Surgical site infections after coronary artery bypass graft surgery: Incidence, perioperative hospital stay, readmissions, and revision surgeries

Infection

Volumn 40, Issue 4, 2012, Pages 397-404

  Cristofolini, M ^a   Worlitzsch, D ^b   Wienke, A ^b   Silber, R E ^a   Borneff Lipp, M ^b  

^a MARTIN LUTHER UNIVERSITÄT HALLE WITTENBERG   (Germany)

^b MARTIN LUTHER UNIVERSITY HALLE WITTENBERG   (Germany)

Author keywords

Coronary artery bypass graft surgery (CABG); Length of stay; Readmission; Resternotomy; Surgical site infection

Indexed keywords

AGED; ARTICLE; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; DATA ANALYSIS; DATA EXTRACTION; DISEASE SEVERITY; DISEASE SURVEILLANCE; FEMALE; GERMANY; HOSPITAL INFECTION; HOSPITAL READMISSION; HOSPITALIZATION; HUMAN; INCIDENCE; INFECTION RISK; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; PERIOPERATIVE PERIOD; REVISION SURGERY; SURGERY; SURGICAL INFECTION; SURGICAL TECHNOLOGY; SURGICAL WARD; UNIVERSITY HOSPITAL;

ADULT; AGED; CORONARY ARTERY BYPASS; FEMALE; HUMANS; INCIDENCE; LENGTH OF STAY; MALE; MIDDLE AGED; PATIENT READMISSION; REOPERATION; SURGICAL WOUND INFECTION;

EID: 84866677541     PISSN: 03008126     EISSN: 14390973     Source Type: Journal    
DOI: 10.1007/s15010-012-0275-0     Document Type: Article

References (27)

