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Frequency and Risk Factors of Purulent Septic Infection among Adults after Different Types of an Open Heart Operations

https://doi.org/10.31631/2073-3046-2020-19-5-34-40

Abstract

Relevance. The problem of purulent postoperative septic infection (the hospital acquired infection or HAI) is still one of the main cause of fatal outcomes of patients in cardiac hospitals, which demands significant material costs. The aim of the work is to evaluate the intensity of the epidemic process and risk factors for HAI among adults after various types of open heart surgery.

Materials and methods. The study of medical records of 1540 patients over 18 years old, who underwent open heart surgery for the purpose of coronary artery bypass grafting (CABG), prosthetics of valves and elimination of aortic defects, was held. Typical and donozological forms of HAI were taken into account in accordance with the epidemiological standard definition of cases.

Results. The incidence rates of typical and donozological forms of HAI in average was 39.6 and 72.7 per 1000 operations. The maximum incidence of HAI was detected after aortic surgery due to urinary tract infection (UTI) and hospital-acquired pneumonia.

Conclusions. It was found that the increased incidence of UTI and hospital-acquired pneumonia after aortic surgery is contingent on a longer cardiosurgical operations and, accordingly, a longer stay of patients in the Department of anesthesia and resuscitation, accompanied by artificial ventilation and catheterization of the bladder, than in other cardiac operations

About the Authors

V. I. Sergevnin
Perm State Medical University named after Academician E. A. WagnerPerm State Medical University named after Academician E. A. Wagner
Russian Federation

Viktor I. Sergevnin – Dr. Sci. (Med.), Professor of the Department of Epidemiology and Hygiene

26 Petropavlovskaya st.. Perm, 614990



L. G. Kudryavtseva
Cardiovascular surgery federal center named after S. G. Sukhanov
Russian Federation

Larisa G. Kudryavtseva  – Cand. Sci. (Med.), Head of the Epidemiological Department, Doctor-Epidemiologist

50-30 Borchaninov st., Perm, 614064



A. I. Zolotukhina
Perm State Medical University named after Academician E. A. Wagner
Russian Federation

Anna I. Zolotukhina – resident of the Department of Epidemiology and Hygiene

26 Petropavlovskaya st.. Perm, 614990



References

1. Bokeria L.A., Gudkova R.G. Cardiovascularsurgery. 2011. Diseases and congenital malformations of the circulatory system. Moscow. A. N. Bakulev National Medical Research Center of Cardiovascular Surgery. 2012;196 (In Russ.).

2. Aref’eva L. I., Gorskaya E. M., Savostyanova O. A. et al. Infectious complications of a bacterial nature in cardiovascular surgery. Russian Medical Journal 2013;3:36–42 (In Russ.).

3. Kazachek Y. V., Pomeshkina S. A., Barbarash O. A. Prevention of infectious complications in cardiac surgery. Complex problems of cardiovascular diseases. 2014;4:62–69 (In Russ.).

4. Popov D.A. Postoperative infectious complications in cardiac surgery. Annals of Surgery. 2013;5:15–21 (In Russ.).

5. Nastas A. F. Epidemiology of nosocomial purulent-septic infections in postoperative cardiac surgery patients. Scientific horizons. 2018;2(6):201–21 (In Russ.).

6. O’Keefe S, Williams K, Legare JF. Hospital-Acquired Infections After Cardiac Surgeryand Current Physician Practices: ARetrospective Cohort Study. JClinMedRes. 2017; 9 (1): 10-16. doi: 10.14740/jocmr2637w.

7. Gabrielyan N. I. Purulent-septic complications in transplantology and cardiac surgery: epidemiology and prevention. Doct. dis. med. Moscow, 2011 (In Russ.).

8. Gelijns AC, Moskowitz AJ, Acker MA, et al. Management Practicesand Major Infections After Cardiac Surgery. Journal of the American College of Cardiology. 2014;64(4):372– 381. doi: 10.1016/j.jacc.2014.04.052.

9. Clinical recommendations for the surgical treatment of patients with postoperative mediastinitis and osteomyelitis of the sternum and ribs. Methodical recommendations of the Ministry of Health of the Russian Federation. 2014 (In Russ.).

10. European Centre for Disease Prevention and Control. Point prevalence survey of healthcareassociated infections and antimicrobial use in European acute care hospitals – protocol version 4.3. Stockholm: ECDC; 2012.

11. Sergeevnin V.I., Klyuchareva N.M. Pre-epidemic diagnosis of incidence of nosocomial purulent-septic infections. Public health and habitat. 2018;1(298):27−29 (In Russ.).

12. Rudnov V. A., Zubarev A. S. Infections in the intensive care unit. Consilium Medicum. 2008:1(10):37–44 (In Russ.).

13. Sergevnin VI., Klyuchareva NM. Manifestations of the epidemic process of purulent-septic infections among patients in the intensive care unit of a multidisciplinary hospital and antibiotic sensitivity of pathogens. Epidemiology and Vaccinal Prevention. 2013;1(68):23–29 (In Russ.).


Review

For citations:


Sergevnin V.I., Kudryavtseva L.G., Zolotukhina A.I. Frequency and Risk Factors of Purulent Septic Infection among Adults after Different Types of an Open Heart Operations. Epidemiology and Vaccinal Prevention. 2020;19(5):34-40. (In Russ.) https://doi.org/10.31631/2073-3046-2020-19-5-34-40

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ISSN 2073-3046 (Print)
ISSN 2619-0494 (Online)