Surgical Site Infection Prevention Bundle in Cardiac Surgery

Detalhes bibliográficos
Autor(a) principal: Andrade,Lilian Silva de
Data de Publicação: 2019
Outros Autores: Siliprandi,Erci Maria Onzi, Karsburg,Larissa Lemos, Berlesi,Francine Possebon, Carvalho,Otávio Luiz da Fontoura, Rosa,Darlan Sebastião da, Santos,Rodrigo Pires dos
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos Brasileiros de Cardiologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019000600769
Resumo: Abstract Background: Surgical site infections (SSI) are among the most prevalent infections in healthcare institutions, attributing a risk of death which varies from 33% to 77% and a 2- to 11-fold increase in risk of death. Patients submitted to cardiac surgery are more susceptible to SSI, accounting for 3.5% to 21% of SSI. The mortality rate attributable to these causes is as high as 25%. Prevention of SSI in cardiac surgery is based on a bundle of preventive measures, which focus on modifiable risks. Objective: The objective of this study was to identify SSI risk factors in clean cardiac surgery. Methods: A retrospective cohort study analyzed 1,846 medical records from patients who underwent clean cardiac surgery. Fisher’s exact test was used for bivariate comparison, and Poisson regression was used for independent analysis of SSI risk, considering a significance level of p < 0.05. Results: The results of the study comprised a multivariate analysis. The variables that were associated with the diagnosis of SSI were: surgical risk index (OR: 2.575; CI: 1.224-5.416), obesity (OR: 2.068; CI: 1.457-2.936), diabetes mellitus (OR: 1,678; CI: 1.168-2.409), and blood glucose level (OR: 1.004; CI: 1.001-1.007). Conclusions: This study evidenced that complete adherence to the bundle was not associated with a reduction in the risk of surgical infections. Diabetes mellitus, obesity, and surgical risk index assessment were, however, identified to increase association and consequently risk of SSI in cardiac surgery.
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spelling Surgical Site Infection Prevention Bundle in Cardiac SurgeryCardiac Surgical ProceduresAdultRisk Factors/prevention and controlPatient Care BundlesAnti-Infective AgentsSurgical Wound InfectionCross InfectionAbstract Background: Surgical site infections (SSI) are among the most prevalent infections in healthcare institutions, attributing a risk of death which varies from 33% to 77% and a 2- to 11-fold increase in risk of death. Patients submitted to cardiac surgery are more susceptible to SSI, accounting for 3.5% to 21% of SSI. The mortality rate attributable to these causes is as high as 25%. Prevention of SSI in cardiac surgery is based on a bundle of preventive measures, which focus on modifiable risks. Objective: The objective of this study was to identify SSI risk factors in clean cardiac surgery. Methods: A retrospective cohort study analyzed 1,846 medical records from patients who underwent clean cardiac surgery. Fisher’s exact test was used for bivariate comparison, and Poisson regression was used for independent analysis of SSI risk, considering a significance level of p < 0.05. Results: The results of the study comprised a multivariate analysis. The variables that were associated with the diagnosis of SSI were: surgical risk index (OR: 2.575; CI: 1.224-5.416), obesity (OR: 2.068; CI: 1.457-2.936), diabetes mellitus (OR: 1,678; CI: 1.168-2.409), and blood glucose level (OR: 1.004; CI: 1.001-1.007). Conclusions: This study evidenced that complete adherence to the bundle was not associated with a reduction in the risk of surgical infections. Diabetes mellitus, obesity, and surgical risk index assessment were, however, identified to increase association and consequently risk of SSI in cardiac surgery.Sociedade Brasileira de Cardiologia - SBC2019-06-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019000600769Arquivos Brasileiros de Cardiologia v.112 n.6 2019reponame:Arquivos Brasileiros de Cardiologia (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.5935/abc.20190070info:eu-repo/semantics/openAccessAndrade,Lilian Silva deSiliprandi,Erci Maria OnziKarsburg,Larissa LemosBerlesi,Francine PossebonCarvalho,Otávio Luiz da FontouraRosa,Darlan Sebastião daSantos,Rodrigo Pires doseng2019-07-31T00:00:00Zoai:scielo:S0066-782X2019000600769Revistahttp://www.arquivosonline.com.br/https://old.scielo.br/oai/scielo-oai.php||arquivos@cardiol.br1678-41700066-782Xopendoar:2019-07-31T00:00Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)false
