Risk Factorsthat Contributed to Infection in a Surgical Siteamong Coronary Artery Bypass Graft Patients
Journal Title: IOSR Journal of Nursing and health Science - Year 2018, Vol 7, Issue 6
Abstract
Coronary artery bypass grafting (CABG) is a universal surgery that is known for its reliability and is mainly operated on cardiac patients. Often, Infection in a Surgical Site ismainly reported cases of postoperative infections arises within a month of the surgical process. This could be the main reason for the patients’ distress, morbidity, mortality, extended hospitalization and augment of total treatment coast as it affects the patients’ daily activity living. Aim: Assess the risk factors that contributed to Infection in a Surgical Site among coronary artery bypass graft patients. Design: A quantitative retrospectivedesign was used. Setting:The study was done in the unitofmedical record atUniversity of King Abdulaziz Hospital; data was gathered from the patient's electronic files.Sample:All males andfemale’s patient who have undergone coronary artery bypass graft was registered during the period from January 2011 to December 2013. Tool: The researchers were used one tool for data collection, consists of two parts. Part I. Patient assessment sheet: the researchers designed it, to assess patients’ demographic characteristics andmedical data. Part II: Bundle of Infection in a Surgical Site for Coronary Artery Bypass Graft:This bundle used at King Abdul-Aziz University Hospital. The researchers used the data gathered by the bundle to assess the risk factors that contributed to Infection in a Surgical Site among coronary artery bypass graft. It consists of 14 items, 12 items of perioperative factors increased risk for wound infection and 2 items related to types of wound infection. Results:The current study revealed that 9.1% had an infection in a surgical site, 5.8% had a superficial infection, whereas 3.3% deep infection. Moreover, it was noted that 100% the patients with Infection in a Surgical Site have diabetes mellitus, 81.85% hypertension, 36.4% chronic obstructive pulmonary disease and 36.4% peripheral vein disease, while 27.3% smoking and 72.7% of patients have elective surgery. The mean number of days where patients Infection in a Surgical Sitestayed in the intensive care unit was 4.5 day, and the mean number day’s length of hospital stay was 15.9.Conclusions:According to the findings of the current study, the researchers conclude that, bundle has to be effective by reducing the occurrence of wound infections but thereby more other risk factors have occurred related to patient condition increase Infection in a Surgical Site among Coronary Artery Bypass Graft Patients like diabetes mellitus, hypertension, obesity, re-operation for bleeding, rewiring, and ventilation ≥ 24hr. However, the length of ICU stays around 5 days and the length of hospital stay around 16 days regarding infected wound cases.Recommendations:Future studied of Infection in a Surgical Site should aimprompt preoperative intervention and vigilantly monitored of patients with diabetes, hypertension, chronic obstructive pulmonary disease, and peripheral vascular disease.
Authors and Affiliations
Iman Abdullah Mohammed Abdulmutalib, ElhamAbduallah Al Nagshabandi, Norah Bakheet Al Johani
Keywords
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- EP ID EP437198
- DOI 10.9790/1959-0706092735.
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