Postoperative Nosocomial COVID-19 Infection in Cardiac Surgery: An Uncommon Event With High Mortality Rate.

CJC Open
Khalid RidwanKevin Lachapelle

Abstract

The COVID-19 pandemic has had a major impact on cardiac surgery patients. Significant reductions in access to surgical treatment have forced surgeons to prioritise patients and follow strict COVID-19 protocols to protect surgeons, staff, and patients. Adult cardiac surgery and the COVID-19 pandemic: aggressive infection mitigation strategies are necessary in the operating room and surgical recovery. Nosocomial infections among cardiac surgery patients have been reported and are associated with a high mortality rate. As a COVID-19 tertiary care centre and a tertiary cardiac centre, we tried to balance the need to operate on urgent cardiac cases while protecting patients and staff from COVID-19. During the first wave of the pandemic, we performed 579 surgeries. We report findings from an outbreak of 4 nosocomial infections. All patients tested negative within 24 hours of surgery or admission. Three patients were positive after surgery, suggesting an overall nosocomial rate during the first wave of 0.5% (3/579). One patient admitted for evaluation tested positive during mass screening. Two of the 4 patients died after respiratory complications. No health care worker (HCW) or family member with direct contact with these patients te...Continue Reading

References

May 4, 2020·The Canadian Journal of Cardiology·Ansar HassanUNKNOWN of the Canadian Society of Cardiac Surgeons
Jul 22, 2020·The Journal of Thoracic and Cardiovascular Surgery·Daniel T EngelmanUNKNOWN Society of Thoracic Surgeons COVID-19 Task Force
Aug 14, 2020·Interactive Cardiovascular and Thoracic Surgery·Martin T YatesAung Y Oo
Oct 3, 2020·Best Practice & Research. Clinical Anaesthesiology·Eleni MokaGiustino Varrassi

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