Most Read

  1. Pneumococcal Vaccine as One of the Immunization Coverage Targets for Adulthood Vaccines: A Consensus Report of the Study Group for Adult Immunization of the Turkish Society of Clinical Microbiology and Infectious Diseases
  2. HIV Infection in Turkey: How Close Are We to the Target?
  3. Evaluation of HBeAg-Negative Chronic Hepatitis B Patients Who Had Undergone Liver Biopsy in Accordance With the Guidelines
  4. Does Hepatitis B Affect Erectile Dysfunction and Lower Urinary Tract Symptoms?
  5. Diagnosis, Treatment and Prevention of Diabetic Foot Wounds and Infections: Turkish Consensus Report
  6. When to Stop Antiviral Therapy in Chronic Hepatitis B
  7. Mycoplasma hominis and Ureaplasma urealyticum: Their Role in Urogenital System Infections and Retrospective Evaluation of Antibiotic Resistance Rates
  8. Crimean-Congo Haemorrhagic Fever: Treatment and Use of Ribavirin
  9. Modern Diagnostic Methods Used in Bacteriology: Rapid and Effective
  10. A Case of Generalized Tetanus With a Short Incubation Period
  11. Does Anti-HIV Positivity in Pregnancy Suggest the Requirement of HIV Prophylaxis for Newborn?
  12. Analysis of HIV/AIDS-Related Stigma and Discrimination in Turkey: Results of the People Living With HIV Stigma Index
  13. Potato Dextrose Agar With Rose-Bengal and Chloramphenicol: A New Culture Medium to Isolate Pathogenic Exophiala dermatitidis From the Environment

Volume 32, Issue 2

Original Article

Investigation of Incidence and Risk Factors of Surgical Site Infections After Cardiothoracic Surgery

Gülçin Telli-Dizman
Affiliations
  • 29 Mayıs Devlet Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Ankara, Türkiye
,
Firdevs Aktaş
Affiliations
  • Gazi Üniversitesi, Tıp Fakültesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Ankara, Türkiye
,
Sevgi Sökülmez-Yıldırım
Affiliations
  • Ankara Mesleki ve Çevresel Hastalıklar Hastanesi, İnfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Ankara, Türkiye
,
Asiye Uğraş-Dikmen
Affiliations
  • Gazi Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Ankara, Türkiye
  • Cardiovascular surgery
  • Infection control
  • Surgical site infections
  • thoracic surgery

Objective: The aim of this study is to investigate the incidence and risk factors of surgical site infections (SSIs) after cardiothoracic surgery.

Methods: Patients who had cardiothoracic surgery at Gazi University Faculty of Medicine between June 2011 and May 2012 were included in the study. Surveillance was active, prospective, patient- and laboratory-based. The diagnosis of postoperative SSI was made according to the criteria of the Centers for Diseases Control and Prevention and Department of National Surveillance and Control of Hospital Infections. The rate of SSIs was calculated by using the following formula: number of SSIs/number of surgeries×100.The incidence density was calculated by using the following formula: number of SSIs/patient days×1000. Risk categories for each operation were determined. These categories were calculated according to the risk index by National Nosocomial Infection Surveillance (NNIS).

Results: A total of 238 consecutive patients were enrolled in the study. SSI was detected in 22 patients and postoperative SSI incidence density was 7.04 per 1000 admission days. Six of 22 SSIs were superficial primer incisional (27%), 11 were deep primer incisional (50%), and 5 were organ/space SSIs (23%). High American Society of Anesthesiologists (ASA) score was identified as a significant risk factor for all SSIs. Prolongation of hospital stay has been shown to increase SSI development for patients older than 65. There was a weak positive correlation between NNIS system risk index and SSI development. Diabetes mellitus was found to be a significant risk factor for superficial SSI. Malignancy was found to be a significant risk factor for organ/space infections. Mortality rate was found to be 9.7%. There was no significant correlation between SSI development and mortality.

Conclusions: SSI surveillance is a priority as a part of infection control. Identification of risk factors and monitoring of the effectiveness of infection control policies are necessary for management of SSI. Klimik Dergisi 2019; 32(2): 182-9.

