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Incidence a.d Outcomes of Surgica. Site Infections a.ter a.ult Ca.dia. Surgery: a.Single-Center Experience

World Journa. of Ca.diova.cula. Disea.es 2023年第11期13卷 764-779页

作者： Ibra.eem H. a.ha.bi Ha.a. I. Sa.dogji a.med M. Sha.a.n Kha.ed M. Sa.ed Bila. a. Ra.ma.i mohamed a. elmetwali Nouf a. La.i Thikra.S. a.kha.a. Shyelene T. Utua.is a.ma. R. a.delrehim Ca.diology Depa.tment Madinah Cardiac Center Madinah Saudi Arabia Ca.dia. Surgery Depa.tment Madinah Cardiac Center Madinah Saudi Arabia Ca.diothora.ic Surgery Depa.tment Faculty of Medicine Suez Canal University Isma&iumllia Egypt Infection Prevention a.d Control Depa.tment Madinah Cardiac Center Madinah Saudi Arabia Clinica. Nurse Unit Cardiac Surgery Department Madinah Cardiac Center Madinah Saudi Arabia Ca.diothora.ic Surgery Depa.tment Faculty of Medicine Menoufia University Menoufia Egypt

Ba.kground: Surgica. site infections (SSIs) rema.n a.cha.lenging medica. problem, especia.ly in ca.dia. surgery pa.ients. There is a.la.k of studies eva.ua.ing the ra.e of a.d outcomes of SSIs following ca.dia. surgeries in Sa.di a.a.ia. a.ms: This study a.med to determine the incidence of SSIs a.ter a.ult ca.dia. surgeries tha. were done in Ma.ina. Ca.dia. Center, Sa.di a.a.ia. Further, to identify the outcomes a.d risk fa.tors contributing to dea.h a.ong surgica. site infection pa.ients. Methods: This wa. a.6-yea., single-center, retrospective cohort study tha. included 93 consecutive pa.ients who underwent a.ult ca.dia. surgery between a.gust 2016 a.d a.gust 2022. a.l a.ult pa.ients a.ed 18 yea.s or older who ha. clinica. evidence of postopera.ive surgica. wound infection were included. Preopera.ive, opera.ive, a.d postopera.ive da.a.(ea.ly a.d la.e) were collected from medica. records. Microbiologica. culture reports a.d clinica. outcomes were a.so recorded. Results: The study revea.ed a.9.1% (93/1021) incidence ra.e of SSIs. Of the 93 pa.ients with SSIs, 60 ha. superficia. incisiona. infections a.d 33 ha. deep infections with incidence ra.es of 5.9% a.d 3.2%, respectively. In-hospita. morta.ity due to SSI wa. recorded in 4 out of 93 pa.ients with a. incidence ra.e of 4.3%. There wa. a.significa.t a.socia.ion between the in-hospita. morta.ity a.d the type of SSIs (p = 0.014). a.l non-survivors ha. deep SSIs. The type of ca.dia. surgery a.so showed a.significa.t a.socia.ion with the in-hospita. morta.ity (p = 0.017). Furthermore, the media. dura.ion of a.tibiotic a.ministra.ion wa. significa.tly longer in the non-survivors tha. in the survivors (72.5 vs 17, respectively, p Conclusions: In conclusion, the incidence of surgica. wound infections following ca.dia. surgery is not low (9.1%);of which 3.2% were deep infections. The in-hospita. morta.ity ra.e a.ter trea.ment of SSIs wa. fortuna.ely low (4.3%), a.d a.l non-survivors ha. deep SSIs. The non- survivors showed a.significa.tly longer dura.ion of a.tibiotics

关键词： Surgica. Site Infection Ca.dia. Surgery Morta.ity Risk Fa.tors Outcomes

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