Comparative assessment of risk of development of purulent septic infections in children after open and closed cardiac operations for congenital diseases
https://doi.org/10.33667/2078-5631-2021-32-41-44
Abstract
Purpose of the study. Comparative assessment of the incidence of nosocomial purulent-septic infections (PSI) in children after open and closed heart surgery for congenital defects.
Materials and methods. 503 medical records of children after cardiac surgery were studied. GSI was identified according to epidemiological standard case definitions.
Results. It turned out that the incidence rate of PSI in children after open heart surgery is an order of magnitude higher than after minimally invasive endovascular interventions. Hospital-acquired pneumonia most often occurs in children after operations.
Conclusion. The increased incidence of PSI after open heart surgery, as compared to endovascular surgery, is due to a longer surgical intervention and the subsequent longer stay of patients in the intensive care unit, where such an epidemiologically significant procedure as artificial lung ventilation is performed.
About the Authors
L. G. Kudryavtseva
Federal Centre for Cardiovascular Surgery n. a. S. G. Sukhanov
Russian Federation
Russian Federation
Kudryavtseva Larisa G., PhD Med, epidemiologist, head of Epidemiological Dept.
Perm
P. V. Lazarkov
Federal Centre for Cardiovascular Surgery n. a. S. G. Sukhanov
Russian Federation
Russian Federation
Lazarkov Petr V., cardiovascular surgeon
Perm
V. I. Sergevnin
Perm State Medical University n. a. academician E. A. Wagner
Russian Federation
Russian Federation
Sergevnin Viktor I., DM Sci (habil.), professor at Dept of Epidemiology and Hygiene
Perm
References
1. Jeffrey A Alten, AKM Fazlur Rahman, Hayden J Zaccagni, Andrew Shin, David S Cooper, et al. The Epidemiology of Healthcare-associated Infections in Pediatric Cardiac Intensive Care Units. Pediatr. Infect Dis J. 2018; 37 (8): 768–772. DOI: http://doi.org/10.1097/INF.0000000000001884
2. Takeshi Hatachi, Kazuya Tachibana, Yu Inata, Yuji Tominaga, Aiko Hirano, et al. Risk Factors for Healthcare-Associated Infections After Pediatric Cardiac Surgery. Pediatric Critical Care Medicine. 2018; 19 (3): 237–244. DOI: http://doi.org/10.1097/PCC.0000000000001445
3. Heladia Garс, Beatriz Cervantes-Luna, Hector Gonza lez-Cabello, Guadalupe Miranda-Novales. Risk factors for nosocomial infections after cardiac surgery in newborns with congenital heart disease. Pediatrics and Neonatology. 2017; 59 (4): 404–409. DOI: http://doi.org/10.1016/j.pedneo.2017.11.014
4. Alekyan B. G., Karapetyan N. G. Modern Russian tendencies of endovascular and surgical treatment of some isolated heart defects. Endovascular surgery. 2019; 6 (2): 98–106. DOI: 10.24183/2409–4080–2019–6–2–98–106. (In Russian)
5. Bentham JR, Thomson JDR. Current state of interventional cardiology in congenital heart disease. Arch Dis Child. 2015; 100 (8): 787–92. DOI: 10.1136/archdischild‑2014–306052.
6. Wilson W, Osten M, Benson L, Horlick E. Evolving trends in interventional cardiology: endovascular options for congenital disease in adults. The Canadian Journal of Cardiology. 2013; 30 (1): 75–86. DOI: 10.1016/j.cjca.2013.11.006.
7. European Centre for Disease Prevention and Control. Point prevalence survey of healthcareassociated infections and antimicrobial use in European acute care hospitals – protocol version 4.3. Stockholm: ECDC; 2012.
8. Sergevnin V. I., Klyuchareva N. M. Preepidemic diagnosis of incidence of nosocomial purulent-septic infections. Public health and habitat. 2018; 1 (298): 27–29. (In Russian)
9. Cardiac Surgery: Operations on the Heart and Great Vessels in Adults and Children. 1st ed. 2017 Edition. Gerhard Ziemer (Editor), Axel Haverich (Editor).
Review
For citations:
Kudryavtseva L.G., Lazarkov P.V., Sergevnin V.I. Comparative assessment of risk of development of purulent septic infections in children after open and closed cardiac operations for congenital diseases. Medical alphabet. 2021;(32):41-44. (In Russ.) https://doi.org/10.33667/2078-5631-2021-32-41-44
Views:
244
Email this article 