Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-19T11:49:02.114Z Has data issue: false hasContentIssue false

Surgical Site Infection During Hospitalization and After Discharge in Patients Who Have Undergone Cardiac Surgery

Published online by Cambridge University Press:  21 June 2016

Marta Fernández-Ayala
Affiliation:
Infectious Diseases Unit, Department of Internal Medicine, Hospital Marqués de Valdecilla, University of Cantabria, Santander, Spain
Daniel N. Nan
Affiliation:
Infectious Diseases Unit, Department of Internal Medicine, Hospital Marqués de Valdecilla, University of Cantabria, Santander, Spain
Concepción Farinas-Álvarez
Affiliation:
Division of Preventive Medicine, Hospital Marqués de Valdecilla, University of Cantabria, Santander, Spain
José M. Revuelta
Affiliation:
Department of Cardiovascular Surgery, Hospital Marqués de Valdecilla, University of Cantabria, Santander, Spain
Jesús González-Macías
Affiliation:
Infectious Diseases Unit, Department of Internal Medicine, Hospital Marqués de Valdecilla, University of Cantabria, Santander, Spain
M. Carmen Fariñas*
Affiliation:
Infectious Diseases Unit, Department of Internal Medicine, Hospital Marqués de Valdecilla, University of Cantabria, Santander, Spain
*
Infectious Diseases Unit, Department of Internal Medicine, Hospital Universitario Marqués de Valdecilla, Avenida Valdecilla, sin numero 39008-Santander, Spain (mirfac@humv.es)

Abstract

During a 13-month period, 513 patients who were scheduled to undergo cardiac surgery were prospectively observed for surgical site infection during hospitalization after surgery and for 1 month after hospital discharge. Fifty-three patients showed evidence of surgical site infection (during hospitalization for 31 patients and after discharge for 22). Multivariate analysis identified that risk factors for surgical site infection differed between infections that occurred during hospitalization and those that occurred after discharge.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Loop, FD, Lyttle, BW, Cosgrove, DM, et al. Sternal wound complication after isolated coronary artery bypass grafting: early and late mortality morbidity and cost of care. Ann Thorac Surg 1990; 49:179187.Google Scholar
2.Nagachinta, T, Stephens, M, Reitz, B, Polk, BF. Risk factors for surgical wound infection following cardiac surgery. J Infect Dis 1987; 156:967973.Google Scholar
3.Ottino, G, De Paulis, R, Pansini, S, et al. Major sternal wound infectioi after open-heart surgery: a multivariate analysis of risk factors in 2,57! consecutive operative procedures. Ann Thorac Surg 1987; 44:173179.Google Scholar
4.Simchen, E, Shapiro, M, Marin, G, et al. Risk factors for post-operativi wound infection in cardiac surgery patients. Infect Control 1983; 4:215220.Google Scholar
5.Zacharias, A, Habib, RH. Factors predisposing to median sternotomy complications: deep versus superficial infection. Chest 1996; 110:11731178.Google Scholar
6.Simchen, E, Wax, Y, Galai, N, Israeli, A. Discharge from hospital and it: effect on surgical wound infections: the Israeli Study of Surgical Infec tions (ISSI). J Clin Epidemiol 1992; 45:11551163.Google Scholar
7.Reimer, K, Gleed, C, Nicolle, LE. The impact of postdischarge infectior on surgical wound infection rates. Infect Control 1987; 8:237240.Google Scholar
8.Weigelt, JA, Dryer, D, Haley, RW. The necessity and efficiency of wounc surveillance after discharge. Arch Surg 1992; 127:7782.Google Scholar
9.Brown, RB, Bradley, S, Opita, E, Cipriani, D, Pieczarka, R, Sands, M. Surgica wound infections documented after hospital discharge. Am J Infect Control 1987; 15:5458.CrossRefGoogle Scholar
10.Delgado-Rodriguez, M, Gomez-Ortega, A, Sillero-Arenas, M, Llorca, J. Epidemiology of surgical-site infections diagnosed after hospital discharge a prospective cohort study. Infect Control Hosp Epidemiol 2001; 22:2430.Google Scholar
11.Avato, JM, Lai, KK. Impact of postdischarge surveillance on surgical-site infection rates for coronary artery bypass procedures. Infect Control Host Epidemiol 2002; 23:364367.Google Scholar
12.Owens, W, Felts, J, Spitznagel, E. ASA physical status classifications: study of consistency of ratings. Anesthesiology 1978; 49:239243.CrossRefGoogle ScholarPubMed
13.Horan, TC, Gaynes, RP, Martone, WJ, Jarvis, WR, Emori, TG. CDC definitions of nosocomial surgical site infections, 1992: a modification of CDC definitions of surgical wound infections. Infect Control Hosp Epidemiol 1992; 13:606608.Google Scholar
14.Olsen, MA, Lock-Buckley, P, Hopkins, D, Polish, LB, Sundt, TM, Frasei, VJ. The risk factors for deep and superficial chest surgical-site infection: after coronary artery bypass graft surgery are different. J Thorac Car diovasc Surg 2002; 124:136145.Google Scholar
15.Vuorisalo, S, Haukipuro, K, Pokela, R, Syrjala, H. Risk features for surgical site infections in coronary artery bypass surgery. Infect Control Host Epidemiol 1998; 19:240247.Google Scholar
16.Demmy, TL, Park, SB, Liebler, GA, Burkholder, JA, Maher, TD, Benckar, DH. Recent experience with major sternal wound complications. Ann Thorac Surg 1990;49:458462.Google Scholar
17.Fariñas, MC, Galo, F, Bernal, JM, Rabasa, JM, Revuelta, JM, González Maclas, J. Suppurative mediastinitis after open-heart surgery: a case control study covering a seven-year period in Santander, Spain. Clin Infec Dis 1995; 20:272279.CrossRefGoogle ScholarPubMed
18.Kohli, M, Yuan, L, Escobar, M, et al. A risk index for sternal surgica wound infection after cardiovascular surgery. Infect Control Hosp Epidemiol 2003; 24:1725.Google Scholar
19.Engelman, RM, Rousou, JA, Flack, JE 3rd, et al. Fast-track recovery of the coronary bypass patient. Ann Thoracic Surg 1994; 58:17421746.Google Scholar
20.Newman, LS, Szezukowski, LC, Bain, RP, Perlino, CA. Suppurative mediastinitis after open heart surgery: a case control study of risk factors. Chest 1988; 94:546553.Google Scholar