Risk factors for surgical site infection in pediatric cardiac surgery patients undergoing delayed sternal closure

Journal of Thoracic and Cardiovascular Surgery

Volumn 146, Issue 2, 2013, Pages 326-333

  Harder, Erika E ^a   Gaies, Michael G ^a   Yu, Sunkyung ^a   Donohue, Janet E ^a   Hanauer, David A ^a   Goldberg, Caren S ^a   Hirsch, Jennifer C ^a  

^a UNIVERSITY OF MICHIGAN MEDICAL SCHOOL   (United States)

Author keywords

cardiac intensive care unit; CDC; Centers for Disease Control and Prevention; CHS; CICU; congenital heart surgery; delayed sternal closure; DSC; ECMO; extracorporeal membrane oxygenation; SSI; surgical site infection

Indexed keywords

CEFAZOLIN; CEFOTAXIME; GENTAMICIN; VANCOMYCIN;

ADULT; ANTIBIOTIC PROPHYLAXIS; ARTICLE; ARTIFICIAL VENTILATION; CARDIOVASCULAR RISK; CASE CONTROL STUDY; CHEST TUBE; COHORT ANALYSIS; CONTROLLED STUDY; CORONARY HEMODYNAMICS; DELAYED STERNAL CLOSURE; ENDOCARDITIS; EXTRACORPOREAL OXYGENATION; FEMALE; HEALTH CARE UTILIZATION; HEART SURGERY; HIGH RISK PATIENT; HUMAN; INFECTION CONTROL; INTENSIVE CARE UNIT; LENGTH OF STAY; MAJOR CLINICAL STUDY; MALE; MEDIASTINITIS; MEDIASTINUM; MORTALITY; NORWOOD PROCEDURE; OUTCOME ASSESSMENT; PARENTERAL NUTRITION; PEDIATRIC SURGERY; PRIORITY JOURNAL; RISK ASSESSMENT; SURGICAL INFECTION; THERAPY DELAY; THORAX SURGERY;

20; 21; CARDIAC INTENSIVE CARE UNIT; CDC; CENTERS FOR DISEASE CONTROL AND PREVENTION; CHS; CICU; CONGENITAL HEART SURGERY; DELAYED STERNAL CLOSURE; DSC; ECMO; EXTRACORPOREAL MEMBRANE OXYGENATION; SSI; SURGICAL SITE INFECTION;

AGE FACTORS; CARDIAC SURGICAL PROCEDURES; CHI-SQUARE DISTRIBUTION; EXTRACORPOREAL MEMBRANE OXYGENATION; FEMALE; HEART DEFECTS, CONGENITAL; HUMANS; INCIDENCE; INFANT; INFANT, NEWBORN; INTENSIVE CARE UNITS; LENGTH OF STAY; LOGISTIC MODELS; MALE; MICHIGAN; MULTIVARIATE ANALYSIS; ODDS RATIO; PARENTERAL NUTRITION; RESPIRATION, ARTIFICIAL; RETROSPECTIVE STUDIES; RISK FACTORS; STERNOTOMY; SURGICAL WOUND INFECTION; TIME FACTORS; TREATMENT OUTCOME; WOUND CLOSURE TECHNIQUES;

EID: 84880316885     PISSN: 00225223     EISSN: 1097685X     Source Type: Journal    
DOI: 10.1016/j.jtcvs.2012.09.062     Document Type: Article

References (21)

