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European Journal of Cardio-Thoracic Surgery, Vol 9, 153-157, Copyright © 1995 by European Association for Cardio-thoracic Surgery
A Blanchard, M Hurni, P Ruchat, F Stumpe, A Fischer and H Sadeghi
Between January 1981 and December 1991, 4137 adult patients underwent
various cardiac procedures via a median sternotomy under cardiopulmonary
bypass. The overall infection rate was 1.33%, including superficial wound
infections (SWI) (1.18%) and deep sternal infection (DSI) (0.145%).
Pericardial and retrosternal suction drains with a vent allowed a better
drainage of blood and serosities and probably contributed to our low DSI
rate. Eleven factors predisposing to infection were evaluated by Fisher's
exact test. Only the operative urgency (P = 0.006), reexploration for
bleeding (P = 0.00001) and preoperative renal failure (P = 0.0005) were
statistically significant. Twenty of our infected patients had no risk
factors for infection. When the risk factors described in the literature
were applied to our infected patients, only one had no risk factor.
ARTICLES
Incidence of deep and superficial sternal infection after open heart surgery. A ten years retrospective study from 1981 to 1991
Department of Cardiovascular Surgery, CHUV, Lausanne, Switzerland.
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