Prevalence of 90-days postoperative wound infections after cardiac surgery

Jonkers, Daisy; Elenbaas, Ted W.O.; Terporten, Peter; Nieman, Fred; Stobberingh, Ellen E.

doi:10.1016/s1010-7940(02)00662-0

Cited by 116 publications

(79 citation statements)

References 20 publications

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“…The infection rates vary from 3.5% in superficial wounds to 1% in deep sternal wound. [1][2][3][4][5] In the present study the rate of infection is concurrent with other study groups.…”

Section: Resultssupporting

confidence: 79%

“…Many studies find similar observation while some show S. aureus to be the one causing infection more frequently. 4,5,12,15 It is a commonly known fact that staph aureus nasal colonization is more in hospitalized patients and Staph aureus colonization is a risk factor for post-operative wound infection on the other hand, coagulase negative staphylococci are known to be opportunistic pathogens, part of the resident flora on the skin, and difficult to be removed during skin disinfection. 13 Our study's finding agrees with other studies in that coagulase negative staphylococci (CoNS) were the major pathogens.…”

Section: Resultsmentioning

confidence: 99%

“…The rate varies between 1.8% upto 4.7%. [1][2][3][4][5] The diagnosis is often difficult to make so a correlation between clinical and microbiological findings should be taken into consideration. 6 This is a prospective study and based on laboratory data collected from microbiology laboratory, and/or infection control data and includes the type of bacterial isolate, type of surgery or the procedure during a two year period at a cardiac center in Eastern Province, Saudi Arabia.…”

Section: Introductionmentioning

confidence: 99%

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Bacterial epidemiology of post-operative infections at a cardiac center

Nagamani¹

2016

Int J Res Med Sci

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“…The infection rates vary from 3.5% in superficial wounds to 1% in deep sternal wound. [1][2][3][4][5] In the present study the rate of infection is concurrent with other study groups.…”

Section: Resultssupporting

confidence: 79%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Bacterial epidemiology of post-operative infections at a cardiac center

Nagamani¹

2016

Int J Res Med Sci

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“…Despite advances in ventilation of operation rooms, covering systems, sterilization protocols, hi-tech operating tools and antibiotics prophylaxis, the rate of morbidity and mortality due to post SSI in cardiac surgeries is high; however, hospitals with appropriate, standard and qualified surgical cares and strategies are able to decrease the risk of postoperative site infections up to 30% [14,[19][20][21].…”

Section: Review Articlementioning

confidence: 99%

Microbial Surgical Site Infections in Association with Post Cardiac Surgery

Behzadi¹

2015

MOJS

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Cardiac surgeries are considered as a big problem around the world; because of the consequences of surgical site infections. There are several risk factors which may lead to surgical infections. However, the factors are categorized into three groups of preoperative, perioperative and postoperative risk factors that may lead to microbial surgical site infections in patients with post cardiac surgery. The medical (morbidity and mortality) and financial consequences in association with surgical site infections are very significant and considerable. But, the use of standard sterilization protocols and accurate surgical methodologies may help to reduce the microbial infections in patients with cardiac surgery. For this reason, the focused aim of the present literature is to have a deep review in epidemiology, microbiology, pathogenesis and virulence and the risk factors pertaining to microbial surgical site infections in patients with post cardiac surgery.

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“…Sternal wound infections also imply a considerable psychological burden for the patient(7). The incidence of sternal infection after sternotomy has been reported to vary between 0.25-9% (3,6,(8)(9)(10)(11)(12)(13). Post-discharge surveillance up to 3 months appears essential for reliable assessment of the true incidence of sternal wound infections (9,14).…”

Section: Introductionmentioning

confidence: 99%

Functional impairment after treatment with pectoral muscle flaps because of deep sternal wound infection

Eriksson

Huljebrant

Nettelblad

et al. 2011

Scandinavian Cardiovascular Journal

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Objective. Pectoral muscle flaps (PMF) are effective in terminating protracted sternal wound infections (SWI) but long-term outcome remains uncertain. Therefore, the aim of this study was to evaluate long-term outcome in patients treated with PMF. Design. Thirty-four of 263 patients revised because of deep SWI from 1991-2005 were treated with PMF. Of the 21 patients alive, 11 had left-sided, two right-sided and eight bilateral procedures. Sternal debridement without closure of the sternum was done in 17 patients. Nineteen of 21 patients responded to a questionnaire. Results. At follow-up on average 5.9 years (range 1.9-14.8 years) after surgery 63% (12/19) experienced unstable chest. Two thirds (12/18) reported problems carrying a grocery bag and 37% (7/19) had problems putting on a coat. Reduction of power and mobility was more common in the right arm and shoulder even in patients with left-sided PMF. Thirty-two percent (6/19) would have preferred alternative treatment if possible to avoid sternal instability even if healing had been substantially delayed. Conclusions. Surgery with PMF and sternal debridement was associated with long-term disability, which appeared to be significant in one third of the patients. The function of the right arm and shoulder was affected more often despite the majority of procedures being left-sided suggesting that loss of skeletal continuity of the chest wall is more disabling than loss of pectoral muscle function.

Original Publication: Jenny Eriksson, Inger Huljebrant, Hans Nettelblad and Rolf Svedjeholm, Functional impairment after treatment with pectoral muscle flaps because of deep sternal wound infection, 2011, SCANDINAVIAN CARDIOVASCULAR JOURNAL, (45), 3, 174-180. http://dx.doi.org/10.3109/14017431.2011.563318 Copyright: Informa Healthcare http://informahealthcare.com/

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Prevalence of 90-days postoperative wound infections after cardiac surgery

Abstract: After 30 and 90 days follow-up of patients after cardiac surgery, additional sternal wound and donor site infections were diagnosed compared with the in-hospital infection rate. Post-discharge surveillance is essential for a reliable assessment of surgical wound infections.

Cited by 116 publications

References 20 publications

Bacterial epidemiology of post-operative infections at a cardiac center

Bacterial epidemiology of post-operative infections at a cardiac center

Microbial Surgical Site Infections in Association with Post Cardiac Surgery

Functional impairment after treatment with pectoral muscle flaps because of deep sternal wound infection

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