Patient skin contamination as a real predictor of postoperative infection


Gabrielyan N.I., Drabkina I.V., Zakharevich V.M., Saitgareev R.Sh., Safonova T.B., Petrukhina M.I., Sharapchenko S.O.

1 Academician V.I. Shumakov National Research Center of Transplantology and Artificial Organs, Ministry of Health of Russia, Moscow, Russia; 2 Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia, Moscow, Russia
Healthcare-associated infections are a serious problem in the treatment and rehabilitation of cardiac surgery patients. Particular attention should be given to the nosocomial bacterial strains of the genus Acinetobacter and Klebsiella, which are resistant to antibiotics. The patients’ skin and environment after orthotopic heart transplantation were retrospectively analyzed for contamination with these microorganisms in the early postoperative period. The investigation used data on 194 patients operated on in the period January 1, 2013 to December 31, 2016. Postoperative contamination of the patients’ skin and environment was ascertained to increase the risk of blood bacterial infection (BBI) associated with these microorganisms by more than 3 times. Epidemiological monitoring of the patients’ skin and environment in the early postoperative period can be an effective prognostic tool for the prevention and reduction of the risk of BBI.
Keywords: blood bacterial infection, Klebsiella, Acinetobacter, contamination, environment, heart transplantation, resistance, risk factor
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About the Autors

For correspondence:
Nina I. Gabrielyan, MD, Associate Professor, Head, Department of Endotoxicosis and Purulent-Septic Complications, Academician V.I. Shumakov National Research Center of Transplantology and Artificial Organs, Ministry of Health of Russia
Address: 1, Shchukinskaya St., Moscow123182, Russia
Telephone: +7(495) 544-18-00
E-mail: labgso@mail.ru
Information about the authors:
Irina V. Drabkina, Bacteriologist, Laboratory of Bacteriology, Department Endotoxicosis and Purulent-septic Complications, Academician V.I. Shumakov National Research Center of Transplantology and Artificial Organs, Ministry of Health of the Russia, Moscow, Russia; e-mail: drabkina58@mail.ru
Vyacheslav M. Zakharevich, MD, Chef Researcher, Doctor-Surgeon, Academician V.I. Shumakov National Research Center of Transplantology and Artificial Organs, Ministry of Health of the Russia, Moscow, Russia; e-mail: zaharslava@yandex.ru
Prof. Rinat Sh. Saitgareev, MD, Head, Department of Cardiac Surgery Third, Academician V.I. Shumakov National Research Center of Transplantology and Artificial Organs, Ministry of Health of Russia Moscow, Russia; e-mail: rinat.saitgareev@rambler.ru
Tatiana B. Safonova, Cand. Med. Sci., Associate Professor, Department of Microbiology, Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia, Moscow, Russia; e-mail: pushok42@mail.ru
Marina I. Petrukhina, Cand. Med. Sci., Associate Professor, Department of Epidemiology, Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia, Moscow, Russia; e-mail: epidrmapo@mail.ru
Sofia O. Sharapchenko, Laboratory Assistant-Researcher, Department of Endotoxicosis and Purulent-septic Complications, Academician V.I. Shumakov National Research Center of Transplantology and Artificial Organs, Ministry of Health of Russia, Moscow, Russia; e-mail: Nyashka1512@yandex.ru


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