Effect of surgical site infection bundles in cardiac surgery: Incidence, microbiology, and risk factors.

IF 0.9 Q3 SURGERY

Journal of perioperative practice Pub Date : 2026-09-01 Epub Date: 2025-10-27 DOI:10.1177/17504589251377677

Jamal Qaddumi, Sari Taleb Mohammad Abo Hania, Abdullah Alkhawaldeh, Mohammed ALBashtawy, Wesam Taher Almagharbeh, Yahya H Al-Rshoud, Asem Abdalrahim, Mean Aljezawi, Mohammad Suliman, Zaid Al-Amoush

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引用次数: 0

Abstract

Background: Surgical site infections are the second most common type of healthcare-associated infection.

Objective: This study aimed to assess the incidence and associated risk factors of surgical site infection after implementing surgical site infection bundles in cardiac surgery.

Methods: This study employed a quantitative descriptive methodology, encompassing a retrospective analysis of surgical site infection incidence following cardiac surgeries. It also included a prospective experimental approach to evaluate the effectiveness of surgical site infection bundles compared to routine care, conducted across hospitals in the West Bank. In total, 222 cardiac surgery patients were included in this study.

Findings: Among patients undergoing cardiac surgery, 70% underwent coronary artery bypass graft. Furthermore, males were the majority (70.3%), and 45% were either overweight or obese. Hypertension was the higher prevalent chronic disease (72.5%). The incidence rate of surgical site infection was 7.2%. Adherence to the surgical prophylaxis protocol (Bundle) was associated with a reduction in surgical site infection rates, and the incidence of surgical site infection was higher among the conventional group compared with surgical site infection bundle group (10.9% vs. 3.6%). Higher mean level of glucose, high BMI, and having respiratory chronic disease were factors associated with surgical site infection in patients who underwent cardiac surgery.

Conclusion: Adherence to the surgical prophylaxis protocol (Bundle) was associated with a reduction in surgical site infection rates.

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心脏外科手术部位感染束的影响：发生率、微生物学和危险因素。

背景：手术部位感染是医疗相关感染的第二常见类型。目的：探讨心脏手术实施手术部位感染束后手术部位感染的发生率及相关危险因素。方法：本研究采用定量描述方法，包括对心脏手术后手术部位感染发生率的回顾性分析。它还包括一项前瞻性实验方法，以评估手术部位感染包与常规护理相比的有效性，该方法在西岸各医院进行。本研究共纳入222例心脏手术患者。结果：在接受心脏手术的患者中，70%接受了冠状动脉旁路移植术。此外，男性占多数（70.3%），45%超重或肥胖。高血压是发病率较高的慢性病（72.5%）。手术部位感染发生率为7.2%。坚持手术预防方案（Bundle）与手术部位感染率的降低相关，与手术部位感染捆绑治疗组相比，常规组的手术部位感染发生率更高（10.9%对3.6%）。在接受心脏手术的患者中，较高的平均血糖水平、高BMI和患有呼吸道慢性疾病是与手术部位感染相关的因素。结论：坚持手术预防方案（Bundle）与手术部位感染率的降低有关。

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

Journal of perioperative practice Nursing-Medical and Surgical Nursing

CiteScore

1.60

自引率

0.00%

发文量

期刊介绍： The Journal of Perioperative Practice (JPP) is the official journal of the Association for Perioperative Practice (AfPP). It is an international, peer reviewed journal with a multidisciplinary ethos across all aspects of perioperative care. The overall aim of the journal is to improve patient safety through informing and developing practice. It is an informative professional journal which provides current evidence-based practice, clinical, management and educational developments for practitioners working in the perioperative environment. The journal promotes perioperative practice by publishing clinical research-based articles, literature reviews, topical discussions, advice on clinical issues, current news items and product information.