STERNAL WOUND INFECTION AFTER CORONARY ARTERY BYPASS GRAFTING IN MAZANDARAN HEART CENTER

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NOURAEI SEYED MAHMOUD; GODAZANDEH GHOLAMALI; HABIBI VALIOLLAH

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Journal: JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES Year:2017 | Volume:26 | Issue:145 Page(s): 63-69

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Title

STERNAL WOUND INFECTION AFTER CORONARY ARTERY BYPASS GRAFTING IN MAZANDARAN HEART CENTER

Author(s)

NOURAEI SEYED MAHMOUD | GODAZANDEH GHOLAMALI | HABIBI VALIOLLAH | Issue Writer Certificate

Keywords

STERNAL WOUND INFECTIONQ1

CORONARY ARTERY BYPASS GRAFTINGQ2

SURGERY COMPLICATIONQ2

RISK FACTORSQ2

WOUND INFECTIONQ3

Abstract

Background and purpose: WOUND INFECTION/fa?page=1&sort=1&ftyp=all&fgrp=all&fyrs=all" target="_blank">STERNAL WOUND INFECTION (SWI) is a serious complication of median sternotomy that increases the rate of mortality. We report our experience of managing SWI in a regional cardiothoracic unit in Mazandaran province, Iran.Materials and methods: We prospectively studied 4725 patients who underwent isolated CORONARY ARTERY BYPASS GRAFTING between March 2012 and March 2015. Information about age, sex, morbidities, surgical factors and nature of WOUND INFECTION/fa?page=1&sort=1&ftyp=all&fgrp=all&fyrs=all" target="_blank">STERNAL WOUND INFECTION were recorded. Treatment options were stratified by nature of infection, and timing and nature of management. Data analysis was done using Med calc soft ware and p-values less than 0.5 were considered significant.Results: WOUND INFECTION/fa?page=1&sort=1&ftyp=all&fgrp=all&fyrs=all" target="_blank">STERNAL WOUND INFECTION occurred in 49 (1%) patients. There were 26 (0.55%) superficial and 23 (0.48%) deep SWIs. SWI patients were found to be mainly females, with diabetes or hypertension, high body mass indices and longer aortic cross-clamp time. All patients with superficial SWI were managed by skin debridement and closure. Patients with deep SWI who had surgery within 48 hours of diagnosis were managed using skin and bone debridement and sternal rewiring following mediastinal drain. The mortality rate was found to be high in patients with SWI (12.2%).Conclusion: Low WOUND INFECTION/fa?page=1&sort=1&ftyp=all&fgrp=all&fyrs=all" target="_blank">STERNAL WOUND INFECTION can be achieved with an ongoing focus on appropriate infection control. SWI significantly increases the risk of mortality which could be reduced through early intervention.

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APA: Copy

NOURAEI, SEYED MAHMOUD, GODAZANDEH, GHOLAMALI, & HABIBI, VALIOLLAH. (2017). STERNAL WOUND INFECTION AFTER CORONARY ARTERY BYPASS GRAFTING IN MAZANDARAN HEART CENTER. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, 26(145), 63-69. SID. https://sid.ir/paper/45772/en

Vancouver: Copy

NOURAEI SEYED MAHMOUD, GODAZANDEH GHOLAMALI, HABIBI VALIOLLAH. STERNAL WOUND INFECTION AFTER CORONARY ARTERY BYPASS GRAFTING IN MAZANDARAN HEART CENTER. JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES[Internet]. 2017;26(145):63-69. Available from: https://sid.ir/paper/45772/en

IEEE: Copy

SEYED MAHMOUD NOURAEI, GHOLAMALI GODAZANDEH, and VALIOLLAH HABIBI, “STERNAL WOUND INFECTION AFTER CORONARY ARTERY BYPASS GRAFTING IN MAZANDARAN HEART CENTER,” JOURNAL OF MAZANDARAN UNIVERSITY OF MEDICAL SCIENCES, vol. 26, no. 145, pp. 63–69, 2017, [Online]. Available: https://sid.ir/paper/45772/en

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