Nosocomial Extracardiac Infections After Cardiac Surgery.

IF 3.1 4区医学 Q2 INFECTIOUS DISEASES

Current Infectious Disease Reports Pub Date : 2022-01-01 DOI:10.1007/s11908-022-00787-0

Enrico Maria Zardi, Massimo Chello, Domenico Maria Zardi, Raffaele Barbato, Omar Giacinto, Ciro Mastoianni, Mario Lusini

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引用次数: 0

Abstract

Purpose of review: Nosocomial extracardiac infections after cardiac surgery are a major public health issue affecting 3-8.2% of patients within 30-60 days following the intervention.

Recent findings: Here, we have considered the most important postoperative infective complications that, in order of frequency, are pneumonia, surgical site infection, urinary tract infection, and bloodstream infection. The overall picture that emerges shows that they cause a greater perioperative morbidity and mortality with a longer hospitalization time and excess costs. Preventive interventions and corrective measures, diminishing the burden of nosocomial extracardiac infections, may reduce the global costs. A multidisciplinary team may assure a more appropriate management of nosocomial extracardiac infections leading to a reduction of hospitalization time and mortality rate.

Summary: The main and most current data on epidemiology, prevention, microbiology, diagnosis, and management for each one of the most important postoperative infective complications are reported. The establishment of an antimicrobial stewardship in each hospital seems to be, at the moment, the more valid strategy to counteract the challenging problems.

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心脏手术后医院外感染。

回顾目的:心脏手术后的院内感染是一个主要的公共卫生问题，在干预后的30-60天内影响了3-8.2%的患者。最近的发现:在这里，我们考虑了最重要的术后感染并发症，按频率排序为肺炎、手术部位感染、尿路感染和血液感染。总体情况显示，它们导致更高的围手术期发病率和死亡率，住院时间更长，费用过高。预防干预和纠正措施，减少医院外心脏感染的负担，可能会降低全球成本。多学科团队可以确保更适当地管理院内心外感染，从而减少住院时间和死亡率。摘要:报告了最重要的每一种术后感染并发症的流行病学、预防、微生物学、诊断和管理方面的主要和最新数据。目前，在每家医院建立抗菌药物管理制度似乎是应对这些具有挑战性问题的更有效的策略。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Infectious Disease Reports INFECTIOUS DISEASES-

CiteScore

6.70

自引率

0.00%

发文量

期刊介绍： This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of infectious disease. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as HIV/AIDS, sexually transmitted diseases, tropical and travel medicine, and urinary tract infections. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists.