Por favor, use este identificador para citar o enlazar este ítem:
https://doi.org/10.1111/iwj.13938
![](/digitum/image/email_logo.png)
![](/digitum/image/logo-facebook.png)
Título: | Incidence and predictors of sternal surgical wound infection in cardiac surgery: a prospective study |
Fecha de publicación: | 28-sep-2022 |
Editorial: | Wiley |
Cita bibliográfica: | Int Wound J. 2023;20(4):917‐924 |
ISSN: | Print: 1742-4801 Electronic: 1742-481X |
Palabras clave: | Adult Cardiac surgery Microbiology Risk factors Surgical wound infection |
Resumen: | Sternal surgical wound infection (SSWI) in cardiac surgery is associated with increased morbidity. We investigated the incidence of SSWI, the main germs implicated and predictors of SSWI. Prospective study including patients undergoing full median sternotomy between January 2017 and December 2019. Patients were followed-up for 3 months after hospital discharge. All sternal wound infections up to 90 days after discharge were considered SSWI. 1004 patients were included. During follow-up, 68 (6.8%) patients presented SSWI. Patients with SSWI had a higher incidence of postoperative renal failure (29.4% vs 17.1%, P = .007), a higher incidence of early postoperative reoperation for non-infectious causes (42.6% vs 9.1%, P < .001), longer ICU stay (3 [2–9] days vs 2 [2–4] days, P = .006), and longer hospital stay (24.5 [14.8–38.3] days vs 10 [7–18] days, P < .001). Gram-positive germs were presented in 49% of the cultures, and gram-negative bacteria in 35%. Early reoperation for non-infectious causes (OR 4.90, 95% CI 1.03–23.7), and a longer ICU stay (OR 1.37 95% CI 1.10–1.72) were independent predictors of SSWI. SSWI is rare but leads to more postoperative complications. The need for early reoperation because of non-infectious cause and a longer ICU stay were independently associated with SSWI. |
Autor/es principal/es: | Arribas Leal, José María Rivera Caravaca, José Miguel Hernández Torres, Alicia Jiménez Aceituna, Antonio Moral Escudero, Encarnación Pérez Andreu, Joaquín García Vázquez, Elisa Gutiérrez García, Francisco García Puente, Julio J. Marín, Francisco Cánovas López, Sergio Herrero Martínez, José Antonio |
Facultad/Departamentos/Servicios: | Facultades, Departamentos, Servicios y Escuelas::Departamentos de la UMU::Cirugía, Pediatría y Obstetricia y Ginecología |
URI: | http://hdl.handle.net/10201/143167 |
DOI: | https://doi.org/10.1111/iwj.13938 |
Tipo de documento: | info:eu-repo/semantics/article |
Número páginas / Extensión: | 8 |
Derechos: | info:eu-repo/semantics/openAccess Attribution-NonCommercial-NoDerivatives 4.0 Internacional |
Descripción: | © 2022 The Authors. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/. This document is the Published version of a Published Work that appeared in final form in International Wound Journal (IWJ). To access the final edited and published work see https://doi.org/10.1111/iwj.13938 |
Aparece en las colecciones: | Artículos: Cirugía, Pediatría y Obstetricia y Ginecología |
Ficheros en este ítem:
Fichero | Descripción | Tamaño | Formato | |
---|---|---|---|---|
International Wound Journal - 2022 - Arribas‐Leal - Incidence and predictors of sternal surgical wound infection in cardiac.pdf | 1,03 MB | Adobe PDF | Visualizar/Abrir |
Este ítem está sujeto a una licencia Creative Commons Licencia Creative Commons