Hostname: page-component-cd9895bd7-fscjk Total loading time: 0 Render date: 2024-12-23T10:05:01.413Z Has data issue: false hasContentIssue false
  • English
  • Français

Case-Control Study of Pediatric Cardiothoracic Surgical Site Infections

Published online by Cambridge University Press:  02 January 2015

Galit Holzmann-Pazgal ,
Diane Hopkins-Broyles ,
Angela Recktenwald ,
Melinda Hohrein ,
Patricia Kieffer ,
Charles Huddleston ,
Sharma Anshuman  and
Victoria Fraser
Galit Holzmann-Pazgal*
Affiliation:
Department of Pediatrics, Division of Infectious Diseases, Washington University School of Medicine, St. Louis, Missouri
Diane Hopkins-Broyles
Affiliation:
Infection Control and Healthcare Epidemiology Consortium, BJC Healthcare, St. Louis, Missouri
Angela Recktenwald
Affiliation:
Infection Control and Healthcare Epidemiology Consortium, BJC Healthcare, St. Louis, Missouri
Melinda Hohrein
Affiliation:
Infection Control and Healthcare Epidemiology Consortium, BJC Healthcare, St. Louis, Missouri
Patricia Kieffer
Affiliation:
St. Louis Children's Hospital, St. Louis, Missouri
Charles Huddleston
Affiliation:
Department of Cardiothoracic Surgery, Washington University School of Medicine, St. Louis, Missouri
Sharma Anshuman
Affiliation:
Department of Anesthesia, Washington University School of Medicine, St. Louis, Missouri
Victoria Fraser
Affiliation:
Department of Internal Medicine, Division of Infectious Diseases, Washington University School of Medicine, St. Louis, Missouri
*
University of Texas Health Science Center at Houston, 6431 Fannin Street, MSB 6.132, Houston, TX 77030 ([email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

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.

Type
Concise Communications
Information
Infection Control & Hospital Epidemiology , Volume 29 , Issue 1 , January 2008 , pp. 76 - 79
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2008

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Nateghian, A, Taylor, G, Robinson, J. Risk factors for surgical site infections following open-heart surgery in a Canadian pediatric population. Am J Infect Control 2004;32:397–401.Google Scholar
2.Allpress, A, Rosenthal, G, Goodrich, K, Lupinetti, I, Zerr, D. Risk factors for surgical site infections after pediatric cardiovascular surgery. Pediatr Infect Dis J 2004;23:231–234.Google Scholar
3.Mehta, P, Cunningham, C, Colella, C, Alferis, G, Weiner, L. Risk factors for sternal wound and other infections in pediatric cardiac surgery Patients. Pediatr Infect Dis J 2000;19:1000–1004.Google Scholar
4.McAnally, H, Cutter, G, Ruttenber, AJ, Clarke, D, Todd, J. Hypothermia as a risk factor for pediatric cardiothoracic surgical site infection. Pediatr Infect Dis J 2001;20:459–462.CrossRefGoogle ScholarPubMed
5.Malviya, S, Voepel-Lewis, T, Siewert, M, Pandit, U, Riegger, L, Tait, A. Risk factors for adverse postoperative outcomes in children presenting for cardiac surgery with upper respiratory tract infections. Anesthesiology 2003;98:628–632.Google Scholar
6.Kagen, J, Bilder, W, Lautenbach, E, et al.Risk adjustment for surgical site infection after median sternotomy in children. Infect Control Hosp Epidemiol 2007;28:398–405.Google Scholar
7.Horan, TC, Gaynes, RP. Surveillance of nosocomial infections. In: Mayhall, CG, ed. Hospital Epidemiology and Infection Control. 3rd ed. Philadelphia: Lippincott, Williams & Wilkins, 2004:1672–1689.Google Scholar
8.Keats, AS. The ASA classification of physical status: a recapitulation. Anesthesiology 1978;49:233–236.Google Scholar
9.Furnary, AP, Zerr, KJ, Grunkemeier, GL, Starr, A. Continuous intravenous insulin infusion reduces the incidence of deep sternal wound infection in diabetic patients after cardiac surgical procedures. Ann Thorac Surg 1999;67:352–362.Google Scholar
10.Classen, DC, Evans, RS, Pestotnik, SL, Horn, SD, Menlove, RL, Burke, JP. The timing of prophylactic administration of antibiotics and the risk of surgical wound infection. N Engl ! Med 1992;326:281–286.Google Scholar