Prevalence of myocardium revascularization wound infections surgery

Taciane Procópio Assunção1, Breno César Diniz Pontes, Carlos Américo Veiga Damasceno

  • 1Faculty of Medicine Dr. Jose Antonio Garcia Coutinho - UNIVÁS.

Abstract

Insights

This study found that while myocardial revascularization wound infections remained stable, older patients were more susceptible. The specific microorganisms causing these infections varied over time.

Area of Science:

  • Cardiovascular Surgery
  • Infectious Diseases
  • Epidemiology

Background:

  • Surgical site infections (SSIs) are a significant concern following cardiac surgery.
  • Understanding the prevalence and causative agents of SSIs after myocardial revascularization is crucial for patient outcomes.
  • The role of risk factors like APACHE score in predicting these infections requires further investigation.

Purpose of the Study:

  • To determine the prevalence of wound infections after myocardial revascularization.
  • To identify the microorganisms responsible for these infections.
  • To explore the correlation between infection rates and the APACHE risk score.

Main Methods:

  • A retrospective and transversal study design was employed.
  • Data were collected from the medical records of 357 patients who underwent myocardial revascularization between 2007 and 2009.
  • Files of 21 patients with infected wounds were analyzed.

Main Results:

  • The prevalence of myocardial revascularization wound infections remained stable over the study period, despite an increase in the number of surgeries.
  • Older age was identified as a significant risk factor for developing wound infections.
  • There was variability in the types of microorganisms identified as causative agents over the years.

Conclusions:

  • The prevalence of wound infections post-myocardial revascularization is comparable to literature findings and remained stable due to a proportional increase in surgeries.
  • The APACHE score was not found to be a significant predictor of myocardial revascularization wound infections.
  • Older patients are more prone to these infections, and the spectrum of causative microorganisms is variable.

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