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2 . 2022

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)

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CHIEF EDITOR
CHIEF EDITOR
Sergey L. Dzemeshkevich
MD, Professor (Moscow, Russia)

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