The Prevalence of Wound Complications after Cardiac Surgery
https://doi.org/10.31631/2073-3046-2020-19-6-101-107
Abstract
Relevance. Infectious complications arising in the postoperative period (nosocomial infections) have an adverse effect on the results of high-tech interventions in a cardiac surgery clinic, worsening clinical results and being a significant article of medical expenses. Aims. To analyze modern literature data on the prevalence of nosocomial infections after high-tech cardiac surgery to identify factors that affect its variability. Conclusions. The prevalence of hospital Infectious complications after cardiac surgery remains high, ranging, according to various sources, from 0.9% to 35%. The deep form, accompanied by a significant mortality rate, is more common in the range from 0.4% to 5%, the incidence of superficial forms is much more variable, leaving from 1.5% to 30%. A prerequisite for controlling infection in a cardiac surgery hospital is thorough and adequate registration of such complications. Conducting a dynamic comparison of the prevalence of nosocomial infections in the process of epidemiological control requires the consistent use of unchanged methods of statistical analysis, constant criteria for determining a standard case and the use of up-to-date classifications. An important step in the study of the prevalence of nosocomial infections is to provide the obtained information to practicing physicians in order to maintain a high level of awareness of the effectiveness of treatment and prevention.
About the Authors
A. V. StepinRussian Federation
Stepin Artem V. - Cand. Sci. (Med.), Head of Cardiac Surgery Department in Ural Institute of Cardiology.
620142 Ekaterinburg, 8th March 78a.
Tel. +7(343) 2951376
S. A. Matveev
Russian Federation
Matveev Sergey A. - cardiac surgeon in Ural Institute of Cardiology.
620142 Ekaterinburg, 8th March 78a.
D. A. Mamontov
Russian Federation
Mamontov Dmitry A. - cardiac surgeon in Ural Institute of Cardiology.
620142 Ekaterinburg, 8th March 78a.
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Review
For citations:
Stepin A.V., Matveev S.A., Mamontov D.A. The Prevalence of Wound Complications after Cardiac Surgery. Epidemiology and Vaccinal Prevention. 2020;19(6):101-107. (In Russ.) https://doi.org/10.31631/2073-3046-2020-19-6-101-107