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Incidence and predictors of sternal surgical wound infection in cardiac surgery: a prospective study

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dc.contributor.authorArribas Leal, José María
dc.contributor.authorRivera Caravaca, José Miguel
dc.contributor.authorHernández Torres, Alicia
dc.contributor.authorJiménez Aceituna, Antonio
dc.contributor.authorMoral Escudero, Encarnación
dc.contributor.authorPérez Andreu, Joaquín
dc.contributor.authorGarcía Vázquez, Elisa
dc.contributor.authorGutiérrez García, Francisco
dc.contributor.authorGarcía Puente, Julio J.
dc.contributor.authorMarín, Francisco
dc.contributor.authorCánovas López, Sergio
dc.contributor.authorHerrero Martínez, José Antonio
dc.contributor.departmentCirugía, Pediatría y Obstetricia y Ginecología
dc.date.accessioned2024-07-18T08:24:30Z
dc.date.available2024-07-18T08:24:30Z
dc.date.issued2022-09-28
dc.description© 2022 The Authors. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/. This document is the Published version of a Published Work that appeared in final form in International Wound Journal (IWJ). To access the final edited and published work see https://doi.org/10.1111/iwj.13938
dc.description.abstractSternal surgical wound infection (SSWI) in cardiac surgery is associated with increased morbidity. We investigated the incidence of SSWI, the main germs implicated and predictors of SSWI. Prospective study including patients undergoing full median sternotomy between January 2017 and December 2019. Patients were followed-up for 3 months after hospital discharge. All sternal wound infections up to 90 days after discharge were considered SSWI. 1004 patients were included. During follow-up, 68 (6.8%) patients presented SSWI. Patients with SSWI had a higher incidence of postoperative renal failure (29.4% vs 17.1%, P = .007), a higher incidence of early postoperative reoperation for non-infectious causes (42.6% vs 9.1%, P < .001), longer ICU stay (3 [2–9] days vs 2 [2–4] days, P = .006), and longer hospital stay (24.5 [14.8–38.3] days vs 10 [7–18] days, P < .001). Gram-positive germs were presented in 49% of the cultures, and gram-negative bacteria in 35%. Early reoperation for non-infectious causes (OR 4.90, 95% CI 1.03–23.7), and a longer ICU stay (OR 1.37 95% CI 1.10–1.72) were independent predictors of SSWI. SSWI is rare but leads to more postoperative complications. The need for early reoperation because of non-infectious cause and a longer ICU stay were independently associated with SSWI.es
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dc.format.extent8es
dc.identifier.citationInt Wound J. 2023 20(4):917‐924
dc.identifier.doihttps://doi.org/10.1111/iwj.13938
dc.identifier.issnPrint: 1742-4801
dc.identifier.issnElectronic: 1742-481X
dc.identifier.urihttp://hdl.handle.net/10201/143167
dc.languagespaes
dc.publisherWiley
dc.relationSin financiación externa a la Universidades
dc.relation.publisherversionhttps://onlinelibrary.wiley.com/doi/10.1111/iwj.13938
dc.rightsinfo:eu-repo/semantics/openAccesses
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectAdultes
dc.subjectCardiac surgeryes
dc.subjectMicrobiologyes
dc.subjectRisk factorses
dc.subjectSurgical wound infectiones
dc.titleIncidence and predictors of sternal surgical wound infection in cardiac surgery: a prospective studyes
dc.typeinfo:eu-repo/semantics/articlees
dspace.entity.typePublicationes
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