Risk factors for leg harvest surgical site infections after coronary artery bypass graft surgery

Journal of Thoracic and Cardiovascular Surgery

Volumn 126, Issue 4, 2003, Pages 992-999

  Olsen, Margaret A ^a   Sundt, Thoralf M ^b   Lawton, Jennifer S ^a   Damiano Jr , Ralph J ^a   Hopkins Broyles, Diane ^c   Lock Buckley, Patricia ^a   Fraser, Victoria J ^a  

^a WASHINGTON UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b MAYO CLINIC   (United States)

^c BARNES JEWISH HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC AGENT; CEFAZOLIN; VANCOMYCIN;

ADULT; AGE; AGED; ANTIBIOTIC PROPHYLAXIS; ANTIBIOTIC THERAPY; ARTICLE; CEREBROVASCULAR ACCIDENT; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; ERYTHROCYTE TRANSFUSION; FEMALE; HOSPITAL ADMISSION; HOSPITALIZATION; HUMAN; INFECTION RISK; LEG VEIN; LENGTH OF STAY; LOGISTIC REGRESSION ANALYSIS; MAJOR CLINICAL STUDY; MALE; OBESITY; POSTOPERATIVE CARE; PREDICTION; PRIORITY JOURNAL; RETROSPECTIVE STUDY; RISK ASSESSMENT; RISK FACTOR; SEX DIFFERENCE; SURGICAL INFECTION; SURGICAL WOUND;

EID: 0142244808     PISSN: 00225223     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0022-5223(03)00200-9     Document Type: Article

References (25)

1. Roy MC. Surgical-site infections after coronary artery bypass graft surgery: discriminating site-specific risk factors to improve prevention efforts. Infect Control Hosp Epidemiol. 1998;19:229-33.
2. Harbarth S, Samore MH, Lichtenberg D, Carmeli Y. Prolonged antibiotic prophylaxis after cardiovascular surgery and its effect on surgical site infections and antimicrobial resistance. Circulation, 2000;101:2916-21.
3. Spelman DW, Russo P, Harrington G, Davis BB, Rabinov M, Smith JA, et al. Risk factors for surgical wound infection and bacteraemia following coronary artery bypass surgery. Aust N Z J Surg. 2000;70:47-51.
4. L'Ecuyer PB, Murphy D, Little JR, Fraser VJ. The epidemiology of chest and leg wound infections following cardiothoracic surgery. Clin Infect Dis. 1996;22:424-9.
5. DeLaria GA, Hunter JA, Goldin MD, Serry C, Javid H, Najafi H. Leg wound complications associated with coronary revascularization. J Thorac Cardiovasc Surg. 1981;81:403-7.
6. Engelman DT, Adams DH, Byrne JG, Aranki SF, Collins JJ Jr, Couper GS, et al. Impact of body mass index and albumin on morbidity and mortality after cardiac surgery. J Thorac Cardiovasc Surg. 1999;118:866-73.
7. Carpino PA, Khabbaz KR, Bojar RM, Rastegar H, Warner KG, Murphy RE, et al. Clinical benefits of endoscopic vein harvesting in patients with risk factors for saphenectomy wound infections undergoing coronary artery bypass grafting. J Thorac Cardiovasc Surg. 2000;119:69-75.
8. Moulton MJ, Creswell LL, Mackey ME, Cox JL, Rosenbloom M. Obesity is not a risk factor for significant adverse outcomes after cardiac surgery. Circulation. 1996;94(Suppl 11):87-92.
9. Vuorisalo S, Haukipuro K, Pokela R, Syrjala H. Risk features for surgical-site infections in coronary artery bypass surgery. Infect Control Hosp Epidemiol. 1998;19:240-7.
10. Mullen JC, Bentley MJ, Mong K, Karmy-Jones R, Lemermeyer G, Gelfand ET, et al. Reduction of leg wound infections following coronary artery bypass surgery. Can J Cardiol. 1999;15:65-8.
11. Kiaii B, Moon BC, Massel D, Langlois Y, Austin TW, Willoughby A, et al. A prospective randomized trial of endoscopic versus conventional harvesting of the saphenous vein in coronary artery bypass surgery. J Thorac Cardiovasc Surg. 2002;123:204-12.
12. Wong SW, Fernando D, Grant P. Leg wound infections associated with coronary revascularization. Aust N Z J Surg. 1997;67:689-91.
13. Utley JR, Thomason ME, Wallace DJ, Mutch DW, Staton L, Brown V, et al. Preoperative correlates of impaired wound healing after saphenous vein excision. J Thorac Cardiovasc Surg. 1989;98:147-9.
14. Paletta CE, Huang DB, Fiore AC, Swartz MT, Rilloraza FL, Gardner JE. Major leg wound complications after saphenous vein harvest for coronary revascularization. Ann Thorac Surg. 2000;70:492-7.
15. Allen KB, Heimansohn DA, Robison RJ, Schier JJ, Griffith GL, Fitzgerald EB, et al. Risk factors for leg wound complications following endoscopic versus traditional saphenous vein harvesting. Heart Surg Forum. 2000;3:325-30.
16. Utley JR, Leyland SA, Johnson HD, Morgan MS, Wilde CM, Bell MS, et al. Correlation of preoperative factors, severity of disease, type of oxygenator, and perfusion times with mortality and morbidity of coronary bypass. Perfusion. 1991;6:15-22.
17. Goldsborough MA, Miller MH, Gibson J, Creighton-Kelly S, Custer CA, Wallop JM, et al. Prevalence of leg wound complications after coronary artery bypass grafting: determination of risk factors. Am J Crit Care. 1999;8:149-53.
18. Davis Z, Jacobs HK, Zhang M, Thomas C, Castellanos Y. Endoscopic vein harvest for coronary artery bypass grafting: technique and outcomes. J Thorac Cardiovasc Surg. 1998;116:228-35.
19. Bitondo JM, Daggett WM, Torchiana DF, Akins CW, Hilgenberg AD, Vlahakes CJ, et al. Endoscopic versus open saphenous vein harvest: a comparison of postoperative wound complications. Ann Thorac Surg. 2002;73:523-8.
20. Hosmer DW, Lemeshow S. Applied logistic regression. 2nd ed. New York: John Wiley; 2000.
21. Olsen MA, Lock-Buckley P, Hopkins D, Polish LB, Sundt TM, Fraser VJ. The risk factors for deep and superficial chest surgical-site infections after coronary artery bypass graft surgery are different. J Thorac Cardiovasc Surg. 2002;124:136-45.
22. Zacharias A, Habib RH. Factors predisposing to median sternotomy complications. Deep versus superficial infection. Chest. 1996;110:1173-8.
23. Ottino G, De Paulis R, Pansini S, Rocco G, Tallone MV, Comoglioi C, et al. Major sternal wound infection after open-heart surgery: a multivariate analysis of risk factors in 2579 consecutive operative procedures. Ann Thorac Surg. 1987;44:173-9.
24. Barber GR, Miransky J, Brown AE, Coit DG, Lewis FM, Thaler HT, et al. Direct observations of surgical wound infections at a comprehensive cancer center. Arch Surg. 1995;130:1042-7.
25. Forse RA, Karam B, MacLean LD, Christou NV, Antibiotic prophylaxis for surgery in morbidly obese patients. Surgery. 1989;106:750-7.