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Indian Journal of Anesthesia and Analgesia

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Incidence and Risk Factors for Infections in Post-Operative Cases of Cardiac Surgery

Ayya Syama Sundar, Assistant Professor, Department of Anaesthesiology and Intensive Care, Nizam’s Institute of Medical Sciences, Punjagutta, Hyderabad, Telangana 500082, India. , Shashi Kanth Talamarla1 , Ayya Syama Sundar2 , Srikanth Yelliboina3 , Gopinath4

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Indian Journal of Anesthesia and Analgesia 4(3):p 784-788, July - September 2017. | DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4317.38

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Abstract

Cardiac surgery creates a high risk for the development of post operative infections. Aims: The objective of this study was to evaluate the incidence, characteristics and risk factors for nosocomial infections after cardiac surgery. Methods and Material: All patients who underwent cardiac surgeries under cardiopulmonary bypass (CPB) were enrolled in this study. Preoperative, intraoperative and postoperative variables were collected and examined as possible risk factors for development of infections. Results: Infection occurred in 18 of 171 patients (10.5%). Five members with infection died. Infections occurred at different sites like sternal wound infection 11.5%, pneumonia 30.7%, bacteremia 23%, mediastinitis 15.3%, surgical site other than sternotomy 11.3% and central venous catheter infections contributing to 7.6% of infections. Conclusions: Use of IABP, reintubation and reexploration are independent risk factors for the development of postoperative infection in cardiac surgery patients.

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DOI: http://dx.doi.org/10.21088/ijaa.2349.8471.4317.38

Keywords

Cardiac Surgeries; Cardiopulmonary Bypass; Nosocomial Infections. 

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