Postoperative infections related to pacing wires, pulmonary arterial catheters, and drainage tubes temporarily inserted during open-heart surgery

The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi
M KanohY Morishita

Abstract

Bacterial examinations of temporary pacing wires (P-wires), pulmonary arterial (P-A) catheters, and drainage tubes temporarily inserted during open-heart surgery were performed in 213 patients. Bacteria were detected in 19 (2.8%) of 672 specimens gathered from the subject patients, with coagulase-negative Staphylococcus (CNS) being most frequently observed. P-wires accounted for 17 out of 19 of the culture-positive specimens, and 7 of the P-wires remained in place for more than two weeks. The frequency of infection with the P-wires was significantly higher than with the P-A catheters or drainage tubes. The period of time that the P-wire was left in place significantly longer than for P-A catheter or drainage tube. There was, however, no statistically significant difference between the culture-positive and negative groups in respect to age, detention periods, operation times, CPB times, or length of ICU stay. As a result of these findings, we have concluded that P-wires should be removed as soon as possible following surgery, and in any case, a meticulous care should be taken to prevent transcutaneous infection.

References

Jan 1, 1991·Scandinavian Journal of Infectious Diseases·J RelloG Prats
May 2, 1985·The New England Journal of Medicine·G L Cooper, C C Hopkins
Oct 1, 1989·The Annals of Thoracic Surgery·Y M SmuldersC A Visser
Feb 1, 1985·Annals of Surgery·M L MyersW J Sibbald
Jan 9, 1971·Lancet·S K ParkW S Blakemore
Feb 1, 1971·Australian and New Zealand Journal of Medicine·B L Chapman
Sep 1, 1984·The Japanese Journal of Surgery·F MoriH Mohri

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Citations

Apr 1, 2014·The Annals of Thoracic Surgery·Monika ChauhanChristopher W Mastropietro
Nov 6, 2007·Cardiology in the Young·Steven B FishbergerRedmond P Burke

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