INCIDENCE OF DEEP AND SUPERFICIAL STERNAL INFECTION AFTER OPEN-HEART-SURGERY - A 10-YEARS RETROSPECTIVE STUDY FROM 1981 TO 1991

被引：76

作者：

BLANCHARD, A ^{[1
]}

HURNI, M ^{[1
]}

RUCHAT, P ^{[1
]}

STUMPE, F ^{[1
]}

FISCHER, A ^{[1
]}

SADEGHI, H ^{[1
]}

机构：

[1] CHU VAUDOIS,DEPT CARDIOVASC SURG,CH-1011 LAUSANNE,SWITZERLAND

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 1995年 / 9卷 / 03期

关键词：

STERNAL INFECTION; ANTIMICROBIAL PROPHYLAXIS; CARDIAC SURGERY;

D O I：

10.1016/S1010-7940(05)80064-8

中图分类号：

R5 [内科学];

学科分类号：

1002 [临床医学]; 100201 [内科学];

摘要：

Between January 1981 and December 1991, 4137 adult patients underwent various cardiac procedures via a median sternotomy under cardiopulmonary bypass. The overall infection rate was 1.33%, including superficial wound infections (SWI) (1.18%) and deep sternal infection (DSI) (0.145%). Pericardial and retrosternal suction drains with a vent allowed a better drainage of blood and serosities and probably contributed to our low DSI rate. Eleven factors predisposing to infection were evaluated by Fisher's exact test. Only the operative urgency (P=0.006), reexploration for bleeding (P=0.00001) and preoperative renal failure (P=0.0005) were statistically significant. Twenty of our infected patients had no risk factors for infection, When the risk factors described in the literature were applied to our infected patients, only one had no risk factor.

引用

页码：153 / 157

页数：5

共 20 条

[1]

Amrein C., Guibout P., Garcia A., Benizri A., Trinquier R., Van-Drom E., Gomez F., Deloche A., Carpentier A., Passelecq J., La médiastinite aiguë suppurée en Chirurgie cardiaque sous CEC, Arch Mal Coeur, 10, pp. 1146-1150, (1984)

[2]

Arnold M., The surgical anatomy of sternal blood supply, J Thorac Cardiovasc Surg, 64, pp. 596-610, (1972)

[3]

Bical O., Le-Quang C., Carlet J., Bleriot J.P., Laurian C., Fischer M., Foiret J.C., Vanetti A., Amélioration du pronostic des médiastinites graves par les musculoplasties pédiculées, Ann Chir, 45, 2, pp. 136-140, (1991)

[4]

Doebleling B.N., Pfaller M.A., Kuhns K.R., Mussanan R.M., Behrendt D.M., Wenzel R.P., Cardiovascular surgery prophylactic. A randomized, controlled comparison of cefazolm and cefuroxime, J Thorac Cardiovasc Surg, 99, pp. 981-988, (1990)

[5]

Fong I.W., Baker C.B., Mc Kee D.C., The value of prophylactic antibiotics in aorto-coronary bypass operations, J Thorac Cardiovasc Surg, 78, pp. 908-913, (1979)

[6]

Gentry L.O., Zeluff B.J., Cooley D.A., Antibiotic prophylaxis in open-heart surgery. A comparison of cefamandole, cefuroxime, and cefazolin, Ann Thorac Surg, 46, pp. 167-171, (1988)

[7]

Geroulanos S., Oxelburh S., Turina M., Perioperative anti-microbiol prophylaxis in cardiovascular surgery. A prospective randomized trial comparing two days’ cefuroxime prophylaxis with four days cefazolin prophylaxis, J Cardiovasc Surg, 27, pp. 300-306, (1986)

[8]

Grossi E.A., Esposito R., Hunis L.J., Crooke A., Galloway A.C., Colvin S.B., Culliford A.T., Baumann F.G., Yao K., Spencer F.C., Sternal wound infections and use of internal mammary artery grafts, J Thorac Cardiovasc Surg, 102, pp. 342-347, (1991)

[9]

Flantson P., Goenen M., Matta A., Dion R., Jaumn P., Etude retrospective, Ann Chir, 45, pp. 122-127, (1991)

[10]

Ivert T., Lindklom D., Sahni J., Eldh J., Management of deep sternal wound infection after cardiac surgery-Hanuman syndrome, Scand J Thorac Cardiovasc Surg, 25, pp. 111-117, (1991)

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