scholarly journals Incidencija infekcija operativnog mesta posle operacija na otvorenom srcu

2010 ◽  
Vol 57 (2) ◽  
pp. 45-48
Author(s):  
Lj. Markovic-Denic ◽  
B. Mihajlovic ◽  
N. Cemerlic-Adjic ◽  
S. Nicin ◽  
K. Pavlovic ◽  
...  
Keyword(s):  
Incidence Rate ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Surgical Techniques ◽  
Surgical Site Infections ◽  
Medical Problem ◽  
Incidence Rates ◽  
Hospital Infections ◽  
Antimicrobial Drugs ◽  
Microbiological Methods

Introduction: Despite modern surgical techniques, preoperative preventive use of antibiotics and optimal treatment of operative site, surgical site infections (SSI) are significant medical problem in the countries worldwide. Objective: The aim of this paper was to estimate the frequency of SSI after open heart surgery and to identify the most frequent causes of these infections. Material and methods: A prospective cohort study was performed during the period from January 2008 to December 2009 at the Clinic of Cardiovascular Surgery of the Institute of Cardiovascular Diseases, Vojvodina. The surveillance was consistent throughout the study period. During hospitalization, patients were evaluated daily by the infection control nurse. Isolation, identification and sensitivity tests of causative agents to antimicrobial drugs, obtained from patients' material, were carried out by standard microbiological methods. The descriptive epidemiological method was used. The incidence rates of hospital infections were calculated. Results: During the study period, among 23 patients, 24 SSIs were registered. The average incidence rate of patients with SSI was 0.98% and SSI rate was 1.02% (ranged from 0% to 3.7%). There was no difference in the incidence rates according to gender (p=0.65).The mean age of patients with SSI was 64.7 years. Except one, all patients had the ASA score higher than 2. The patients with SSIs were hospitalized approximately 3.8 times longer than the patient without SSI (p=0.03). The most common causes of SSI were: Staphylococcus aureus (30%), coagulasa-negative Staphylococcus spp, Acinetobacter spp (8%), Enterococcus spp and Klebsiella pneumoniae. Conclusion: Although the incidence rate of hospital infections is low, it is necessary to maintain continuous surveillance of surgical site infections and to implement the preventive measures.

scholarly journals Incidence of surgical site infections in a urology department

2011 ◽  
Vol 58 (1) ◽  
pp. 61-65 ◽  
Author(s):  
Ljiljana Markovic-Denic ◽  
Violeta Rakic ◽  
Milovan Maksimovic ◽  
Milan Djokic
Keyword(s):  
Cohort Study ◽  
Incidence Rate ◽  
Preventive Measures ◽  
Surgical Site Infections ◽  
Incidence Rates ◽  
Hospital Infections ◽  
Asa Score ◽  
One Year ◽  
Definition Of ◽  
Clean Contaminated

Objectives: To determine the incidence of surgical site infections (SSI) in the urology wards as well as the SSI incidence in relation to the ASA score and surgical site contamination class. Materials and methods: One-year prospective cohort study was conducted in the Urologic department, General hospital, Sabac. The patients were daily examined and their diagnoses were made according to the definition of hospital infections using concurrently the ASA score and surgical site contamination class. Results: Out of 241 operated patients, 32 patients were diagnosed with 33 SSI. The overall incidence rate of patients with SSI was 5.9% while incidence rate of SSI was 6.1%. There were not the differences in the incidence rates according to the ASA score of patients (p>0.05). The incidence of SSI was 5.0% in the clan wounds, 11.2% in the clean-contaminated, and 20.7% in the contaminated wounds (?2=8.2 DF=2 p<0.016). The patients with SSIs were hospitalized approximately 2 times longer than the patients without SSI (t=-6,28; df=239; p<0,001). Conclusion: This study suggests that it is necessary to maintain continous surveillance of surgical site infections and to implement the preventive measures, especially for clean and clean-contaminated surgery.

