Русский
Risk for development of pyoseptic infections in children after open heart surgeries for congenital malformations
DOI: https://dx.doi.org/10.18565/epidem.2022.12.4.40-4
Sergevnin V.I., Kudryavtseva L.G., Lazarkov P.V.
1) Academician E.A. Wagner Perm State Medical University, Ministry of Health of Russia, Perm, Russia; 2) S.G. Sukhanov Federal Center for Cardiovascular Surgery, Ministry of Health of Russia, Perm, Russia
Subjects and methods. The medical records of 199 patients under the age of 18 who had undergone open heart surgery for congenital heart defects were examined. The typical and prenosological forms of PSI were taken into account in accordance with epidemiological standard case definitions.
Results. The incidence rates of typical and prenosological PSIs after open heart surgery in children were 95.5 and 150.8 cases per 1000 operations, respectively. The main clinical forms of postoperative GSI were nosocomial pneumonia, bloodstream infection, surgical site infection, urinary tract infection. The maximum incidence rates of PSI, nosocomial pneumonia in particular, were recorded after open heart surgery with a high risk of death.
Conclusion. The higher incidence of PSI, including nosocomial pneumonia, after high-risk surgical interventions is due to longer surgery and accordingly prolonged intensive care unit stay accompanied by mechanical ventilation than during other cardiac surgeries.
Literature
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About the Autors
Viktor I. Sergevnin, MD, Professor, Department of Epidemiology and Hygiene, Academician E.A. Wagner Perm State Medical University, Ministry of Health of Russia, Perm, Russia; viktor-sergevnin@mail.ru; https://orcid.org/0000-0002-2729-2248
Larisa G. Kudryavtseva, Cand. Med. Sci., Epidemiologist, Head, Department of Epidemiology, S.G. Sukhanov Federal Center for Cardiovascular Surgery, Ministry of Health, of Russia, Perm, Russia; kudryavcevalg@mail.ru; https://orcid.org/0000-0002-2707-0768
Petr V. Lazarkov, Cardiovascular Surgeon, S.G. Sukhanov Federal Center for Cardiovascular Surgery, Ministry of Health, of Russia, Perm, Russia; petr08@mail.ru; https://orcid.org/0000-0001-7165-9134
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