Factors Influencing the Occurrence of Infectious Complications after CABG � Single Centre Study

Maciej Żukowski, Agnieszka Żukowska, Mariusz Kaczmarczyk, Mirosław Brykczyński and Andrzej Ciechanowicz

Department of Anaesthesiology, Pomeranian Medical University, Szczecin, Poland
Clinical Microbiologist, Pomeranian Medical University, Szczecin, Poland
Department of Laboratory Diagnostic and Molecular Medicine, Pomeranian Medical University, Poland
Department of Cardiac Surgery, Pomeranian Medical University, Poland

^*Correspondance to: Maciej ?ukowski 

 PDF  Full Text DOI: 10.25107/2474-1647.1986

Abstract

Introduction: Infectious complications after cardiac surgery procedures may lead to catastrophic consequences for the patient. Infection occurring in the perioperative period significantly increases both the length of hospitalization and the treatment costs.
Methods: A prospective, observational study was performed in a group of 299 CABG patients operated in the Department of Cardiac Surgery of the Pomeranian Medical University. All patients were evaluated in the context of infections occurring early in the postoperative period, i.e. until the 7th postoperative day. The influence of analysed factors on the rate of infections in the early postoperative period after CABG was assessed.Results: Both the period of preoperative ischaemic heart disease and the operative risk (ESlog) were significantly higher in the group of patients presenting with postoperative infection. In the group of patients with infection the reperfusion time was significantly longer when compared with the other group. Logistic regression analysis shown significantly higher volume of post operative drainage in a group of patients with infection.Summary: Our results showed no significant differences in the amount of transfused blood products when comparing the group with and without postoperative infection. Only the amount of drainage from the operative site, was a risk factor of post operative infection in cardiac surgery patients.

Keywords

Cardiac surgery; Septic complication; Risk factors

Cite the article

?ukowski M, ?ukowska A, Kaczmarczyk M, Brykczy?ski M, Ciechanowicz A. Factors Influencing the Occurrence of Infectious Complications after CABG � Single Centre Study. Clin Surg. 2018; 3: 1986.