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[Surgical site infections in children undergoing cardiac surgery with delayed sternal closure: Case-control study]

Javiera Retamal1, Pedro Becker2, Rodrigo González2

  • 1División de Pediatría, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile, claveria@med.puc.cl.

Revista Chilena De Infectologia : Organo Oficial De La Sociedad Chilena De Infectologia
|January 24, 2017
PubMed

Insights

Prolonged cardiopulmonary bypass and mechanical ventilation are key risk factors for surgical site infections (SSI) in pediatric cardiac surgery patients requiring delayed sternal closure. Identifying these factors aids in preventing post-operative complications.

Area of Science:

  • Pediatric Cardiac Surgery
  • Infectious Disease Epidemiology
  • Surgical Outcomes

Background:

  • Surgical site infections (SSI) are a significant cause of morbidity in pediatric cardiac surgery.
  • Risk factors for SSI in patients undergoing delayed sternal closure (DSC) are not well-established.

Purpose of the Study:

  • To determine the incidence of SSI in pediatric cardiac surgery patients with DSC.
  • To identify independent risk factors associated with SSI in this patient population.

Main Methods:

  • Retrospective case-control study of pediatric patients (<15 years) undergoing cardiac surgery with DSC (2009-2010).
  • SSI diagnosis based on institutional criteria aligned with international recommendations.
  • Univariate and multivariate analyses were performed to identify risk factors (p < 0.05).

Main Results:

  • 58 patients were analyzed; 13 (22%) developed SSI (11 incisional, 2 mediastinitis).
  • Independent risk factors for SSI included bypass (BP) time > 200 minutes (OR 9.53) and mechanical ventilation (MV) > 5 days (OR 8.98).

Conclusions:

  • Extended bypass time and prolonged mechanical ventilation are significant risk factors for SSI in pediatric cardiac surgery patients with DSC.
  • These findings highlight critical areas for intervention to reduce SSI rates.
Abstract

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