30749

Patients Risk Factors as Predictors of Surgical Wound Infection Following Open Heart Surgery

Article

Last updated: 03 Jan 2025

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Abstract

Background: Median sternotomy wound infections are infrequent yet potentially fatal complication following cardiac surgery. The reported incidence of sternal infections ranges from 0.9 to 20%, and the incidence of mediastinitis is 1–2% in most studies. Several studies have examined and identified possible causes and risk factors associated with sternal infections. They include patient-related risk factors, and procedure-related factors. Aim of the study is the assessment of the patient's risk factors related to incidence of infection. Patients and Methods: ninety-eight cardiac surgery patients operated via median sternotomy were included in the study and the role of patient related factors (age, gender, obesity and diabetes mellitus) in the incidence of postoperative superficial and deep sternal wound infection was accessed. Results: Sternal wound infection (SWI) developed in 18 patients (18.36%). 15 patients (15.3%) had superficial SWI while 3 patients (3.06%) had deep SWI. The most common causative organism in our study was staph. aureus especially MRSA. Conclusion: Patient-related risk factors such as age, gender, obesity and diabetes mellitus are important risk factors in the development sternal wound infection.

DOI

10.21608/ejhm.2019.30749

Keywords

Patient Risk Factors, superficial sternal wound infection, Deep sternal wound infection, Open heart surgery, mediastinitis

Authors

First Name

Ahmed M.

Last Name

El Ashkar

MiddleName

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Affiliation

Cardiothoracic Surgery Departments, Beni-suef University, Beni-Suef

Email

aelashkar@gmail.com

City

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Orcid

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First Name

Ahmed N.

Last Name

Khallaf

MiddleName

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Affiliation

Cardiothoracic Surgery Departments, Beni-Suef, Fayoum University, Fayoum, Egypt

Email

-

City

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Orcid

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Volume

75

Article Issue

3

Related Issue

5284

Issue Date

2019-04-01

Receive Date

2019-04-27

Publish Date

2019-04-01

Page Start

2,330

Page End

2,333

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_30749.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=30749

Order

2

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Patients Risk Factors as Predictors of Surgical Wound Infection Following Open Heart Surgery

Details

Type

Article

Created At

22 Jan 2023