Negative pressure wound therapy in the treatment of surgical site infection in cardiac surgery

被引:1
作者
Oliveira, Mayra de Castro [1 ]
Takehana de Andrade, Alessandra Yuri [1 ]
Teresa Turrini, Ruth Natalia [1 ]
Poveda, Vanessa de Brito [1 ]
机构
[1] Univ Sao Paulo, Sao Paulo, SP, Brazil
关键词
Surgical Wound Infection; Negative-Pressure Wound Therapy; Sternotomy; Thoracic Surgical Procedures; Cardiology; VACUUM-ASSISTED CLOSURE; MAJOR MUSCLE FLAP; RISK-FACTORS; COMPLICATIONS; HOSPITALS;
D O I
10.1590/0034-7167-2019-0331
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Objectives: to describe the relationship between epidemiological and clinical characteristics of postoperative cardiac surgery patients undergoing negative pressure wound therapy for the treatment of surgical site infection. Methods: an observational, cross-sectional analytical study including a convenience sample consisting of medical records of patients undergoing sternal cardiac surgery with surgical site infection diagnosed in medical records treated by negative pressure wound therapy. Results: medical records of 117 patients, mainly submitted to myocardial revascularization surgery and with deep incisional surgical site infection (88; 75.2%). Negative pressure wound therapy was used on mean for 16 (+/- 9.5) days/patient; 1.7% had complications associated with therapy and 53.8% had discomfort, especially pain (93.6%). The duration of therapy was related to the severity of SSI (p=0.010) and the number of exchanges performed (p=0.045). Conclusions: negative pressure wound therapy has few complications, but with discomfort to patients.
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页数:7
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