Surgical Site Infection Prevention Bundle in Cardiac Surgery
Autor(a) principal: | |
---|---|
Data de Publicação: | 2019 |
Outros Autores: | , , , , , |
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. |
id |
SBC-1_88c36166fd8303c08f2b2c232dce531b |
---|---|
oai_identifier_str |
oai:scielo:S0066-782X2019000600769 |
network_acronym_str |
SBC-1 |
network_name_str |
Arquivos Brasileiros de Cardiologia (Online) |
repository_id_str |
|
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 |
dc.format.none.fl_str_mv |
text/html |
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 |
_version_ |
1752126569781919744 |