%

Circulação extracorpórea e complicações no período pós-operatório imediato de cirurgias cardíacas

Torrati

Dantas

2012

Acta paul. enferm.

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Objectives: To compare the frequency of complications presented by patients during the immediate postoperative period (IPP) for cardiac surgery, based on the time of extracorporeal circulation (ECC). Methods: A quantitative, descriptive and correlational study with 83 adult patients, divided into two groups according to the time of ECC. Results: Of the total patients, 44 (53%) had an ECC duration of up to 85 minutes, and 39 (47%) had a time of over 85 minutes. Complications were common in both groups, with the most frequent being pain and oliguria. However, hemothorax, pneumothorax, and acute myocardial infarction occurred only in the group with the longer duration of ECC. Conclusion:The majority of IPP complications presented in similar frequency for patients, independent of ECC time. Keywords: Nursing care; Thoracic surgery; Postoperative care rEsumo Objetivos: Comparar a frequência de complicações apresentadas pelos pacientes, durante o pós-operatório imediato (POI), de cirurgias cardíacas de acordo com o tempo de circulação extra-corpórea (CEC). Métodos: Estudo de natureza quantitativa, descritivo e correlacional com 83 pacientes adultos divididos em dois grupos de acordo com o tempo de CEC. Resultados: Do total de pacientes, 44 (53%) tiveram o tempo de duração da CEC de até 85 minutos e 39 (47 %) tiveram o tempo acima de 85 minutos. As complicações foram comuns para ambos os grupos, sendo as mais frequentes dor e oligúria. No entanto, hemotórax, pneumotórax e infarto agudo do miocárdio ocorreram apenas no grupo com maior tempo de CEC. Conclusão: A maioria das complicações ocorridas no POI apresentou frequencia semelhante para os pacientes, independente do tempo de CEC. Descritores: Cuidados de enfermagem; Cirurgia torácica; Cuidados pós-operatórios rEsumEn Objetivos: Comparar la frecuencia de complicaciones presentadas por los pacientes, durante el post-operatorio inmediato (POI), de cirugías cardíacas de acuerdo con el tiempo de circulación extra-corpórea (CEC). Métodos: Estudio de naturaleza cuantitativa, descriptiva y correlacional realizado con 83 pacientes adultos divididos en dos grupos de acuerdo con el tiempo de CEC. Resultados: Del total de pacientes, 44 (53%) tuvieron el tiempo de duración de la CEC de hasta 85 minutos y 39 (47 %) tuvieron el tempo encima de 85 minutos. Las complicaciones fueron comunes para ambos grupos, siendo las más frecuentes dolor y oliguria. Entre tanto, hemotórax, pneumotórax e infarto agudo del miocardio ocurrieron en el grupo con mayor tiempo de CEC. Conclusión: La mayoría de las complicaciones ocurridas en el POI presentó frecuencia semejante para los pacientes, independiente del tiempo de CEC.

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Section: Discussionmentioning

confidence: 99%

Circulação extracorpórea e complicações no período pós-operatório imediato de cirurgias cardíacas

Torrati

Dantas

2012

Acta paul. enferm.

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“…No correlation between positive cultures in the blood from the CPB circuit and postoperative infection have been established in previous studies 65,156 and were also not found in study IV. Positive cultures and postoperative infections needs to be evaluated in larger studies.…”

Section: Heparin Reversal With Protaminementioning

confidence: 71%

“…Live bacteria found in the CPB blood on the other hand are mainly those colonizing the patients own skin 67 so assumingly they also are introduced to the blood through the operation field. No association between positive cultures and an increased postoperative risk for infection has been found 65 .…”

Section: Endotoxemia and Bacteremiamentioning

confidence: 98%

“…Endotoxin is known to stimulate the release of proinflammatory cytokines and nitric oxide (NO) 64 . Systemic endotoxemia is well known to exist during CPB 65 . It has been suggested that the primary mediator could be gut translocation 66 .…”

Section: Endotoxemia and Bacteremiamentioning

confidence: 99%

“…Positive cultures in the priming of the bypass circuit and blood samples drawn from the circuit during CPB has been frequently encountered 65 . The bacteria in the CPB blood were mainly the same as those colonizing skin.…”

Section: Heparin Reversal With Protaminementioning

confidence: 99%

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Hemostatic function and inflammatory activation after weaning from cardio pulmonary bypass

Olsson¹

2018

Linköping University Medical Dissertations

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72 Hours Standby Time of Wet-Primed Cardiopulmonary Bypass Circuits: A Microbiological Quality Assurance Study

Schulz-Stübner¹,

Schorer²,

Ennker³

et al. 2014

Thorac cardiovasc Surg

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In a microbiological sample study of 15 wet-primed cardiopulmonary bypass circuits in standby mode for 72 hours under regular clinical conditions, no contamination of the priming fluid or the connectors could be detected. Hand contact surfaces of the machines demonstrated environmental microorganisms. These findings indicate the safe use of primed cardiopulmonary bypass circuits in standby mode for 72 hours. A surface disinfection of hand contact surfaces immediately before use is recommended.

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Positive cultures from cardiopulmonary bypass: prevalence and relevance regarding postoperative infection

Cited by 6 publications

References 23 publications

Circulação extracorpórea e complicações no período pós-operatório imediato de cirurgias cardíacas

Circulação extracorpórea e complicações no período pós-operatório imediato de cirurgias cardíacas

Hemostatic function and inflammatory activation after weaning from cardio pulmonary bypass

72 Hours Standby Time of Wet-Primed Cardiopulmonary Bypass Circuits: A Microbiological Quality Assurance Study

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