Work

Risk Factors for Surgical Site Infection After Cardiac Surgery in Neonates: A Case–Control Study

Year: 2024

Type: article

Abstract: Objectives: This study was undertaken to determine the incidence and risk factors associated with the development of sternal wound infection in neonates after surgery for congenital heart disease. Methods: A case–control study was conducted to examine the influence of perioperative risk factors on the development of sternal infection. In total, 253 neonates with CHD underwent a complete median sternotomy. To identify the risk factors influencing the development of sternal infection, multivariable logistic regression analysis was used. Results: Overall, 15 (5.9%) patients developed sternal wound infection after surgery. Deep wound infection occurred in six (2.4%) cases. As a result, the perioperative risk factors were the level of oxygen delivery in the postoperative period (OR: 0.956; CI: 0.933–0.98; p < 0.001), duration of intubation after surgery (OR: 1.04; CI: 1.003–1.079; p = 0.034) and application of surgical manipulation features (OR: 0.0004; CI: 0.000007–0.027; p < 0.001). Conclusions: The incidence of sternal infection in newborns can be reduced by simple and affordable methods. This will decrease the cost of patient care, length of hospitalization and the risk of secondary complications.

Source: Journal of Clinical Medicine

DOI: 10.3390/jcm13247755

Authors: Vitaliy V. Suvorov, Dmitri O. Ivanov

Institution: Saint Petersburg State Pediatric Medical University

Language: English

Topic: Surgical site infection prevention

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $2,955