POSTOPERATIVE INFECTIONS FOLLOWING CARDIAC SURGERY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 55
Abstract
BACKGROUND Postoperative infections following cardiac surgery are associated with life-threatening complications and prolonged hospitalisation. This in addition to increasing patient morbidity and mortality also proves to be an economic burden to patients and healthcare system. MATERIALS AND METHODS This study was conducted with a view to identify the spectrum of postoperative infections in cardiac surgery patients along with studying the common bacterial isolates and the risk factors associated with the development of infections. RESULTS The incidence of postoperative infections in these patients was found to be 22% with surgical site infections being the commonest. The other infections observed were urinary tract, respiratory and bloodstream infections. The commonest bacterial isolate was Pseudomonas aeruginosa followed by Staphylococci and enteric gram-negative bacilli. In the analysis of risk factors age >45 years, obesity, surgery for coronary artery bypass grafting, operative time of >6 hours and mechanical ventilation for >6 hours were associated with increased risk of infection. CONCLUSION Infections following cardiac surgeries are important cause of postoperative morbidity. Their prevention by reducing modifiable risk factors and implementing proper infection control practices seems to be a best course of action.
Authors and Affiliations
Jaya Lalwani
Keywords
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- EP ID EP225894
- DOI 10.14260/Jemds/2017/898
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