Nosocomial Infection in Cardiosurgery ICU

WANG Yu-ying, GUAN Yan-jie (Affiliated Hospital, Weifang Medical College, Weifang,
Shandong 261031, China)
OBJECTIVE To investigate the reason of postoperative infection in cardiosurgery ICU of our
hospital and take effective preventive measures. METHODS The infection sites and their rates of the
nosocomial infection among the cardiosurgery ICU patients from May 2001 to May 2002 were
retrospectively analyzed. RESULTS Among the total 27 nosocomial infections took place in the
year, pneumonia accounted for 11.7%, urinary tract infection 7.5%, hematological system infection
1.7%, skin incision site infection 1.7%. Twenty three strains were isolated. CONCLUSIONS It is
important for nosocomial infection control to have the research on risk factors of postoperative
hospital infection in cardiosurgery ICU.
Key Words Cardiosurgery Intensive care unit (ICU) Nosocomial infection Prevention
CateGory Index R197.3
DOI CNKI:SUN:ZHYY.0.2004-04-017
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References
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Citations

Nosocomial Infections in Pediatric Cardiac Surgery, Italy

Formats Available in JSTOR: Article PDF

Abstract
Bibliographic Information
Author Information
Notes and References

Abstract(back to top)
OBJECTIVE.To evaluate the incidence of nosocomial infection (NI) in pediatric patients who received cardiothoracic surgery and to identify
possible associated risk factors.
DESIGN.Prospective observational study.
SETTING.The cardiac surgery and cardiac intensive care units at the Regina Margherita Childrens Hospital, Turin, Italy.
PATIENTS.All patients who underwent surgery from July 20, 1998, to July 19, 1999, were enrolled, except patients with operative catheterization
only.
METHODS.Clinical data were collected daily from July 20, 1998, to July 19, 1999. NIs were diagnosed according to US Centers for Disease
Control and Prevention criteria.
RESULTS.104 patients were included in the present study, 80 (76.9%) of whom underwent extracorporeal circulation. The NI ratio was 48.1%
(50/104); the percentage of patients with NI was 30.8% (32/104): 23.1% developed one infection, 7.7% two or more. The rate of NI was 2.17 per
100 days of hospitalization (50/2,304). The most common pathogen was Pseudomonas aeruginosa. Important risk factors were length of
preoperative admission >5 days, total length of admission >10 days, open chest during postoperative phase, and cyanotic heart disease. There
was a significant association between sepsis and central venous catheterization for 3 days or more. Rate of sepsis was 19 per 1,000 catheter
days (16/852).
CONCLUSION.NIs represent a frequent complication for children who undergo heart surgery. Based on our data, we suggest decreasing the
preoperative stay as much as possible. The higher NI incidence in patients with an open chest postoperatively suggests that an alternative
antibiotic strategy should be considered for these patients.

Bibliographic Information(back to top)

Nosocomial Infections in Pediatric Cardiac Surgery, Italy

Mariangela Valera, MD; Carlo Scolfaro, MD; Nazario Cappello, MD; Elena Gramaglia, MD; Sergio Grassitelli, MD; Maria Teresa
Abbate, MD; Alberta Rizzo, MD; Piero Abbruzzese, MD; Andrea Valori, MD; Stefano Longo, MD; Pier Angelo Tovo, MD
Infection Control and Hospital Epidemiology
Vol. 22, No. 12 (December 2001) (pp. 771-775)

Author Information(back to top)

Mariangela Valera , MD; Carlo Scolfaro , MD; Nazario Cappello , MD; Elena Gramaglia , MD; Sergio Grassitelli , MD; Maria Teresa Abbate , MD;
Alberta Rizzo , MD; Piero Abbruzzese , MD; Andrea Valori , MD; Stefano Longo , MD; Pier Angelo Tovo , MD

Notes and References(back to top)

This item contains 1 note(s).
Notes
From the Department of ImmunoInfectivology (Drs. Valera, Scolfaro, Gramaglia, and Tovo); the Department of Genetics and Biochemistry (Dr.
Cappello), University of Turin; the Cardiac Intensive Care Unit (Drs. Grassitelli, Abbate, and Rizzo); and Cardiac Surgery (Drs. Abbruzzese, Valori,
and Longo), Regina Margherita Childrens Hospital, Turin, Italy.Address reprint requests to Prof. Pier Angelo Tovo, Department of Immuno
Infectivology, Regina Margherita Childrens Hospital, Piazza Polonia 94, 10156 Turin, Italy.00OA197. Valera M, Scolfaro C, Cappello N,
Gramaglia E, Grassitelli S, Abbate MT, Rizzo A, Abbruzzese P, Valori A, Longo S, Tovo PA. Nosocomial infections in pediatric cardiac surgery,
Italy. Infect Control Hosp Epidemiol 2001;22:771775.
2001 by The Society for Healthcare Epidemiology of America. All rights reserved.