Negative pressure wound therapy in the treatment of surgical site infection in cardiac surgery

• Autor(a) principal: Oliveira,Mayra de Castro
• Data de Publicação: 2020
• Outros Autores: Andrade,Alessandra Yuri Takehana de, Turrini,Ruth Natalia Teresa, Poveda,Vanessa de Brito
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Brasileira de Enfermagem (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672020000500167
• topic: Surgical Wound Infection; Negative-Pressure Wound Therapy; Sternotomy; Thoracic Surgical Procedures; Cardiology

ABSTRACT Objectives: to describe the relationship between epidemiological and clinical characteristics of postoperative cardiac surgery patients undergoing negative pressure wound therapy for the treatment of surgical site infection. Methods: an observational, cross-sectional analytical study including a convenience sample consisting of medical records of patients undergoing sternal cardiac surgery with surgical site infection diagnosed in medical records treated by negative pressure wound therapy. Results: medical records of 117 patients, mainly submitted to myocardial revascularization surgery and with deep incisional surgical site infection (88; 75.2%). Negative pressure wound therapy was used on mean for 16 (±9.5) days/patient; 1.7% had complications associated with therapy and 53.8% had discomfort, especially pain (93.6%). The duration of therapy was related to the severity of SSI (p=0.010) and the number of exchanges performed (p=0.045). Conclusions: negative pressure wound therapy has few complications, but with discomfort to patients.