dc.title.none.fl_str_mv Surgical Site Infection Prevention Bundle in Cardiac Surgery
title Surgical Site Infection Prevention Bundle in Cardiac Surgery
spellingShingle Surgical Site Infection Prevention Bundle in Cardiac Surgery
Andrade,Lilian Silva de
Cardiac Surgical Procedures
Adult
Risk Factors/prevention and control
Patient Care Bundles
Anti-Infective Agents
Surgical Wound Infection
Cross Infection
title_short Surgical Site Infection Prevention Bundle in Cardiac Surgery
title_full Surgical Site Infection Prevention Bundle in Cardiac Surgery
title_fullStr Surgical Site Infection Prevention Bundle in Cardiac Surgery
title_full_unstemmed Surgical Site Infection Prevention Bundle in Cardiac Surgery
title_sort Surgical Site Infection Prevention Bundle in Cardiac Surgery
author Andrade,Lilian Silva de
author_facet Andrade,Lilian Silva de
Siliprandi,Erci Maria Onzi
Karsburg,Larissa Lemos
Berlesi,Francine Possebon
Carvalho,Otávio Luiz da Fontoura
Rosa,Darlan Sebastião da
Santos,Rodrigo Pires dos
author_role author
author2 Siliprandi,Erci Maria Onzi
Karsburg,Larissa Lemos
Berlesi,Francine Possebon
Carvalho,Otávio Luiz da Fontoura
Rosa,Darlan Sebastião da
Santos,Rodrigo Pires dos
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Andrade,Lilian Silva de
Siliprandi,Erci Maria Onzi
Karsburg,Larissa Lemos
Berlesi,Francine Possebon
Carvalho,Otávio Luiz da Fontoura
Rosa,Darlan Sebastião da
Santos,Rodrigo Pires dos
dc.subject.por.fl_str_mv Cardiac Surgical Procedures
Adult
Risk Factors/prevention and control
Patient Care Bundles
Anti-Infective Agents
Surgical Wound Infection
Cross Infection
topic Cardiac Surgical Procedures
Adult
Risk Factors/prevention and control
Patient Care Bundles
Anti-Infective Agents
Surgical Wound Infection
Cross Infection
description Abstract Background: Surgical site infections (SSI) are among the most prevalent infections in healthcare institutions, attributing a risk of death which varies from 33% to 77% and a 2- to 11-fold increase in risk of death. Patients submitted to cardiac surgery are more susceptible to SSI, accounting for 3.5% to 21% of SSI. The mortality rate attributable to these causes is as high as 25%. Prevention of SSI in cardiac surgery is based on a bundle of preventive measures, which focus on modifiable risks. Objective: The objective of this study was to identify SSI risk factors in clean cardiac surgery. Methods: A retrospective cohort study analyzed 1,846 medical records from patients who underwent clean cardiac surgery. Fisher’s exact test was used for bivariate comparison, and Poisson regression was used for independent analysis of SSI risk, considering a significance level of p < 0.05. Results: The results of the study comprised a multivariate analysis. The variables that were associated with the diagnosis of SSI were: surgical risk index (OR: 2.575; CI: 1.224-5.416), obesity (OR: 2.068; CI: 1.457-2.936), diabetes mellitus (OR: 1,678; CI: 1.168-2.409), and blood glucose level (OR: 1.004; CI: 1.001-1.007). Conclusions: This study evidenced that complete adherence to the bundle was not associated with a reduction in the risk of surgical infections. Diabetes mellitus, obesity, and surgical risk index assessment were, however, identified to increase association and consequently risk of SSI in cardiac surgery.
publishDate 2019
dc.date.none.fl_str_mv 2019-06-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019000600769
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2019000600769
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.5935/abc.20190070
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Cardiologia - SBC
publisher.none.fl_str_mv Sociedade Brasileira de Cardiologia - SBC
dc.source.none.fl_str_mv Arquivos Brasileiros de Cardiologia v.112 n.6 2019
reponame:Arquivos Brasileiros de Cardiologia (Online)
instname:Sociedade Brasileira de Cardiologia (SBC)
instacron:SBC
instname_str Sociedade Brasileira de Cardiologia (SBC)
instacron_str SBC
institution SBC
reponame_str Arquivos Brasileiros de Cardiologia (Online)
collection Arquivos Brasileiros de Cardiologia (Online)
repository.name.fl_str_mv Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)
repository.mail.fl_str_mv ||arquivos@cardiol.br
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