Nosocomial infections after off-pump coronary artery bypass surgery: frequency, characteristics, and risk factors.
作者： E. S. Rosmarakis , S. N. Prapas , K. Rellos , A. Michalopoulos , G. Samonis
DOI: 10.1510/ICVTS.2007.162511
关键词:
摘要: We evaluated the frequency, risk factors, and characteristics of infections in 360 patients after off-pump coronary artery bypass grafting (OPCABG). A prospective study was performed during period June 2004-October 2005 at Henry Dunant Hospital, Athens, Greece. C-reactive protein (CRP) procalcitonin were assayed from 222 preoperatively, 1-3 days following OPCABG. Variables independently associated with infection identified by a multivariable logistic regression model. Eighteen (5%) developed postoperative infections; 1.7% superficial wound infection, 1.4% pneumonia, 1.1% bacteremia, 0.3% mediastinitis, intra-aortic balloon pump related infection. The mean increase CRP levels first two or three days, respectively, surgery significantly higher (P<0.05) Independent factors history major nervous system disorder, left ventricular heart failure emergent operation, transfusions red blood cells ICU stay, duration central venous catheter placement. identification for combination appropriate evaluation increased values may help clinicians early diagnosis
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