Angels Figuerola-Tejerina1, Gil Rodríguez-Caravaca2, Juan Bustamante-Munguira3, Jesús María San Román-Montero4, Manuel Durán-Poveda4. 1. Servicio de Medicina Preventiva, Hospital Universitario de La Princesa, Madrid, Spain. 2. Unidad de Medicina Preventiva, Hospital Universitario Fundación Alcorcón, Alcorcón, Madrid, Spain. Electronic address: grodriguez@fhalcorcon.es. 3. Servicio de Cirugía Cardiovascular, Hospital Universitario de La Princesa, Madrid, Spain. 4. Departamento de Medicina y Cirugía, Universidad Rey Juan Carlos, Madrid, Spain.
Abstract
INTRODUCTION AND OBJECTIVES: Surgical site infection in cardiac surgery is uncommon. The aim of the present study was to examine the incidence of this infection, compare it with national and international data, and evaluate its risk factors. METHODS: This prospective cohort study included patients who underwent valve surgery or coronary revascularization during a 6-year period. The incidence of surgical site infection was studied. Associations between risk factors and infection were evaluated using odds ratios (OR). The infection rate was compared with Spanish and American data using the standardized infection ratio. RESULTS: A total of 1557 patients were included. The overall cumulative incidence of infection was 4% (95% confidence interval [95%CI], 3.6%-5.6%), 3.6% in valve surgery (95%CI, 2.5%-4.7%) and 4.3% in coronary revascularization (95%CI, 2.3%-6.3%). Risk factors for surgical site infection in valve surgery were diabetes mellitus (OR=2.8; P<.05) and obesity (OR=6.6; P<.05). Risk factors for surgical site infection in coronary revascularization were diabetes mellitus (OR=2.9; P<.05) and reoperation for bleeding (OR=8.8; P<.05). CONCLUSIONS: Diabetes mellitus and obesity favor surgical site infection in valve surgery, whereas diabetes mellitus and reoperation for bleeding favor surgical site infection in coronary revascularization. Infection surveillance and control programs permit evaluation and comparison of infection rates in cardiac surgery.
INTRODUCTION AND OBJECTIVES: Surgical site infection in cardiac surgery is uncommon. The aim of the present study was to examine the incidence of this infection, compare it with national and international data, and evaluate its risk factors. METHODS: This prospective cohort study included patients who underwent valve surgery or coronary revascularization during a 6-year period. The incidence of surgical site infection was studied. Associations between risk factors and infection were evaluated using odds ratios (OR). The infection rate was compared with Spanish and American data using the standardized infection ratio. RESULTS: A total of 1557 patients were included. The overall cumulative incidence of infection was 4% (95% confidence interval [95%CI], 3.6%-5.6%), 3.6% in valve surgery (95%CI, 2.5%-4.7%) and 4.3% in coronary revascularization (95%CI, 2.3%-6.3%). Risk factors for surgical site infection in valve surgery were diabetes mellitus (OR=2.8; P<.05) and obesity (OR=6.6; P<.05). Risk factors for surgical site infection in coronary revascularization were diabetes mellitus (OR=2.9; P<.05) and reoperation for bleeding (OR=8.8; P<.05). CONCLUSIONS:Diabetes mellitus and obesity favor surgical site infection in valve surgery, whereas diabetes mellitus and reoperation for bleeding favor surgical site infection in coronary revascularization. Infection surveillance and control programs permit evaluation and comparison of infection rates in cardiac surgery.
Authors: A Figuerola-Tejerina; E Bustamante; E Tamayo; C A Mestres; J Bustamante-Munguira Journal: Eur J Clin Microbiol Infect Dis Date: 2017-01-19 Impact factor: 3.267
Authors: Natividad Algado-Sellés; Javier Mira-Bernabeu; Paula Gras-Valentí; Pablo Chico-Sánchez; Natali Juliet Jiménez-Sepúlveda; Marina Fuster-Pérez; José Sánchez-Payá; Elena María Ronda-Pérez Journal: Int J Environ Res Public Health Date: 2022-01-11 Impact factor: 3.390