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Incidence and Out.omes of Surgical Sit. Infect.ons aft.r Adult.Cardiac Surgery: A Single-Cent.r Experience

World Journal of Cardiovascular Diseases 2023年第11期13卷 764-779页

作者： Ibraheem H. Alharbi Hasan I. Sandogji Ahmed M. Shabaan Khaled M. Sayed Bilal A. Rahmani Mohamed A. Elmet.ali Nouf A. Lami t.ikra S. Alkhalaf shyelene t. utuani. Ayman R. Abdelrehim Cardiology Depart.ent Madinah Cardiac Center Madinah Saudi Arabia Cardiac Surgery Depart.ent Madinah Cardiac Center Madinah Saudi Arabia Cardiot.oracic Surgery Depart.ent Faculty of Medicine Suez Canal University Isma&iumllia Egypt Infect.on Prevent.on and Cont.ol Depart.ent Madinah Cardiac Center Madinah Saudi Arabia Clinical Nurse Unit Cardiac Surgery Department Madinah Cardiac Center Madinah Saudi Arabia Cardiot.oracic Surgery Depart.ent Faculty of Medicine Menoufia University Menoufia Egypt

Background: Surgical sit. infect.ons (SSIs) remain a challenging medical problem, especially in cardiac surgery pat.ent.. t.ere is a lack of st.dies evaluat.ng t.e rat. of and out.omes of SSIs following cardiac surgeries in Saudi Arabia. Aims: t.is st.dy aimed t. det.rmine t.e incidence of SSIs aft.r adult.cardiac surgeries t.at.were done in Madinah Cardiac Cent.r, Saudi Arabia. Furt.er, t. ident.fy t.e out.omes and risk fact.rs cont.ibut.ng t. deat. among surgical sit. infect.on pat.ent.. Met.ods: t.is was a 6-year, single-cent.r, ret.ospect.ve cohort.st.dy t.at.included 93 consecut.ve pat.ent. who underwent.adult.cardiac surgery bet.een August.2016 and August.2022. All adult.pat.ent. aged 18 years or older who had clinical evidence of post.perat.ve surgical wound infect.on were included. Preoperat.ve, operat.ve, and post.perat.ve dat. (early and lat.) were collect.d from medical records. Microbiological cult.re report. and clinical out.omes were also recorded. Result.: t.e st.dy revealed a 9.1% (93/1021) incidence rat. of SSIs. Of t.e 93 pat.ent. wit. SSIs, 60 had superficial incisional infect.ons and 33 had deep infect.ons wit. incidence rat.s of 5.9% and 3.2%, respect.vely. In-hospit.l mort.lit. due t. SSI was recorded in 4 out.of 93 pat.ent. wit. an incidence rat. of 4.3%. t.ere was a significant.associat.on bet.een t.e in-hospit.l mort.lit. and t.e t.pe of SSIs (p = 0.014). All non-survivors had deep SSIs. t.e t.pe of cardiac surgery also showed a significant.associat.on wit. t.e in-hospit.l mort.lit. (p = 0.017). Furt.ermore, t.e median durat.on of ant.biot.c administ.at.on was significant.y longer in t.e non-survivors t.an in t.e survivors (72.5 vs 17, respect.vely, p Conclusions: In conclusion, t.e incidence of surgical wound infect.ons following cardiac surgery is not.low (9.1%);of which 3.2% were deep infect.ons. t.e in-hospit.l mort.lit. rat. aft.r t.eat.ent.of SSIs was fort.nat.ly low (4.3%), and all non-survivors had deep SSIs. t.e non- survivors showe

关键词： Surgical Sit. Infect.on Cardiac Surgery Mort.lit. Risk Fact.rs Out.omes

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Incidence and Out.omes of Surgical Sit. Infect.ons aft.r Adult.Cardiac Surgery:A Single-Cent.r Experience

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World Journal of Cardiovascular Diseases（心血管病） 2023年第11期

作者： Ibraheem H.Alharbi Hasan I.Sandogji Ahmed M.Shabaan Khaled M.Sayed Bilal A.Rahmani Mohamed A.Elmet.ali Nouf A.Lami t.ikra S.Alkhalaf shyelene t.utuani. Ayman R.Abdelrehim

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