scholarly journals Incidence study of surgical site infections in a large University Hospital in Rome, first results

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
D Vallone ◽  
M Di Pumpo ◽  
A Gentili ◽  
A Tamburrano ◽  
F Berloco ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Incidence Rate ◽  
Health Management ◽  
Surgical Site Infections ◽  
University Hospital ◽  
Surveillance Systems ◽  
Hospital Infections ◽  
Post Discharge ◽  
Average Hospital ◽  
Hospital Units

Abstract Background Surgical Site Infections (SSI) represent about a quarter of healthcare associated infections (HAI), increase the risk of mortality and hospital stay and extend healthcare costs. The aim of this work is to evaluate the incidence of SSI in patients undergoing surgical procedures of Hospital Units in the Fondazione Policlinico A. Gemelli IRCCS (FPG). Methods This descriptive observational monocentric study has a 30-months duration: the first phase was conducted between July 2018 and March 2019. Patients undergoing abdominal surgery procedures were enrolled. Active infection surveillance was performed, according to the ECDC, during the hospital stay and the surgical outpatient visits. We also performed a post-discharge surveillance (PDS) at 30 days (or 90 days if an implant has been inserted), through a telephone interview, made by a medical doctor resident in Public Health. Results During the first phase were enrolled 431 procedures in 2 Hospital Units, about emergency and hepatobiliary surgery. There were 53 cases of surgical site infection (SSI) highlighted in these procedures. Therefore, SSI’s were reported in 12.09% of the procedures. In particular, in 6.28% of cases, SSIs were diagnosed during the hospital stay. The results of this study showed statistically significant differences (p &lt; 0.005) in incidence rate of emergency (10,70%) and hepatobiliary tract (13,17%) procedures. The average hospital stay was significant higher (p &lt; 0.001) in patients who developed an SSI (17.27 days) than in patients without SSI (4.89 days). Conclusions These preliminary results show that the incidence rate of SSI for gastrointestinal procedures is similar to other European Countries (9.6%). The Hospital Health Management of FPG take care to the surveillance of hospital infections and monitor the correct application of the procedures, in line with the standards defined by Joint Commission International for guarantee high level in patients’ care. Key messages Performing a survey to measure the incidence of surgical site infections for surgery procedures is very important to define it and to improve surveillance systems of hospital infections in FPG. Active surveillance of surgical site infections may allow to enhance appropriate preventive measures.

scholarly journals Seasonal Changes in Incidence of Patients With Diabetes Undergoing Cardiac Surgery

2020 ◽  
Author(s):  
Barbara N Kovacs ◽  
Ferenc Petak ◽  
Szilvia Agocs ◽  
Katalin Virag ◽  
Tibor Nyari ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Elderly Patients ◽  
Incidence Rate ◽  
Seasonal Variations ◽  
Seasonal Changes ◽  
Heart Surgery ◽  
Incidence Rates ◽  
Temperate Climate ◽  
Patients With Diabetes ◽  
Monthly Incidence

Abstract Background: To evaluate the monthly incidence rate of patients with diabetes requiring heart surgery at a tertiary-care university hospital in East-Central Europe with a temperate climate zone. We also assessed whether additional factors affecting small blood vessels (smoking, aging, and diabetes) modulate the seasonal variability of diabetes.Methods: Medical records were retrospectively analyzed for all 9837 consecutive adult patients who underwent surgery at our institution between 2007 and 2018. Individual seasonal variations of diabetes, smoking, and elderly patients were analyzed monthly. Potential additive or subtractive effects of the coexistence of these factors in seasonal changes in incidence rates were also examined. In the absence of a waiting list, incidence rates accurately reflect the frequency of exacerbation of cardiovascular symptoms requiring surgical intervention.Results: Significant seasonal variations in the monthly incidence rate of diabetes (p < 0.02), smoking (p < 0.001), and elderly (p < 0.001) patients were observed at the cardiac surgery unit. The peak incidence of non-elderly and smoking patients with diabetes was during winter, whereas heart surgery in elderly patients without diabetes and smoking was most frequently required in summer. Concomitant occurrence of diabetes and smoking had an additive effect on the relative incidence rate of requirement for cardiac surgery (p < 0.001), while the simultaneous presence of older age and diabetes or smoking eliminated seasonal variations.Conclusions: Scheduling regular cardiovascular control in accordance with periodicities in diabetes, elderly, and smoking patients more than once a year may improve patient health and social consequences.Trial registration: NCT03967639

