A retrospective study of deep sternal wound infections: clinical and microbiological characteristics, treatment, and risk factors for complications.

Détails

ID Serval
serval:BIB_B373C099532A
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
A retrospective study of deep sternal wound infections: clinical and microbiological characteristics, treatment, and risk factors for complications.
Périodique
Diagnostic microbiology and infectious disease
Auteur(s)
Chan M., Yusuf E., Giulieri S., Perrottet N., Von Segesser L., Borens O., Trampuz A.
ISSN
1879-0070 (Electronic)
ISSN-L
0732-8893
Statut éditorial
Publié
Date de publication
03/2016
Peer-reviewed
Oui
Volume
84
Numéro
3
Pages
261-265
Langue
anglais
Notes
Publication types: Journal Article
Publication Status: ppublish

Résumé
Deep sternal wound infection (DSWI) is a feared complication following cardiac surgery. This study describes clinical, microbiological, and treatment outcomes of DSWI and determines risk factors for complications. Of 55 patients with DSWI, 66% were male and mean age was 68.2 years. Initial sternotomy was for coronary artery bypass graft in 49% of patients. Sternal debridement at mean 25.4±18.3 days showed monomicrobial (94%), mainly Gram-positive infection. Secondary sternal wound infection (SSWI) occurred in 31% of patients, was mostly polymicrobial (71%), and was predominantly due to Gram-negative bacilli. Risk factors for SSWI were at least 1 revision surgery (odds ratio [OR] 4.8 [95% confidence interval {CI} 1.0-22.4], P=0.047), sternal closure by muscle flap (OR 4.6 [1.3-16.8], P=0.02), delayed sternal closure (mean 27 versus 14 days, P=0.03), and use of vacuum-assisted closure device (100% versus 58%, P=0.008). Hospital stay was significantly longer in patients with SSWI (69 days versus 48 days, P=0.04).

Mots-clé
Aged, Aged, 80 and over, Cardiac Surgical Procedures/adverse effects, Comorbidity, Female, Humans, Male, Middle Aged, Postoperative Complications, Retrospective Studies, Risk Factors, Sternum/microbiology, Wound Infection/diagnosis, Wound Infection/epidemiology, Wound Infection/etiology, Wound Infection/therapy
Pubmed
Création de la notice
25/01/2016 12:34
Dernière modification de la notice
20/08/2019 15:22
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