Preoperative assessment of the likelihood of infection of the lower respiratory tract after cardiac surgery

Details

Serval ID
serval:BIB_AD2AE160059F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Preoperative assessment of the likelihood of infection of the lower respiratory tract after cardiac surgery
Journal
Thoracic and Cardiovascular Surgeon
Author(s)
Carrel  T., Schmid  E. R., von Segesser  L., Vogt  M., Turina  M.
ISSN
0171-6425
Publication state
Published
Issued date
04/1991
Peer-reviewed
Oui
Volume
39
Number
2
Pages
85-8
Notes
Journal Article --- Old month value: Apr
Abstract
Lower-respiratory-tract infections are among the most frequent complications observed in the intensive care unit, leading to delayed postoperative recovery time and increased costs and mortality. We have tried to evaluate the prognostic value of perioperative bacteriology of tracheal aspirates in assessing the risk of such complications. In a prospective study aspirates of 100 patients undergoing cardiac surgery were taken immediately after intubation and were analysed for microorganisms by Gram-stain and microbiological cultures using standard procedures. All patients received perioperative antibiotic prophylaxis with a single dose of 2 g ceftriaxone intravenously. From 26 patients with bacteriologically positive tracheal secretion, 8 (30.7%) developed lower respiratory tract infection whereas only 1 of 72 patients (1.4%) with negative bacteriological results developed this complication. Smoking (p less than 0.01) and abnormal preoperative lung function (p less than 0.01) were significantly more frequent in patients developing postoperative pneumonia. Regarding the results of this study, the risk of developing pulmonary infection in the early postoperative course after cardiac surgery can be estimated from the tracheal aspirates.
Keywords
Adult Aged *Cardiac Surgical Procedures Female Humans Male Middle Aged Pneumonia/*epidemiology/microbiology Postoperative Complications/*epidemiology/microbiology Preoperative Care Prognosis Prospective Studies Risk Factors Smoking/adverse effects Trachea/*microbiology
Pubmed
Web of science
Create date
14/02/2008 15:16
Last modification date
20/08/2019 16:17
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