Cite this article as: Telli-Dizman G, Aktaş F, Sökülmez-Yıldırım S, Uğraş-Dikmen A. [Investigation of incidence and risk factors of surgical site infections after cardiothoracic surgery]. Klimik Derg. 2019; 32(2): 182-9. Turkish.

  • 182-189
  • 10.5152/kd.2019.40
  • October 24, 2019
  • 2502
  • 564
Download as PDF
  • This work is licensed under a Creative Commons Attribution-Non Commercial 4.0 International License. CC BY-NC
Volume 37, Issue 1 Volume 36, Issue 4 Volume 36, Supplement 1 Volume 36, Issue 3 Volume 36, Issue 2 Volume 36, Issue 1 Volume 35, Issue 4 Volume 35, Issue 3 Volume 35, Issue 2 Volume 35, Issue 1 Volume 34, Issue 3 Volume 34, Issue 2 Volume 34, Issue 1 Volume 33, Issue 3 Volume 33, Issue 2 Volume 33, Issue 1 Volume 32, Issue 3 Volume 32, Supplement 1 Volume 32, Supplement 2 Volume 32, Issue 2 Volume 32, Issue 1 Volume 31, Issue 3 Volume 31, Issue 2 Volume 31, Supplement 1 Volume 31, Issue 1 Volume 30, Issue 3 Volume 30, Issue 2 Volume 30, Supplement 1 Volume 30, Issue 1 Volume 29, Issue 3 Volume 29, Issue 2 Volume 29, Issue 1 Volume 28, Supplement 1 Volume 28, Issue 3 Volume 28, Issue 2 Volume 28, Issue 1 Volume 27, Supplement 1 Volume 27, Issue 3 Volume 27, Issue 2 Volume 27, Issue 1 Volume 26, Issue 3 Volume 26, Supplement 1 Volume 26, Issue 2 Volume 26, Issue 1 Volume 25, Issue 3 Volume 25, Issue 2 Volume 25, Issue 1 Volume 24, Issue 3 Volume 24, Issue 2 Volume 24, Issue 1 Volume 23, Issue 3 Volume 23, Issue 2 Volume 23, Issue 1 Volume 22, Issue 3 Volume 22, Issue 2 Volume 22, Issue 1 Volume 21, Issue 3 Volume 21, Supplement 2 Volume 21, Supplement 1 Volume 21, Issue 2 Volume 21, Issue 1 Volume 20, Issue 3 Volume 20, Supplement 2 Volume 20, Issue 2 Volume 20, Issue 1 Volume 20, Supplement 1 Volume 19, Issue 3 Volume 19, Issue 2 Volume 19, Issue 1 Volume 18, Issue 3 Volume 18, Supplement 1 Volume 18, Issue 2 Volume 18, Issue 1 Volume 17, Issue 3 Volume 17, Issue 2 Volume 17, Issue 1 Volume 16, Issue 3 Volume 16, Issue 2 Volume 16, Issue 1 Volume 1, Supplement 1 Volume 15, Issue 3 Volume 15, Issue 2 Volume 15, Issue 1 Volume 14, Issue 3 Volume 14, Issue 2 Volume 14, Issue 1 Volume 13, Issue 3 Volume 13, Issue 2 Volume 13, Supplement 1 Volume 13, Issue 1 Volume 12, Issue 3 Volume 12, Issue 2 Volume 12, Issue 1 Volume 11, Issue 3 Volume 11, Issue 2 Volume 11, Supplement 1 Volume 11, Issue 1 Volume 10, Issue 3 Volume 10, Issue 2 Volume 10, Issue 1 Volume 9, Issue 3 Volume 9, Issue 2 Volume 9, Issue 1 Volume 8, Issue 3 Volume 8, Issue 2 Volume 8, Issue 1 Volume 6, Issue 3 Volume 7, Issue 1 Volume 7, Issue 2 Volume 7, Issue 3 Volume 4, Issue 3 Volume 5, Issue 1 Volume 5, Issue 2 Volume 5, Issue 3 Volume 6, Issue 1 Volume 6, Issue 2 Volume 3, Issue 1 Volume 3, Issue 2 Volume 3, Issue 3 Volume 4, Issue 1 Volume 4, Issue 2 Volume 1, Issue 2 Volume 2, Issue 1 Volume 2, Issue 2 Volume 2, Issue 3 Volume 1, Issue 1