Bacteriological Evaluation of the Cardiac Surgery Environment Accompanying Hospital Relocation

Ishida, Toru; Nakano, Kiyoharu; Nakatani, Hayao; Gomi, A

doi:10.1007/s00595-006-3178-9

Cited by 14 publications

(11 citation statements)

References 13 publications

(13 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Additionally, knowing that heart surgery is the medical specialty which consumes the most blood products ( 9 ) , the cell saver (CS) is used, a device which recovers blood losses from the surgical field and from the residual volume of the extra-body circuit to submit it to a “cleaning” process, obtaining a certain volume of red blood cells which is reinfused into the patient (re-infusion bag). In this device, bacterial growth was detected in 85% of the samples of recovered blood ( 10 ) and in the samples of red blood cells to reinfuse GRAM+ bacterial commensals ( 11 ) , and even in other surgical procedures like traumatologic ones (scoliose in Pediatrics), where the CS was also used and the same commensals were detected in the re-infusion bag, but of the staphylococcus genus ( 12 ) .…”

Section: Introductionmentioning

confidence: 99%

Bacteremia in the red blood cells obtained from the cell saver in patients submitted to heart surgery

Oliveros

2020

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

Objective: to determine the microbiological characteristics of the red blood cells obtained with the cell saver in heart surgery patients on an extra-body circuit. Method: a cross-sectional and descriptive study conducted with 358 patients scheduled for heart surgery where the saver was used. Sociodemographic variables were collected, as well as from the saver and of the microbial identification in the re-infusion bag proceeding from the cell saver. Informed consent performed. Results: of the 170 GRAM+ bacteria isolations, the most frequent species were Staphylococcus epidermidis in 69% (n=138) of the cases and Streptococcus sanguinis with a report of 10% (n=20). Significant differences were found in the Staphylococcus epidermidis strain in patients with a Body Mass Index ≥25 (p=0.002) submitted to valve surgery (p=0.001). Vancomycin was the antimicrobial which resisted the Staphylococcus epidermidis strain with a minimum inhibitory concentration of >16 µg/ml. Conclusion: the microbiological characteristics of the red blood cells obtained after processing autologic blood recovered with the cell saver during heart surgery are of GRAM+ bacterial origin, the most isolated species being Staphylococcus epidermidis. Consequently, in order to reduce the presence of these GRAM+ cocci, an antibiotic should be added to the cell saver reservoir, according to a previously established protocol.

show abstract

Section: Introductionmentioning

confidence: 99%

Bacteremia in the red blood cells obtained from the cell saver in patients submitted to heart surgery

Oliveros

2020

Rev. Latino-Am. Enfermagem

View full text Add to dashboard Cite

show abstract

“…Ishida et al [6] reported that airborne bacteria in the hospital environment have been a major source of post-operative 7) in the bacteria population of the different sampling time whereas it was not so for fungi population (氈 2 = 0.285 7). Male medical ward (MMW) and male surgical general (MSG) recorded the highest bacterial and fungal growth while the operating theatre (OT) was almost free of microbial burden.…”

Section: Introductionmentioning

confidence: 99%

Microbiological assessment of indoor air of a teaching hospital in Nigeria

Awosika

Olajubu

Amusa

2012

Asian Pacific Journal of Tropical Biomedicine

View full text Add to dashboard Cite

“…Nonetheless, Awosika et al (2012) 5 reported that nosocomial infections can be contracted from contact with a carrier directly or indirectly through inanimate objects or air. Ishida et al (2006) 6 also showed that, airborne bacteria are major source of infection after operation and a serious illness in the Intensive Care Unit. In the United States, approximately 1.7 million hospital-associated infections from all types of bacteria are responsible for 99,000 deaths each year; so about 10%, or 2 million patients are being infected each year, 7,8 In France, According to Lepoutre et al (2005) 9 Heshowed that prevalence of nosocomial infection was 5.9% in 2001.…”

Section: Introductionmentioning

confidence: 99%

Profiling of the bacterial pathogens associated with hospital acquired infections in hospitals within makurdi metropolis, middle belt, nigeria.

Onifade¹,

Ogbonna

Ikwebe

et al. 2019

Bangladesh J Med Sci

View full text Add to dashboard Cite

Background: Nosocomial bacteria are bacteria that cause diseases acquired from the hospital environments. Aim: This study looked into profile of bacterial pathogens associated with nosocomial infections in hospitals within Makurdi metropolis. Result: A total of 71 bacterial pathogens were encountered from 240 samples analysed from three hospitals in Makurdi metropolis. Of the 71 isolates, 46(64.8%) were Gram positive and 25(35.2%) were Gram negative. The Gram positive constituting S. aureus (50.70%) and staphylococcus spp (14.08%) while the Gram negative constituting E. coli (15.50%), klebsiella spp (7.04%) and P. aeruginosa (12.68%). Out of 21(29.58%) isolates cultured from hand swabs, the bacterial pathogens from hand swab at F M C was the highest 12(57.14%) followed by C H M 5(23.81%) while B M M C has the least profile of 4(19.05%). With regards to hospital air, the highest profile of nosocomial bacteria was also from F M C 8(61.54%), followed by B M M C 4(30.77%) while C H M had just only one isolate 1(7.69%). Of 21(29.58%) isolates from B M M C; 10(47.62%) S. aureus, 4(19.05%) Staphylococcus spp, 2(9.52%) P. aeruginosa and 5(23.81%) Escherichia coli were obtained. In C H M, out of 18(25.35%) bacterial pathogens evolved constituting 12(66.67%) S. aureus, 2(11.11%) Staphylococcus spp, 1(5.56%) P. aeruginosa and 3(16.67%) E. coli. Whereas, the profile of 32(45.07) isolates in Federal Medical Centre Makurdi constituting 14(43.75%) S. aureus, 4(12.50%) Staphylococcus spp, 6(18.75%) P. aeruginosa, 3(9.38%) E. coli and 5(15.63%) Klebsiella spp were obtained. The antibiotic susceptibility pattern to Staphylococcus spp reveals that the highest level of sensitivity were demonstrated by Cloxacillin and Ofloxacin with 50%, followed by Augumentin and Cefuroxime with 40%, Gentamicin (30%), Erythromycin (20%) and least sensitivity with Ceftriazone (10%) while Ceftazidime has the highest resistance recorded 0% sensitivity. E. coli has the highest sensitivity on Ceftazidime having 81.8% and Gentamicin 63.6%, Ofloxacin also displayed a high level of sensitivity to isolates tested with 63.6% sensitive, follow by Cefuroxime (45.5%). Conclusion: This study showed that nosocomial bacterial pathogens particularly, S. aureus, P. aeruginosa, Staphylococcus spp and enteric bacteria, E. coli and Klebsiella spp are the predominant pathogens associated with infections acquired in hospital environment.So, information on resistance patterns of isolates encountered in this study will assist the clinicians in making improvement in management of nosocomial infections.

show abstract

Bacteriological Evaluation of the Cardiac Surgery Environment Accompanying Hospital Relocation

Abstract: Hospital relocation resulted in an improved operating room environment with less bacterial contamination of intraoperative salvaged blood.

Cited by 14 publications

References 13 publications

Bacteremia in the red blood cells obtained from the cell saver in patients submitted to heart surgery

Bacteremia in the red blood cells obtained from the cell saver in patients submitted to heart surgery

Microbiological assessment of indoor air of a teaching hospital in Nigeria

Profiling of the bacterial pathogens associated with hospital acquired infections in hospitals within makurdi metropolis, middle belt, nigeria.

Contact Info

Product

Resources

About