Risk factors for deep sternal wound infection after cardiac surgery: Influence of red blood cell transfusions and chronic infection
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- 作者：James B. Cutrell ; MDa ; b ; Nicolas Barros ; MDa ; c ; Mandy McBroom ; MPHa ; James Luby ; MDa ; c ; Abu Minhajuddin ; PhDa ; W. Steves Ring ; MDa ; Philip E. Greilich ; MDa ; philip.greilich@UTSouthwestern.edu" class="auth_mail" title="E-mail the corresponding author
- 关键词：Surgical site infection ; Anemia ; Antibiotic prophylaxis ; Prevention
- 刊名：American Journal of Infection Control
- 出版年：2016
- 出版时间：1 November 2016
- 年：2016
- 卷：44
- 期：11
- 页码：1302-1309
- 全文大小：344 K
文摘
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Case-control study of DSWI over 3 year period in a contemporary cardiac surgery service, including a period of increased incidence.
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Corroborates the role of red blood transfusions as a risk factor for DSWI, with an interaction with preoperative anemia.
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Novel finding of chronic infections (defined as HIV, HBV, HCV, or bacterial infection ≥ 4 weeks, on antibiotics at surgery) as a risk factor for DSWI.
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Antibiotic prophylaxis chosen did not cover organisms found in 77% of DSWIs.