Sternal surgical site infection in Egypt following coronary artery bypass graft surgery: incidence and risk factors

2018 ◽  
Vol 100 (4) ◽  
pp. 456-458
Author(s):  
E. Abdou ◽  
M. Westercamp ◽  
S. Girgis ◽  
M. Sabry ◽  
O. Sayyouh ◽  
...  
2000 ◽  
Vol 30 (2) ◽  
pp. 270-275 ◽  
Author(s):  
William E. Trick ◽  
William E. Scheckler ◽  
Jerome I. Tokars ◽  
Kevin C. Jones ◽  
Ellen M. Smith ◽  
...  

2018 ◽  
Vol 19 (6) ◽  
pp. 270-276 ◽  
Author(s):  
Melissa Rochon ◽  
Sian Jenkinson ◽  
Reeshma Ramroop ◽  
Alexia Deakin ◽  
Padma Rai ◽  
...  

Background: Surgical site infection (SSI) is a costly and devastating complication of surgery. Many cardiac SSIs develop after the patient leaves hospital, but evidence demonstrating the benefit of patient/carer involvement in the process of monitoring and promptly identifying SSI post-discharge is limited. This study estimates the probability of readmission for SSI for coronary artery bypass graft (CABG) patients receiving the Photo at Discharge (PaD). Methods: Trained personnel undertook continuous, prospective SSI surveillance using Public Health England protocol between January 2013 and December 2016. Baseline covariables were collected for 1747 CABG-only procedures. As a quasi-randomised design, we adjusted for non-random PaD assignment using retrospective propensity score (PS)-matching based on 12 variables of interest, assessed whether the model had been adequately specified and performed an outcomes analysis. Results: A total of 568 patients with PaD were PS-matched with 568 controls. The probabilities of SSI readmission were 0.352 (2/568) and 1.761 (10/568), respectively. The difference in risk of readmission for SSI was significant (relative risk = 0.2, 95% confidence interval = 0.04–0.91; P = 0.04). Conclusion: Findings from this single-centre observation study suggest the PaD is associated with a reduction in CABG readmission for SSI and a further study is warranted to verify the efficacy of this strategy.


2006 ◽  
Vol 27 (3) ◽  
pp. 308-311 ◽  
Author(s):  
Shiao-Chi Wu ◽  
Chi-Chen Chen ◽  
Yee-Yung Ng ◽  
Hui-Fan Chu

In this study, the overall incidence of surgical site infection was 8.83% (3.28% for index hospitalization events [ie, events that occurred during hospitalization for surgery] and 5.55% for postdischarge events [ie, events that occurred within 30 days after discharge]). There was a negative association between surgical volume and the incidence of surgical site infection following coronary artery bypass graft surgery. The hospital volume has a greater effect than does surgeon volume on reducing the incidence of surgical site infection.


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