Subacute Bacterial Endocarditis Following Cardiac Surgery

Hand Hygiene

“…Koiwai and colleagues detected the same strain of coagulasenegative staphylococci (CoNS) from the bare fingers of a cardiac surgeon and from a patient with postoperative endocarditis with a matching strain. 522 A similar, more recent outbreak with CoNS and endocarditis was observed by Boyce and colleagues, strain identity being confirmed by molecular methods. 162 A cardiac surgeon with onychomycosis became the source of an outbreak of SSIs due to P. aeruginosa, possibly facilitated by not routinely practising double gloving.…”

Serum Antibiotic Concentrations Pre- and Postcardiopulmonary Bypass

“…During the observation period, no infective endocarditis occurred. DISCUSSION The reported incidence of infective endocarditis after cardiopulmonary bypass varies between 1 and 10% (1,4,6,8,10,13,15,17). The infection is sometimes difficult to identify because unusual or "nonpathogenic" organisms are recovered and disregarded as contaminants (1,3,4,8,13,16).…”

“…DISCUSSION The reported incidence of infective endocarditis after cardiopulmonary bypass varies between 1 and 10% (1,4,6,8,10,13,15,17). The infection is sometimes difficult to identify because unusual or "nonpathogenic" organisms are recovered and disregarded as contaminants (1,3,4,8,13,16). The delay in recognition, antibiotic resistance of the organisms, and presence of foreign bodies are factors which compound the complexity of the problem (7,8,10,17).…”

“…The delay in recognition, antibiotic resistance of the organisms, and presence of foreign bodies are factors which compound the complexity of the problem (7,8,10,17). The mortality rate of postoperative infective endocarditis in several large series ranged between 33 and 83% (1,4,8,10,13,15,17). Prophylactic antibiotics have been used to decrease the incidence and mortality of this complication of open-heart surgery (1,4,9,12,15).…”

Handwashing Practice among Elementary Schoolchildren in Urban Setting, Mongolia: A School‐Based Cross‐Sectional Survey

“…520 Several reported outbreaks have been traced to contaminated hands from the surgical team despite wearing sterile gloves. 71,154,162,[521][522][523] Koiwai and colleagues detected the same strain of coagulasenegative staphylococci (CoNS) from the bare fingers of a cardiac surgeon and from a patient with postoperative endocarditis with a matching strain. 522 A similar, more recent outbreak with CoNS and endocarditis was observed by Boyce and colleagues, strain identity being confirmed by molecular methods.…”