A protracted outbreak of Staphylococcus epidermidis infections among patients undergoing valve replacement

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Ricardo BouAngel Aguilar

Abstract

To investigate a Staphylococcus epidermidis outbreak among patients undergoing cardiac surgery. Retrospective cohort study. A 260-bed community referral center. Case-patients were patients with S. epidermidis mediastinitis, endocarditis, or both after valve implantation at Hospital de La Ribera from January to June 2002. The study population included patients undergoing valve surgery at Hospital de La Ribera from January 2000 to June 2002. From January to June 2002, 8 cases of mediastinitis, endocarditis, or both occurred among 53 patients undergoing cardiac surgery. In the same months of 2000, there had been no cases among 22 patients, and in 2001, only 1 case among 47 patients (P = .095 and P = .034, respectively). In 2002, there were 4 cases of mediastinitis and endocarditis, 3 cases of mediastinitis, and 1 case of endocarditis, all following aortic valve replacement. The epidemic curve suggested a protracted outbreak. Patients with chronic obstructive lung disease were six-fold more likely to be case-patients (95% confidence interval, 1.6-23.8). The mean duration of surgery tended to be longer in non-case-patients (161.4 +/- 57.9 minutes) than in case-patients (123.7 +/- 23.7 minutes) (P = .06). The cause of this protracted...Continue Reading

References

Jun 1, 1988·American Journal of Infection Control·J S GarnerJ M Hughes
Jul 1, 1987·Infection Control : IC·M J Gil-EgeaL T Eleizegui
Oct 5, 1985·British Medical Journal·P J van den BroekR P Mouton
Jul 1, 1983·Infection Control : IC·E SimchenJ Michel
Sep 1, 1983·Reviews of Infectious Diseases·D H BorG H Friedland
Apr 1, 1995·European Heart Journal·D HorstkotteH P Schultheiss
Nov 1, 1993·The Annals of Thoracic Surgery·M S SlaughterH B Ward
Oct 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·M H RebolloJ M Revuelta
Feb 1, 1997·The Annals of Thoracic Surgery·S B MossadS M Gordon
Apr 29, 1999·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·A J MangramW R Jarvis
Jan 5, 2002·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·R L LarkC Chenoweth
Feb 22, 2002·The Journal of Surgical Research·Debra L MaloneLena M Napolitano

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