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Updated: Sep 15, 2025

Author Spotlight: Enhancing Coronary Artery Revascularization
Published on: September 15, 2023
Patient Profile and Perioperative Care Practices Associated With the Absence of Deep Surgical Site Infections in
Brittany Stone1, Sarah Schaffner, Kara Cincotta
1Author Affiliations: Critical Care, Missouri Baptist Medical Center, St. Louis, Missouri (Dr Stone and Ms Stiffler); Professional Practice and Development, Missouri Baptist Medical Center, St. Louis, Missouri (Ms Schaffner); Pre/Post/Pacu, Interventional Pulmonology, Missouri Baptist Medical Center, St. Louis, Missouri (Ms Cincotta); Cardiovascular Recovery Unit, Progressive Care Unit, Missouri Baptist Medical Center, St. Louis, Missouri (Ms Byrne); Operating Room and Anesthesia, Missouri Baptist Medical Center, St. Louis, Missouri (Ms Lutz); and Research and Outcomes (Patient Care Services), Missouri Baptist Medical Center, St. Louis, Missouri (Dr Obisesan).
Background:
Postoperative surgical site infections (SSIs) are a significant concern in cardiac surgery.
Purpose:
To characterize clinical and perioperative factors associated with the absence of deep SSIs in a cohort of patients who underwent coronary artery bypass grafting (CABG) surgery.
Methods:
A retrospective, single-center study was conducted, analyzing data from 214 patients between August 2023 and June 2024. Perioperative care measures included adherence to an established cardiothoracic SSI prevention bundle, consisting of preoperative chlorhexidine gluconate bathing, preoperative nasal decolonization, intraoperative antibiotics, and intraoperative and postoperative glycemic control.
Results:
Adherence to the prevention bundle varied (82.7-98.6%). A statistically significant difference in postoperative glycemic control was observed between elective and urgent surgery cases.
Conclusion:
This study's findings highlight the potential effect of rigorous protocol adherence and the critical role of standardized nursing care in SSI prevention. Future research to optimize patient care and outcomes during and after CABG surgery is recommended.
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