National survey of variations in practice in the prevention of surgical site infections in adult cardiac surgery, United Kingdom and Republic of Ireland

Aktuerk, Dincer; Ali, Jason M.; Badran, Abdul; Balmforth, Damian; Bleetman, David; Brown, Colin S; Suelo-Calanao, Rona Lee; Cartwright, Joseph R; Casey, Louise; Chiwera, Lilian; Fudulu, Daniel; Garner, Michael; Gradinariu, George; Harky, Amer; Hussain, Alia; Hutton, Sue; Kew, Ee Phui; Loubani, Mahmoud; Mani, Kulanthayan K. C.; Martin, Janet; Rochon, Melissa; Moawad, Nader; Mohamed, Sarajul Fikri; Muretti, Mirko; Murphy, Gavin J.; Olivieri, Guido; Paglinawan, I.; Quijano‐Campos, Juan Carlos; Rizzo, Victoria M.; Robertson, Stephanie; Rogers, Luke; Roman, Marius; Salmon, Kyle; Sanders, Julie; Talukder, Shagorika; Tanner, Judith; Vaja, Ricky; Zientara, Alicja; Green, S.; Miles, R N; Lamagni, Theresa; Harrington, Pauline

doi:10.1016/j.jhin.2020.09.016

Cited by 10 publications

(6 citation statements)

References 8 publications

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“…The generally accepted management protocol prior to cardiac surgery involves determining S. aureus carriage within about 15–30 days before the procedure. In the case of a positive result, carriers are administered intranasal mupirocin ointment and chlorhexidine baths [ 26 , 83 , 90 , 100 ]. Mupirocin is applied 2–3 times a day into both nostrils for 4–7 days (usually 5 days).…”

Section: Ssi Preventionmentioning

confidence: 99%

“…One of the key interventions preparing the patient for surgery is a preoperative bath with soap or an antibacterial agent on the evening before surgery and/or in the morning immediately prior to surgery [ 83 , 90 , 106 ]. Since no advantage of washing with antibacterial agents compared to regular soap has been demonstrated [ 107 , 108 ], the literature on cardiac surgery does not recommend the use of the antibacterials, but nevertheless points to the benefits of using chlorhexidine-based agents [ 7 , 8 , 18 , 100 ]. Furthermore, the SEICAV/SECTCV note that the studies which did not demonstrate the superiority of chlorhexidine over other agents only included a small group of cardiac surgery patients [ 26 ].…”

Section: Ssi Preventionmentioning

confidence: 99%

“…However, if necessary, it is recommended to use clippers with a single-use blade immediately before surgery (not the day before). Shaving is strongly discouraged, as it increase the risk of micro-injuries and bacterial growth on the patient’s skin [ 26 , 35 , 83 , 90 , 100 ].…”

Section: Ssi Preventionmentioning

confidence: 99%

“…If chlorhexidine is contraindicated, an alcohol-based solution of povidone-iodine is recommended [ 90 ]. In cardiac surgery, alcohol-based chlorhexidine solutions are the antiseptics of choice [ 8 , 26 , 35 , 100 ].…”

Section: Ssi Preventionmentioning

confidence: 99%

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Surgical Site Infection in Cardiac Surgery

Żukowska¹,

Żukowski

2022

JCM

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Surgical site infections (SSIs) are one of the most significant complications in surgical patients and are strongly associated with poorer prognosis. Due to their aggressive character, cardiac surgical procedures carry a particular high risk of postoperative infection, with infection incidence rates ranging from a reported 3.5% and 26.8% in cardiac surgery patients. Given the specific nature of cardiac surgical procedures, sternal wound and graft harvesting site infections are the most common SSIs. Undoubtedly, DSWIs, including mediastinitis, in cardiac surgery patients remain a significant clinical problem as they are associated with increased hospital stay, substantial medical costs and high mortality, ranging from 3% to 20%. In SSI prevention, it is important to implement procedures reducing preoperative risk factors, such as: obesity, hypoalbuminemia, abnormal glucose levels, smoking and S. aureus carriage. For decolonisation of S. aureus carriers prior to cardiac surgery, it is recommended to administer nasal mupirocin, together with baths using chlorhexidine-based agents. Perioperative management also involves antibiotic prophylaxis, surgical site preparation, topical antibiotic administration and the maintenance of normal glucose levels. SSI treatment involves surgical intervention, NPWT application and antibiotic therapy

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Section: Ssi Preventionmentioning

confidence: 99%

Section: Ssi Preventionmentioning

confidence: 99%

Section: Ssi Preventionmentioning

confidence: 99%

Section: Ssi Preventionmentioning

confidence: 99%

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Surgical Site Infection in Cardiac Surgery

Żukowska¹,

Żukowski

2022

JCM

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“…Apesar da Organização Mundial da Saúde, revisar e emitir a segunda edição das Diretrizes Globais para a Prevenção de Infecção do Sítio Cirúrgico (Organização Mundial da Saúde [OMS], 2016), estudo conduzido em país de alta renda evidencia que não existem protocolos ou padrões de cuidados específicos para a prevenção de ISC em cirurgia cardíaca (Aktuerk et. al., 2020).…”

Section: Considerações Finaisunclassified

Caracterização das infecções de sítio cirúrgico em procedimentos cardíacos no Brasil: Um protocolo de revisão de escopo

Mazon

Siewert

Deglmann

et al. 2021

RSD

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Introdução: As doenças cardiovasculares são a principal causa de morbimortalidade no Brasil, o que impacta diretamente nas internações e consequentemente nas infecções associadas a assistência de saúde. Objetivo: mapear as evidências disponíveis sobre as características das infecções de sítio cirúrgico em procedimentos cardíacos realizados no Brasil. Método: esta revisão considerará estudos que incluam pessoas de todos os grupos etários que foram submetidas a procedimento cirúrgico cardíaco no Brasil e diagnosticadas com infecção de sítio cirúrgico (ISC), seja incisional superficial, profunda incisional ou de órgão ou cavidade. Uma estratégia de busca em três etapas será utilizada para esta revisão. Os bancos de dados a serem pesquisados, incluem, PubMed, CINAHL, LILACS, Scielo/ BDENF, Scopus, Embase, Web of Sciense. Serão considerados estudos quantitativos e qualitativos publicados em inglês, espanhol e português, sem limite de data. Os dados extraídos serão apresentados em forma de diagrama ou tabular, acompanhado de um resumo narrativo. Considerações finais: estudos conduzidos em país de alta renda evidencia que não existem protocolos ou padrões de cuidados específicos para a prevenção de ISC em cirurgia cardíaca, com isso, caracterizar as infecções de sítio cirúrgico envolvendo procedimentos cardíacos no Brasil, pode ser útil para o desenvolvimento de estratégias e programas de prevenção.

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