Implementing evidence‐based practice findings to decrease postoperative sternal wound infections following open heart surgery

Journal of Cardiovascular Nursing

Volumn 20, Issue 5, 2005, Pages 299-305

  Haycock, Camille ^a   Laser, Craig ^a   Keuth, Jennifer ^a   Montefour, Kerry ^a   Wilson, Melissa ^a   Austin, Kerry ^a   Coulen, Charmaine ^a   Boyle, Deborah ^a  

^a BANNER GOOD SAMARITAN MEDICAL CENTER   (United States)

Author keywords

Galpin's Change Model; Nosocomial infection

Indexed keywords

ANTIBIOTIC PROPHYLAXIS; CROSS INFECTION; EVIDENCE BASED MEDICINE; GLUCOSE BLOOD LEVEL; HAND WASHING; HEART SURGERY; HOSPITAL COST; HUMAN; INCIDENCE; INFECTION CONTROL; LENGTH OF STAY; MORBIDITY; NONBIOLOGICAL MODEL; NURSE ATTITUDE; ORGANIZATION; ORGANIZATION AND MANAGEMENT; POSTOPERATIVE CARE; PREOPERATIVE CARE; QUALITY CONTROL; RETROSPECTIVE STUDY; REVIEW; RISK FACTOR; SKIN CARE; STATISTICS; STERNUM; SURGICAL INFECTION; TREATMENT OUTCOME; UNITED STATES;

ANTIBIOTIC PROPHYLAXIS; ARIZONA; BENCHMARKING; BLOOD GLUCOSE; CARDIAC SURGICAL PROCEDURES; CROSS INFECTION; EVIDENCE-BASED MEDICINE; HANDWASHING; HOSPITAL COSTS; HUMANS; INCIDENCE; INFECTION CONTROL; LENGTH OF STAY; MODELS, ORGANIZATIONAL; MORBIDITY; NURSE'S ROLE; ORGANIZATIONAL INNOVATION; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); POSTOPERATIVE CARE; PREOPERATIVE CARE; RETROSPECTIVE STUDIES; RISK FACTORS; SKIN CARE; STERNUM; SURGICAL WOUND INFECTION;

EID: 32944469965     PISSN: 08894655     EISSN: 15505049     Source Type: Journal    
DOI: 10.1097/00005082-200509000-00003     Document Type: Article

References (19)

1. American Heart Association. Heart Disease and Stroke Statistics: 2004 Update. Dallas, Tex: National Center of the American Heart Association; 2004.
2. Emory TG, Gaynes RP. An overview of nosocomial infection including the role of microbiology laboratory. Clin Microbiol Rev. 1992;6:428-442.
3. Roy MC. Surgical-site infections after coronary artery bypass surgery: discriminating site-specific risk factors to improve prevention efforts. Infect Control Hosp Epidemiol. 1998;19:229-233.
4. Loop FD, Lytle BW, Cosgrove DM, et al. Sternal wound complications after isolated coronary artery bypass grafting: early and late mortality, morbidity, and cost of care. Ann Thorac Surg. 1990;49:170-186.
5. EI Oakley R, Paul E, Wong PS, et al. Mediastinitis in patients undergoing cardiopulmonary bypass: risk analysis and midterm results. J Cardiovasc Surg. 1998;38:595-600.
6. Managram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR, the Hospital Infection Control Practices Advisory Committee. Guideline for prevention of surgical site infection 1999. Infect Control Hosp Epidemiol. 1999;20:247-280.
7. Bitkover CY, Gardlund B. Mediastinits after cardiovascular operations: a case-control study of risk factors. Ann Thorac Surg. 1998;65:36-40.
8. Trick WE, Scheckler WE, Tokars JI, et al. Modifiable risk factors associated with deep sternal site infection after coronary artery bypass grafting. J Thoracic Cardiovasc Surg. 2000;119:108-114.
9. Furnary AP, Zerr KJ, Grunkemeier GL, Starr A. Continuous intravenous insulin infusion reduces the incidence of deep sternal wound infection in diabetic patients after cardiac surgical procedures. Ann Thorac Surg. 1999;67:352-362.
10. Zerr KJ, Furnary AP, Grunkemeier GL, Bookin S, Kanhere V, Starr A. Glucose control lowers the risk of wound infection in diabetics after open heart operations. Ann Thorac Surg. 1997;63:356-361.
11. Van Den Berghe G, Wouters P, Weekers F, et al. Intensive insulin therapy in critically ill patients. N Engl J Med. 2001;345:1359-1367.
12. Boyce JM, Pittet D. Guideline for hand hygiene in health-care settings. Recommendations of the Healthcare Infection Control Practices Advisory Committee and the HICPAC/SHEA/APIC/IDSA. Am J Infect Control. 2002;30:1-46.
13. Girou E, Loyeau S, Legrand P, et al. Efficacy of handrubbing with alcohol based solution versus standard handwashing with antiseptic soap: randomized clinical trial. BMJ. 2002;7360:325-362.
14. Bissett L. Can alcohol hand rubs increase compliance with hand hygiene? Br J Nurs. 2002;11:1074-1077.
15. Pittet D, Simon A, Hugonnet S, et al. Hand hygiene among physicians: performance, beliefs, and perceptions. Ann Intern Med. 2004;141:1-8.
16. Galpin TJ. The Human Side of Change: A Practical Guide to Organization Redesign. San Francisco, Calif: Jossey Bass; 1996.
17. CMS/HSAG. Surgical Infection Prevention National Project, Measure Specifications for Quality Indicators for the 7th Scope of Work. Phoenix, AZ: Health Services Advisory Group; 2004.
18. Antimicrobial prophylaxis in surgery. In: Close, W, ed. Handbook of Antimicrobial Therapy. 16th ed. New Rochelle, NY: Medical Letter, Inc.; 2002;55-61.
19. Probst M, Stilwell J. Aseptic Wound Care Principles and Techniques. Training Module. Phoenix, AZ: Banner Good Samaritan Medical Center; 1993.