Teicoplanin and Meropenem Prophylaxis in Open Heart Surgery- Efficacy and Safety

2017 ◽  
Vol 10 (1) ◽  
pp. 63-67
Author(s):  
Rampada Sarker ◽  
Manoz Kumar Sarker ◽  
Bidyut Kumar Biswas ◽  
Md Jamal Uddin Gazi ◽  
Abdul Khaleque Beg
Keyword(s):  
Single Dose ◽  
General Anesthesia ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Surgical Site Infections ◽  
Open Heart ◽  
Efficacy And Safety ◽  
Prophylactic Agent

Background: Prophylactic efficiencies of teicoplanin and meropenem against infections in open heart surgery were investigated in a retrospective observational study.Method: In new regime of antibiotics single dose of teicoplanin and 72 hours coverage with meropenem were used in open heart surgery. One dose of teicoplanin was administered during induction of general anesthesia. First dose of meropenem was administered during induction of general anesthesia, and then 8 to 12 hourly continued up to 72 hours. This regime of antibiotics was compared retrospectively with previous regime of antibiotics containing flucloxacillin, ceftriaxone and gentamycin continuing from induction of general anesthesia up to 5th post operative day.Results: In 203 patients receiving new regime containing teicoplanin and meropenem, there was no infection and there was no nephrotoxicity. But in 101 patients receiving conventional regime containing flucloxacillin cefriaxone and gentamycin, there were 21 patients (21%) with surgical site infections; among them 3 patients expired, and nephrotoxicity developed in 15(14.85%) patients.Conclusion: As prophylactic agent combination of teicoplanin and meropenem may be more effective and safer against infection in open heart surgery.Cardiovasc. j. 2017; 10(1): 63-67

scholarly journals Surgical Site Infections in Cardiac Surgery, Open-Heart Surgery Infections

2020 ◽  
Vol 19 (3) ◽  
pp. 52-56
Author(s):  
E. R. Tsoy ◽  
L. P. Zueva ◽  
S. M. Mikaelyan ◽  
B. M. Taits
Keyword(s):  
Cardiac Surgery ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Surgical Site Infections ◽  
Open Heart

scholarly journals Hospital infections at the department of cardiovascular surgery

2010 ◽  
Vol 63 (11-12) ◽  
pp. 851-854 ◽  
Author(s):  
Ljiljana Markovic-Denic ◽  
Nada Cemerlic-Adjic ◽  
Bogoljub Mihajlovic ◽  
Katica Pavlovic ◽  
Svetozar Nicin ◽  
...  
Keyword(s):  
Incidence Rate ◽  
Surgical Procedures ◽  
Cardiovascular Surgery ◽  
Surgical Techniques ◽  
Bloodstream Infections ◽  
Hospital Infection ◽  
Incidence Density ◽  
Coagulase Negative Staphylococcus ◽  
Hospital Infections ◽  
Female Ratio

