Nosocomial Infection in Cardiosurgery ICU

WANG Yu-ying, GUAN Yan-jie (Affiliated Hospital, Weifang Medical College, Weifang, Shandong 261031, China) OBJECTIVE To investigate the reason of postoperative infection in cardiosurgery ICU of our hospital and take effective preventive measures. METHODS The infection sites and their rates of the nosocomial infection among the cardiosurgery ICU patients from May 2001 to May 2002 were retrospectively analyzed. RESULTS Among the total 27 nosocomial infections took place in the year, pneumonia accounted for 11.7%, urinary tract infection 7.5%, hematological system infection 1.7%, skin incision site infection 1.7%. Twenty three strains were isolated. CONCLUSIONS It is important for nosocomial infection control to have the research on risk factors of postoperative hospital infection in cardiosurgery ICU. Key Words Cardiosurgery Intensive care unit (ICU) Nosocomial infection Prevention CateGory Index R197.3 DOI CNKI:SUN:ZHYY.0.2004-04-017 Download(CAJ format) Download(PDF format) CAJViewer7.0 supports all the CNKI file formats; AdobeReader only supports the PDF format.

References
Chinese Journal Full-text Database 1 WANG Jun-yan(Department of Hospital Infection Administration,Chaohu Second Peoples Hospital,Chaohu Anhui 23800,China);Nosocomial infections:Investigation and analysis of 2058 cases[J];Journal of Bengbu Medical College;2009-01 DONG Ai-zhi,XIONG Pan,LIU Kun.The Second People's Hospital of Liaocheng Affiliated to Taishan Medical College,Linqing 252600,China;Effects of Pioglitazone on Left Ventricular Hypertrophy and Inflammatory Factors in Primary Hypertension Patients without Insulin Resistance[J];Chinese General Practice;2010-09 JIA Wen-ying1,TENG Zhi-guang2,LI Zhi-wu3,et al. 1 Department of Hospital Infection Administration;2 Department of Medical Affair;3 Department of Scientific Research,Beijing Fengtai area Nanyuan Hospital,Beijing 100076,China;Nosocomial infections of inpatients:a clinical study and analysis of 2207 cases[J];Journal of Clinical and Experimental Medicine;2010-07 Zhang You-ping, Hou Tie-ying, Wang Mei;ANALYSIS OF THE ENVIRONMENTAL HYGIENE MONITORING DATA OF CARDIAC SURGERY ICU[J];Modern Hospital;2005-04 WANG Chun-cui(Peoples Hospital of Zhangjiajie,Zhangjiajie,Hunan 427000,China);Nosocomial Infection in Burn Unit[J];Chinese Journal of Nosocomiology;2006-07 QIU Zhi-bing~*,LI Chao-xian,CHEN Xin,YANG Shuang Qiang(*Nanjing First Affiliated Hospital,Nanjing Medical University,Nanjing,Jiangsu 210006,China);Acquired Fungal Infection in Cardiosurgery Intensive Care Unit[J];Chinese Journal of Nosocomiology;2006-11 LIU Ying,ZHONG Hua,SHEN Dan,LIU Zhen-hua(General Hospital of Chinese Peoples Armed Police Forces,Beijing 100039,China);Antimicrobial Use in Cardiac Surgical During Perioperative Period:An Investigation and Analysis[J];Chinese Journal of Nosocomiology;2009-05 7 Hits

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Citations

Nosocomial Infections in Pediatric Cardiac Surgery, Italy

Formats Available in JSTOR: Article PDF

Abstract Bibliographic Information Author Information Notes and References

Abstract(back to top)
OBJECTIVE.To evaluate the incidence of nosocomial infection (NI) in pediatric patients who received cardiothoracic surgery and to identify possible associated risk factors. DESIGN.Prospective observational study. SETTING.The cardiac surgery and cardiac intensive care units at the Regina Margherita Childrens Hospital, Turin, Italy.

PATIENTS.All patients who underwent surgery from July 20, 1998, to July 19, 1999, were enrolled, except patients with operative catheterization only. METHODS.Clinical data were collected daily from July 20, 1998, to July 19, 1999. NIs were diagnosed according to US Centers for Disease Control and Prevention criteria. RESULTS.104 patients were included in the present study, 80 (76.9%) of whom underwent extracorporeal circulation. The NI ratio was 48.1% (50/104); the percentage of patients with NI was 30.8% (32/104): 23.1% developed one infection, 7.7% two or more. The rate of NI was 2.17 per 100 days of hospitalization (50/2,304). The most common pathogen was Pseudomonas aeruginosa. Important risk factors were length of preoperative admission >5 days, total length of admission >10 days, open chest during postoperative phase, and cyanotic heart disease. There was a significant association between sepsis and central venous catheterization for 3 days or more. Rate of sepsis was 19 per 1,000 catheter days (16/852). CONCLUSION.NIs represent a frequent complication for children who undergo heart surgery. Based on our data, we suggest decreasing the preoperative stay as much as possible. The higher NI incidence in patients with an open chest postoperatively suggests that an alternative antibiotic strategy should be considered for these patients.

Bibliographic Information(back to top)

Nosocomial Infections in Pediatric Cardiac Surgery, Italy Mariangela Valera, MD; Carlo Scolfaro, MD; Nazario Cappello, MD; Elena Gramaglia, MD; Sergio Grassitelli, MD; Maria Teresa Abbate, MD; Alberta Rizzo, MD; Piero Abbruzzese, MD; Andrea Valori, MD; Stefano Longo, MD; Pier Angelo Tovo, MD Infection Control and Hospital Epidemiology Vol. 22, No. 12 (December 2001) (pp. 771-775)

Author Information(back to top)

Mariangela Valera , MD; Carlo Scolfaro , MD; Nazario Cappello , MD; Elena Gramaglia , MD; Sergio Grassitelli , MD; Maria Teresa Abbate , MD; Alberta Rizzo , MD; Piero Abbruzzese , MD; Andrea Valori , MD; Stefano Longo , MD; Pier Angelo Tovo , MD

Notes and References(back to top)

This item contains 1 note(s). Notes From the Department of ImmunoInfectivology (Drs. Valera, Scolfaro, Gramaglia, and Tovo); the Department of Genetics and Biochemistry (Dr. Cappello), University of Turin; the Cardiac Intensive Care Unit (Drs. Grassitelli, Abbate, and Rizzo); and Cardiac Surgery (Drs. Abbruzzese, Valori, and Longo), Regina Margherita Childrens Hospital, Turin, Italy.Address reprint requests to Prof. Pier Angelo Tovo, Department of ImmunoInfectivology, Regina Margherita Childrens Hospital, Piazza Polonia 94, 10156 Turin, Italy.00OA197. Valera M, Scolfaro C, Cappello N, Gramaglia E, Grassitelli S, Abbate MT, Rizzo A, Abbruzzese P, Valori A, Longo S, Tovo PA. Nosocomial infections in pediatric cardiac surgery, Italy. Infect Control Hosp Epidemiol 2001;22:771775. 2001 by The Society for Healthcare Epidemiology of America. All rights reserved.