1. Bitkover CY, Gårdlund B. Mediastinitis after cardiovascular operations: a case-control study of risk factors. Ann Thorac Surg. 1998;65:36-40.
2. Borger MA, Rao V, Weisel RD, Ivanov J, Cohen G, Scully HE, David TE. Deep sternal wound infection: risk factors and outcomes. Ann Thorac Surg. 1998;65:1050-6.
3. Brandt C, Sohr D, Behnke M, Daschner F, Rüden H, Gastmeier P. Reduction of surgical site infection rates associated with active surveillance. Infect Control Hosp Epidemiol. 2006;27:1347-51.
4. Braxton JH, Marrin CAS, McGrath PD, Ross CS, Morton JR, Norotsky M, Charlesworth DC, Lahey SJ, Clough RA, O'Connor GT; Northern New England Cardiovascular Disease Study Group. Mediastinitis and long-term survival after coronary artery bypass graft surgery. Ann Thorac Surg. 2000;70:2004-7.
5. Doering LV, Esmailian F, Laks H. Perioperative predictors of ICU and hospital costs in coronary artery bypass graft surgery. Chest. 2000;118:736-43.
6. Fowler VG Jr, O'Brien SM, Muhlbaier LH, Corey GR, Ferguson TB, Peterson ED. Clinical predictors of major infections after cardiac surgery. Circulation. 2005;112:I358-65.
7. Francel TJ, Kouchoukos NT. A rational approach to wound difficulties after sternotomy: the problem. Ann Thorac Surg. 2001;72:1411-8.
8. Gastmeier P. Nosocomial infection surveillance and control policies. Curr Opin Infect Dis. 2004;17:295-301.
9. Gummert JF, Barten MJ, Hans C, Kluge M, Doll N, Walther T, Hentschel B, Schmitt DV, Mohr FW, Diegeler A. Mediastinitis and cardiac surgery-an updated risk factor analysis in 10, 373 consecutive adult patients. Thorac Cardiovasc Surg. 2002;50:87-91.
10. Hannan EL, Racz MJ, Walford G, Ryan TJ, Isom OW, Bennett E, Jones RH. Predictors of readmission for complications of coronary artery bypass graft surgery. JAMA. 2003;290:773-80.
11. Harrington G, Russo P, Spelman D, Borrell S, Watson K, Barr W, Martin R, Edmonds D, Cocks J, Greenbough J, Lowe J, Randle L, Castell J, Browne E, Bellis K, Aberline M. Surgical-site infection rates and risk factor analysis in coronary artery bypass graft. Infect Control Hosp Epidemiol. 2004;25:472-6.
12. Herwaldt LA, Cullen JJ, Scholz D, French P, Zimmerman MB, Pfaller MA, Wenzel RP, Perl TM. A prospective study of outcomes, healthcare resource utilization, and costs associated with postoperative nosocomial infections. Infect Control Hosp Epidemiol. 2006;27:1291-8.
13. Hollenbeak CS, Murphy DM, Koenig S, Woodward RS, Dunagan WC, Fraser VJ. The clinical and economic impact of deep chest surgical site infections following coronary artery bypass graft surgery. Chest. 2000;118:397-402.
14. Horan TC, Andrus M, Dudeck MA. CDC/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control. 2008;36:309-32.
15. Jakob HG, Borneff-Lipp M, Bach A, von Pückler S, Windeler J, Sonntag HG, Hagl S. The endogenous pathway is a major route for deep sternal wound infection. Eur J Cardiothorac Surg. 2000;17:154-60.
16. Kohli M, Yuan L, Escobar M, David T, Gillis G, Comm B, Garcia M, Conly J. A risk index for sternal surgical wound infection after cardiovascular surgery. Infect Control Hosp Epidemiol. 2003;24:17-25.
17. 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.
18. López Gude MJ, San Juan R, Aguado JM, Maroto L, López-Medrano F, Cortina Romero JM, Rufilanchas JJ. Case-control study of risk factors for mediastinitis after cardiovascular surgery. Infect Control Hosp Epidemiol. 2006;27:1397-400.
19. Malone DL, Genuit T, Tracy JK, Gannon C, Napolitano LM. Surgical site infections: reanalysis of risk factors. J Surg Res. 2002;103:89-95.
20. 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.
21. Peterson ED, Coombs LP, Ferguson TB, Shroyer AL, DeLong ER, Grover FL, Edwards FH. Hospital variability in length of stay after coronary artery bypass surgery: results from the Society of Thoracic Surgeon's National Cardiac Database. Ann Thorac Surg. 2002;74:464-73.
22. Roy MC, Herwaldt LA, Embrey R, Kuhns K, Wenzel RP, Perl TM. Does the Centers for Disease Control's NNIS system risk index stratify patients undergoing cardiothoracic operations by their risk of surgical-site infection? Infect Control Hosp Epidemiol. 2000;21:186-90.
23. Rüden H, Daschner F, Schumacher M. Nosokomiale Infektionen in Deutschland: Erfassung und Prävention; (NIDEP-Studie); Teil I: Prävalenz nosokomialer Infektionen; Qualitätssicherung in der Krankenhaushygiene. Hrsg.: Das Bundesministerium für Gesundheit-Baden- Baden, Nomos Verlagsgesellschaft, 1995.
24. Rüden H, Gastmeier P. Rollen und Aufgaben der Hygien- efachkräfte und des Krankenhaushygienikers unter besonderer Berücksichtigung von Kosten-Nutzen-Aspekten. Bundes-gesundheitsbl- Gesundheitsforsch-Gesundheitsschutz. 2004;47:323-8.
25. Russo PL, Spelman DW. A new surgical-site infection risk index using risk factors identified by multivariate analysis for patients undergoing coronary artery bypass graft surgery. Infect Control Hosp Epidemiol. 2002;23:372-6.
26. Trick WE, Scheckler WE, Tokars JI, Jones KC, Reppen ML, Smith EM, Jarvis WR. Modifiable risk factors associated with deep sternal site infection after coronary artery bypass grafting. J Thorac Cardiovasc Surg. 2000;119:108-14.
27. Weintraub WS, Jones EL, Craver J, Guyton R, Cohen C. Determinants of prolonged length of hospital stay after coronary bypass surgery. Circulation. 1989;80:276-84.