{"title":"[心血管外科手术中手术部位感染高风险患者的预防性负压伤口疗法]。","authors":"Shuji Nagatomi, Yuka Ito, Fumiya Ono, Ryo Imada, Yushi Yamashita, Naoki Tateishi, Yoshikazu Kawazu, Tamahiro Kinjo","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Deep sternal wound infection after cardiovascular surgery is one of the most devasting complications in both a short and long term. The addition of prophylactic negative pressure wound therapy( pNPWT) to standard surgical site infection( SSI) prophylaxis could be promising approach for the reduction of this problem.</p><p><strong>Methods: </strong>We evaluated 117 consecutive patients who underwent median sternotomy for cardiovascular surgery at our institution from July 2021 to December 2021. pNPWT with Prevena system was used for patients at high risk of SSI. The incidence of SSI was considered.</p><p><strong>Results: </strong>There were 50 patients in pNPWT group and 67 in the usual management group. The estimated risk of SSI was significantly higher in the pNPWT group (2.9±2.3% vs 1.7±1.3%, p<0.05), but there was no significant difference in the incidence of SSI.</p><p><strong>Conclusion: </strong>Prophylactic negative wound therapy in cardiovascular surgery may reduce the incidence of SSI to normal levels in a group of patients at high risk of SSI.</p>","PeriodicalId":17841,"journal":{"name":"Kyobu geka. The Japanese journal of thoracic surgery","volume":"77 13","pages":"1085-1089"},"PeriodicalIF":0.0000,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Prophylactic Negative Pressure Wound Therapy for Patients at High Risk of Surgical Site Infection in Cardiovascular Surgery].\",\"authors\":\"Shuji Nagatomi, Yuka Ito, Fumiya Ono, Ryo Imada, Yushi Yamashita, Naoki Tateishi, Yoshikazu Kawazu, Tamahiro Kinjo\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Deep sternal wound infection after cardiovascular surgery is one of the most devasting complications in both a short and long term. The addition of prophylactic negative pressure wound therapy( pNPWT) to standard surgical site infection( SSI) prophylaxis could be promising approach for the reduction of this problem.</p><p><strong>Methods: </strong>We evaluated 117 consecutive patients who underwent median sternotomy for cardiovascular surgery at our institution from July 2021 to December 2021. pNPWT with Prevena system was used for patients at high risk of SSI. The incidence of SSI was considered.</p><p><strong>Results: </strong>There were 50 patients in pNPWT group and 67 in the usual management group. The estimated risk of SSI was significantly higher in the pNPWT group (2.9±2.3% vs 1.7±1.3%, p<0.05), but there was no significant difference in the incidence of SSI.</p><p><strong>Conclusion: </strong>Prophylactic negative wound therapy in cardiovascular surgery may reduce the incidence of SSI to normal levels in a group of patients at high risk of SSI.</p>\",\"PeriodicalId\":17841,\"journal\":{\"name\":\"Kyobu geka. The Japanese journal of thoracic surgery\",\"volume\":\"77 13\",\"pages\":\"1085-1089\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-12-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Kyobu geka. The Japanese journal of thoracic surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Kyobu geka. The Japanese journal of thoracic surgery","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
摘要
背景：心血管手术后深胸骨伤口感染是短期和长期最具破坏性的并发症之一。预防性负压伤口治疗（pNPWT）加入标准手术部位感染（SSI）预防可能是减少这一问题的有希望的方法。方法：我们评估了从2021年7月至2021年12月在我院连续接受正中胸骨切开术进行心血管手术的117例患者。对SSI高危患者采用pNPWT和preva系统。考虑了SSI的发生率。结果：pNPWT组50例，常规治疗组67例。pNPWT组的SSI估计风险显著高于pNPWT组（2.9±2.3% vs 1.7±1.3%）。结论：心血管手术中预防性负性伤口治疗可将SSI高危患者的发生率降低至正常水平。
[Prophylactic Negative Pressure Wound Therapy for Patients at High Risk of Surgical Site Infection in Cardiovascular Surgery].
Background: Deep sternal wound infection after cardiovascular surgery is one of the most devasting complications in both a short and long term. The addition of prophylactic negative pressure wound therapy( pNPWT) to standard surgical site infection( SSI) prophylaxis could be promising approach for the reduction of this problem.
Methods: We evaluated 117 consecutive patients who underwent median sternotomy for cardiovascular surgery at our institution from July 2021 to December 2021. pNPWT with Prevena system was used for patients at high risk of SSI. The incidence of SSI was considered.
Results: There were 50 patients in pNPWT group and 67 in the usual management group. The estimated risk of SSI was significantly higher in the pNPWT group (2.9±2.3% vs 1.7±1.3%, p<0.05), but there was no significant difference in the incidence of SSI.
Conclusion: Prophylactic negative wound therapy in cardiovascular surgery may reduce the incidence of SSI to normal levels in a group of patients at high risk of SSI.
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