Introduction. Despite modern surgical techniques, preoperative preventive use of antibiotics and optimal treatment of operative site, patients who underwent surgical procedures are still at a risk of developing hospital infections. The aim of this paper was to estimate the frequency of hospital infections at the Department of Cardiovascular Surgery and their presence according to the anatomic localization as well as to identify the most frequent causes of hospital infections. Material and methods. During one-year period, all surgically treated patients were prospectively followed at the Department of Cardiovascular Surgery of the Institute of Cardiovascular Diseases, Vojvodina. There were 1302 patients who underwent 1396 surgical procedures during the period observed. The descriptive epidemiological method was applied in the study. The following odds ratio and rates were calculated: the incidence rate of patients with hospital infections, the incidence rate of hospital infections and the incidence rate in relation to hospital stay of each patient (incidence density). Results. During that period, 36 hospital infections were recorded in 33 patients. The average incidence rate of patients with hospital infection was 2.53% and hospital infection rate was 2.58% (from 0% to 5.13%). The male-female ratio was 3.1:1. The most frequent hospital infections were surgical site infections (incidence rate 0.86%), then gastroenteritis (incidence rate 0.77%) and bloodstream infections (incidence rate 0.46%). The most common causes of hospital infections were: Staphylococcus aureus (14.8%), Acinetobacter spp (22.2%) and coagulase negative staphylococcus (11.1%). Conclusion. The fact is that the incidence rate of hospital infections is relatively low, and such a trend can continue only if the continuous epidemiological control and preventive measures are implemented in the future.

Best Practice for Preventing Surgical Site Infections in Open Heart Surgery Patients

2008 ◽  
Vol 23 (3) ◽  
pp. E7
Author(s):  
Mary Gaglione ◽  
Elizabeth White ◽  
Nancy Kostel-Donlon ◽  
Laura Janczewski ◽  
Mary Lou Soliday
Keyword(s):  
Best Practice ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Surgical Site Infections ◽  
Open Heart

scholarly journals Comparative assessment of the frequency and risk factors of purulent-septic infections in adult patients after various types of open and closed heart surgery

2020 ◽  
Vol 25 (2) ◽  
pp. 78-87
Author(s):  
Victor I. Sergevnin ◽  
Larisa G. Kudryavtseva
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Cardiac Surgery ◽  
Heart Surgery ◽  
Open Heart Surgery ◽  
Incidence Rates ◽  
Comparative Assessment ◽  
Open Heart ◽  
Patient Stay ◽  
Subsequent Patient

BACKGROUND: The widespread increase in the number and types of cardiac surgery necessitate the study of frequency and risk factors of postoperative purulent-septic infections (PSIs). AIM: to provide a comparative assessment of the PSI frequency and risk factors in adult patients after various types of cardiac surgery. MATERIALS AND METHODS: Based on the cardiac surgery hospital materials, medical records of 4.815 patients over 18 years of age, who underwent open (n = 1.540) and closed (n = 3.275) heart surgeries within 1 year, were analyzed. The typical and prenosological forms of PSIs were taken into account in accordance with the epidemiological standard of case definition. RESULTS: The incidence rates for typical and prenosological PSI forms amounted to 39.6 and 72.7 per 1000 surgeries after open heart surgery, respectively, and 3.1 and 3.9 after minimally invasive endovascular surgical interventions, respectively. The main clinical forms of PSI after open and closed heart surgeries were surgical site infections, nosocomial pneumonia, urinary tract infection, and bloodstream infection. In an open heart surgery, the maximum incidence rates for typical and prenosological forms of PSIs were recorded after surgeries on the aorta and less often after heart valve replacement or coronary artery bypass grafting. The increased incidence rate after aortic surgery was mainly due to urinary tract infection and nosocomial pneumonia. In the case of closed heart surgery, no statistically significant differences were detected between the incidence rates of PSIs after coronary artery stenting, cardiac arrhythmia and carotid artery stenosis surgery, and other interventions. The duration of both the surgery itself and the subsequent patient stay in the intensive care unit was found to be important as risk factors for PSIs after cardiac surgery. CONCLUSION: The incidence rate of PSIs after open heart surgery is significantly higher than after closed heart surgery, which is mostly associated with the duration of surgical intervention and the subsequent patient stay in the intensive care unit.

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