1. P. Jogi, and O. Werner Hemodynamic effects of sternum closure after open-heart surgery in infants and children Scand J Thorac Cardiovasc Surg 19 1985 217 220
2. D.B. McElhinney, V.M. Reddy, A.J. Parry, L. Johnson, J.R. Fineman, and F.L. Hanley Management and outcomes of delayed sternal closure after cardiac surgery in neonates and infants Crit Care Med 28 2000 1180 1184
3. D.M. Gangahar, E.C. McGough, and D. Synhorst Secondary sternal closure: a method of preventing cardiac compression Ann Thorac Surg 31 1981 281 282
4. S. Das, A. Rubio, J.M. Simsic, P.M. Kirshbom, B. Kogon, and K.R. Kanter Bloodstream infections increased after delayed sternal closure: cause or coincidence Ann Thorac Surg 91 2011 793 797
5. J.N. Johnson, J. Jaggers, S. Li, S.M. O'Brien, J.S. Li, and J.P. Jacobs Center variation and outcomes associated with delayed sternal closure after stage 1 palliation for hypoplastic left heart syndrome J Thorac Cardiovasc Surg 139 2010 1205 1210
6. S. Tabbutt, B.W. Duncan, D. McLaughlin, D.L. Wessel, R.A. Jonas, and P.C. Laussen Delayed sternal closure after cardiac operations in a pediatric population J Thorac Cardiovasc Surg 113 1997 886 893
7. H.J. Shin, W.K. Jhang, J.J. Park, and T.J. Yun Impact of delayed sternal closure on postoperative infection or wound dehiscence in patients with congenital heart disease Ann Thorac Surg 92 2011 705 709
8. K.W. Sparling, F.C. Ryckman, P.J. Schoettker, T.L. Byczkowski, A. Helpling, and K. Mandel Financial impact of failing to prevent surgical site infections Qual Manag Health Care 16 2007 219 225
9. A.H. Sohn, J.M. Schwartz, K.Y. Yang, W.R. Jarvis, B.J. Guglielmo, and P.S. Weintrub Risk factors and risk adjustment for surgical site infections in pediatric cardiothoracic surgery patients Am J Infect Control 38 2010 706 710
10. V. Alexi-Meskishvili, Y. Weng, F. Uhlemann, P.E. Lange, and R. Hetzer Prolonged open sternotomy after pediatric open heart operation: experience with 113 patients Ann Thorac Surg 59 1995 379 383
11. T.C. Horan, M. Andrus, and M.A. Dudeck 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 36 2008 309 332
12. D.A. Hanauer, G. Miela, A.M. Chinnaiyan, A.E. Chang, and D.W. Blayney The registry case finding engine: an automated tool to identify cancer cases from unstructured, free-text pathology reports and clinical notes J Am Coll Surg 205 2007 690 697
13. Zampi DJ, Charpie JR, Yu S, Hanauer DA, Hirsch JC. Retrospective database research in pediatric cardiology and congenital heart surgery: an illustrative example of limitations and possible solutions. World J Pediatr Congen Heart Surg. In press.
14. C.M. Berenguer, M.G. Ochsner Jr., S.A. Lord, and C.K. Senkowski Improving surgical site infections: using National Surgical Quality Improvement Program data to institute Surgical Care Improvement Project protocols in improving surgical outcomes J Am Coll Surg 210 2010 737 741 41-3
15. T.T. Cornell, L. Sun, M.W. Hall, J.G. Gurney, M.J. Ashbrook, and R.G. Ohye Clinical implications and molecular mechanisms of immunoparalysis after cardiopulmonary bypass J Thorac Cardiovasc Surg 143 2012 1160 1166 e1
16. S.M. Jakob, and Z. Stanga Perioperative metabolic changes in patients undergoing cardiac surgery Nutrition 26 2010 349 353
17. C.A. Anderson, F. Filsoufi, L. Aklog, R.S. Farivar, J.G. Byrne, and D.H. Adams Liberal use of delayed sternal closure for postcardiotomy hemodynamic instability Ann Thorac Surg 73 2002 1484 1488
18. U. Boeken, A. Assmann, A. Mehdiani, P. Akhyari, and A. Lichtenberg Open chest management after cardiac operations: outcome and timing of delayed sternal closure Eur J Cardiothorac Surg 40 2011 1146 1150
19. C.S. Woodward, M. Son, J. Calhoon, J. Michalek, and S.A. Husain Sternal wound infections in pediatric congenital cardiac surgery: a survey of incidence and preventative practice Ann Thorac Surg 91 2011 799 804
20. K.O. Maher, K. VanDerElzen, E.L. Bove, R.S. Mosca, C.E. Chenoweth, and T.J. Kulik A retrospective review of three antibiotic prophylaxis regimens for pediatric cardiac surgical patients Ann Thorac Surg 74 2002 1195 1200
21. M.G. Gaies, M. Langer, J. Alexander, G.M. Steil, J. Ware, and D. Wypij Design and rationale of safe pediatric euglycemia after cardiac surgery: a randomized controlled trial of tight glycemic control after pediatric cardiac surgery Pediatr Crit Care Med July 12, 2012 [Epub ahead of print]