scholarly journals Case-Control Study of Pediatric Cardiothoracic Surgical Site Infections

2008 ◽  
Vol 29 (1) ◽  
pp. 76-79 ◽  
Author(s):  
Galit Holzmann-Pazgal ◽  
Diane Hopkins-Broyles ◽  
Angela Recktenwald ◽  
Melinda Hohrein ◽  
Patricia Kieffer ◽  
...  

A retrospective case-control study was performed to determine the risks and outcomes associated with pediatric cardiothoracic surgical site infection. Undergoing more than 1 cardiothoracic operative procedure, having preoperative infection, and undergoing surgery on a Monday were significant risk factors. Cardiothoracic surgical site infection increased hospital and pediatric intensive care unit length of stay. Deep surgical site infection significantly increased mortality.

2003 ◽  
Vol 24 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Anucha Apisarnthanarak ◽  
Marilyn Jones ◽  
Brian M. Waterman ◽  
Cathy M. Carroll ◽  
Robert Bernardi ◽  
...  

AbstractObjective:To characterize risk factors for surgical-site infection after spinal surgery.Design:A case–control study.Setting:A 113-bed community hospital.Method:From January 1998 through June 2000, the incidence of surgical-site infection in patients undergoing laminectomy, spinal fusion surgery, or both increased at community hospital. A We compared 13 patients who acquired surgical-site infections after laminectomy, spinal fusion surgery, or both with 47 patients who were operated on during the same time period but did not acquire a surgical-site infection. Information collected included demographics, risk factors, personnel involved in the operations, length of hospital stay, and hospital costs.Results:Of 13 case-patients, 9 (69%) were obese, 9 (69%) had spinal compression, 5 (38.5%) had a history of tobacco use, and 4 (31%) had diabetes. Oxacillin-sensitive Staphylococcus aureus (6 of 13; 46%) was the most common organism isolated. Significant risk factors for postoperative spinal surgical-site infection were dural tear during the surgical procedure and the use of glue to cement the dural patch (3 of 13 [23%] vs 1 of 47 [2.1%] ; P = .02) and American Society of Anesthesiologists risk class of 3 or more (6 of 13 [46.2%] vs 7 of 47 [15%]; P = .02). Case-patients were more likely to have prolonged length of stay (median, 16 vs 4 days; P < .001). The average excess length of stay was 11 days and the excess cost per case was $12,477.Conclusion:Dural tear and the use of glue should be evaluated as potential risk factors for spinal surgical-site infection. Systematic observation for potential lapses in sterile technique and surgical processes that may increase the risk of infection may help prevent spinal surgical-site infection.


2019 ◽  
Vol 47 (2) ◽  
pp. 164-169 ◽  
Author(s):  
Khalid BM Saeed ◽  
Paul Corcoran ◽  
Mairead O'Riordan ◽  
Richard A. Greene

2016 ◽  
Vol 135 (S1) ◽  
pp. S107-S110 ◽  
Author(s):  
Boezemwendé Kaboré ◽  
Georges Soudouem ◽  
Ibrahima Seck ◽  
Tieba Millogo ◽  
Wambi Maurice Evariste Yaméogo ◽  
...  

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