PMID: 44968Jan 1, 1979

Prevention of post-operative infection in heart surgery with extracorporeal circulation (apropos of 295 cases)

Annales de l'anesthésiologie française
C HubscherC Winckler

Abstract

From April 1977 to November 1978, 295 patients were operated on using artificial circulation. 31 p. 100 of these developed a post-operative infectious complication, 7.3 p. 100 being of a serious nature (3.3 p. 100 suffered from mediastinitis, and 4 p. 100 from septicaemia). The organisms responsible are, in the case of the mediastinal infections the staphylococcus Citreus, and Gram negative bacilli in the case of the septicaemias. A retrospective analysis shows that there are two successive periods and that in the course of the second there is a decrease in the occurence of all of the infections and particularly in the cases of mediastinitis. This improvment would seem on superficial analysis to correspond with a change in the preventive antibiotic treatment, the cephradine--gentamicin combination having replaced penicillin G. However, the statistical study shows that other factors were altered between the two periods (type of antiseptic, duration of treatments, time of postoperative intubation) and that these equally contributed to the fall in the incidence of infection. In the light of this study, it would seem that if prophylactic antibiotic treatment essentially directed against staphylococci has a place in cardiac surgery ...Continue Reading

Related Concepts

Hemorrhagic Septicemia
Gentacycol
Velocef
Cardiac Surgery Procedures
Asepsis
Extracorporeal Circulation
Mediastinitis
Vasoplegia
Postoperative Complications
Van-Pen-G

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