2017
DOI: 10.1097/pcc.0000000000001135
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Reducing Pediatric Sternal Wound Infections: A Quality Improvement Project

Abstract: Objectives To evaluate whether a quality improvement intervention reduces sternal wound infection (SWI) rates in children after cardiac surgery. Design This is a pre- and post-intervention quality improvement study. Setting A 16-bed cardiac intensive care unit in a university-affiliated pediatric tertiary care children’s hospital. Patients All patients undergoing cardiac surgery via median sternotomy from January 2010 to December 2014 are included. The SWI rates for primary closure (PC) and delayed stern… Show more

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Cited by 15 publications
(16 citation statements)
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References 20 publications
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“…After a careful search for references, we identified an additional 8 of 48 papers relevant for the analysis. After the removal of duplicates, exclusion of reports other than original papers or reviews, and reports that did not fulfill the inclusion criteria, we identified 20 publications for the final analysis [1][2][3][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24]. Detailed information included in these 20 papers is provided in Table 1.…”
Section: Resultsmentioning
confidence: 99%
“…After a careful search for references, we identified an additional 8 of 48 papers relevant for the analysis. After the removal of duplicates, exclusion of reports other than original papers or reviews, and reports that did not fulfill the inclusion criteria, we identified 20 publications for the final analysis [1][2][3][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24]. Detailed information included in these 20 papers is provided in Table 1.…”
Section: Resultsmentioning
confidence: 99%
“…All studies were conducted in tertiary urban or teaching hospitals. Among studies conducted in highincome settings, 15 were in European countries, [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16] 19 in the United States of America, [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34][35] one in Australia, 36 three elsewhere in North America, [37][38][39] and three in Asia. [40][41][42] There were three nonrandomised interventional studies, 6,22,23 32 cohort studies, [2][3][4][5][7][8]...…”
Section: Epidemiology Of Perioperative Infections In High-income Counmentioning
confidence: 99%
“…These measures were associated with a reduction of sternal wound infection rates from 3.8 to 2.1%. 23 There were two intervention studies conducted in low-to middle-income countries. The first study was a randomised controlled trial aimed to reduce the risk of ventilator-associated pneumonia.…”
Section: Postoperative Infectionmentioning
confidence: 99%
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