A retrospective study of deep sternal wound infections: clinical and microbiological characteristics, treatment, and risk factors for complications.
Details
Serval ID
serval:BIB_B373C099532A
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
A retrospective study of deep sternal wound infections: clinical and microbiological characteristics, treatment, and risk factors for complications.
Journal
Diagnostic microbiology and infectious disease
ISSN
1879-0070 (Electronic)
ISSN-L
0732-8893
Publication state
Published
Issued date
03/2016
Peer-reviewed
Oui
Volume
84
Number
3
Pages
261-265
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Publication Status: ppublish
Abstract
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).
Keywords
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
Create date
25/01/2016 12:34
Last modification date
20/08/2019 15:22