Modifiable risk factors and modern approaches to prevention of surgical site infection in cardiac surgery
Abstract
Surgical site infections, following
cardiac surgery, have a negative impact on the patient’s prognosis and raise up
the treatment costs. Registration of surgical site infection risk factors
before hospitalization, as well as on intraoperative and postoperative stage of
health care reduces morbidity rate. To modifiable risk factors belong
hyperglycemia, malnutrition, depression, smoke and excessive alcohol
consumption, length of stay before surgery, presence of skin infection and
nasal colonization of S. aureus, heart failure, mismatch in surgical
antimicrobial prophylaxis and surgical field preparation, wrong choice of the
revascularization tactics, an operative access and wound closure problems,
anaemia, inadequate oxygenation, normothermia deviation, prolonged intubation
and catheterization, as well as management factors in healthcare institution.
The modern guidance application promotes the leveling of negative impact of
these factors on the development of surgical site infection.
Keywords:surgical site infection; cardiac surgery; risk factors; prevention; review
Funding. The study had no
sponsor support.
Conflict of
interest. The author declares no conflict of interest.
For citation: Stepin A.V.
Modifiable risk factors and modern approaches to prevention of surgical site
infection in cardiac surgery. Clinical and Experimental Surgery. Petrovsky
Journal. 2022; 10 (2): 126–33. DOI: https://doi.org/10.33029/2308-1198-2022-10-2-126-133 (in
Russian)