Risk factors for mediastinitis in the post-operative period of heart surgery / fatores de riscos para mediastinite no pós-operatório de cirurgia cardíaca
DOI:
https://doi.org/10.9789/2175-5361.rpcfo.v12.7112Abstract
Objectives: The study’s main purpose has been to identify both pre and postoperative risk factors related to the development of mediastinitis among patients who underwent cardiac surgery at a hospital from the Rio de Janeiro city. Furthermore, to characterize the study population and to analyze the relationship between risk factors and the incidence of mediastinitis in patients who underwent cardiac surgery. Methods: It is a descriptive and retrospective study with a quantitative approach, where there were identified the risk factors related to the development of mediastinitis in patients who underwent cardiac surgery at a university hospital from the Rio de Janeiro State. Results: There were obtained a total of 192 patients, mostly males, within the age group from 50 to 69 years old and overweight. Diabetes mellitus and smoking were the most frequent comorbidities, and coronary artery bypass graft surgery was the most performed surgery, 4 patients had mediastinitis. Conclusion: The identification of such factors contributes to the elaboration of prevention strategies for mediastinitis, and the implementation of nursing care in both pre and postoperative periods of cardiac surgeries.
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References
Ministério da Saúde (BR). Portaria nº 2616. Aprova programa de controle de infecção hospitalar e dá outras providências. Brasília: Ministério da Saúde, 1998.
Oliveira, AC, Ciosak, SI, Incidência da infecção do sitio cirúrgico em um hospital universitário. Rev Esc Enferm USP 2007; 41(2):258-63. Available at: http://www.scielo.br/pdf/reeusp/v41n2/11.pdf . Acessado em: 05 agosto de 2016.
Agência Nacional de Vigilância Sanitária (BR). Sítio Cirúrgico - Critérios Nacionais de Infecções relacionadas à assistência à saúde. Brasília: Agência Nacional de Vigilância Sanitária, Março, 2009.
Fatureto, MC, Neves-Junior, MA, Santana, TC, Mediastinite aguda: análise retrospectiva de 21 casos. J. bras. pneumol. 2005; 31(4):307-11. Available at: http://www.scielo.br/pdf/jbpneu/v31n4/26330.pdf . Acessado em: 5 de agosto de 2016.
Souza, VC, Freire, ANM, Tavares-Neto, J, Mediastinite pós-esternotomia longitudinal para cirurgia cardíaca: 10 anos de análise. Rev Bras Cir Cardiovasc, vol. 17, 2002; 17(3): 266-270. Available at: http://www.scielo.br/pdf/rbccv/v17n3/a12v17n3.pdf . Acessado em: 5 de agosto de 2016.
Egito, JG, et al, Evolução clínica de pacientes com mediastinite pós-cirurgia de revascularização miocárdica submetidos à oxigenoterapia hiperbárica como terapia adjuvante. einstein. 2013; 11(3):345-9. Available at : http://www.scielo.br/pdf/eins/v11n3/a14v11n3.pdf . Acessado em: 5 de agosto de 2016.
Magalhães, MGPA, et AL, Mediastinite pós-cirúrgica em um Hospital Cardiológico de Recife: contribuições para a assistência de enfermagem. Rev Esc Enferm. São Paulo, 2012; 46(4):865-71. Available at: http://www.scielo.br/pdf/reeusp/v46n4/12.pdf . Acessado em: 5 de agosto de 2016.
Silva, QCG, et al, Fatores de risco para mediastinite após revascularização do miocárdio: revisão integrativa. Rev Min Enferm, out/dez, 2015; 19(4): 1015-1022. DOI: 10.5935/1415-2762.20150076.
Magedanz, EH, et al, Elaboração de escore de risco para mediastinite pós-cirurgia de revascularização do miocárdio. Rev Bras Cir Cardiovasc, 2010; 25(2): 154-159. Available at: http://www.scielo.br/pdf/rbccv/v25n2/v25n2a05.pdf . Acessado em: 5 de agosto de 2016.
Gelape, CL, Infecção do sítio operatório em cirurgia cardíaca. Arq. Bras. Cardiol, vol. 89, 2007; 89(1) : e3-e9. Available at: http://www.scielo.br/pdf/abc/v89n1/13.pdf . Acessado em: 21 de setembro de 2017.
Araújo, RA, et AL, População acometida por mediastinite em hospital universitário de recife-pe: um estudo retrospectivo. Online braz j nurs [periodic online]. Dez 2012; 11 (3): 789-99.
Ministério da Saúde (BR). Avaliação do peso em adultos. Brasília: Ministério da Saúde. Available at: http://portalms.saude.gov.br/component/content/article/804-imc/40509-imc-em-adultos . Acessado em 21 de setembro de 2017.
Abboud CS, Wey SB, Baltar VT. Risk factors for mediastinitis after cardiac surgery. Ann Thorac Surg. 2004; 77: 676-83.
Diez C, Koch D, Kuss O, Silber RE, Friedrich I, Boergermann J. Risk factors for mediastinitis after cardiac surgery - a retrospective analysis of 1700 patients. J Cardiothorac Surg. 2007;2:23-8. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1891287/pdf/1749-8090-2-23.pdf . Acessado em: 21 de setembro de 2017.
Ennker IC, Malkoc A, Pietrowski D, Vogt PM, Ennker J, Albert A. The concept of negative pressure wound therapy (NPWT) after poststernotomy mediastinitis - a single center experience with 54 patients. J Cardiothorac Surg. 2009;4(5):12-8. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3225867/pdf/1749-8090-4-5.pdf . Acessado em: 21 de setembro de 2017.
Sajia LR. Strategies to reduce deep sternal wound infection after bilateral internal mammary artery grafting. Int J Surg. 2014;14:S1743.
Matros E, Aranki SF, Bayer LR, McGurk S, Neuwalder J, Orgill DP. Reduction in incidence of deep sternal wound infections: random or real? J Thorac Cardiovasc Surg. 2010;139(3):680-5
Vivacqua A, Koch CG, Yousuf AM, Nowicki ER, Houghtaling PL, Blackstone EH, et al. Morbidity of bleeding after cardiac surgery: is it blood transfusion, reoperation for bleeding, or both? Ann Thorac Surg. 2011;91:1780-90.
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