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616.9-022:616.12-089 (1) |
Boli transmisibile. Boli infecţionase şi contagioase, stări febrile (585) |
Patologia sistemului circulator, a vaselor sanguine. Tulburări cardiovasculare (975) |
SM ISO690:2012 NAGHITA, Varvara, PLATAȘ, Victor, CHEPTANARU, Eduard, CIUBOTARU, Anatol, ŢURCAN, Aurel. Influence of nosocomial infection on the postoperative evolution in cardiac surgery. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 122. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.9-022:616.12-089 | ||||||
Pag. 122-122 | ||||||
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Background. Nosocomial infections (NI) are a major cause of global morbidity with a significant economic and human impact, by prolonging the period of hospitalization and increasing costs. In the US, it has been estimated that 9 out of 100 patients get an NI, the European Centers for Disease Control reports that 5.7% of hospitalizations have an NI. Objective of the study. To establish the incidence of nosocomial infections in cardiac surgery, with the most common pathogens encountered, and their influence on the postoperative evolution, morbidity and mortality. Material and Methods. Analysis of 169 operated patients in the Cardiac Surgery Department of Republican Clinical Hospital „T. Mosneaga” during October 2021-March 2022. Patients divided according to hospitalization type: scheduled (L1)/ emergencies transferred from other hospitals (L2). By descriptive analysis were examined the pre-/postoperative bacterial samples, and the association between positive preoperative samples and postoperative septic complications. Results. There are 150 patients in L1 and 19 in L2. Admission bacterial samples were taken 10% of patients in L1 vs 73.7% in L2. 66.6% positive samples were obtained in L1 vs. 78.5% in L2. Septic complications in L1-10% and lethality 0% vs. L2: septic complications - 100%, lethality 36.4%. 75% of patients with negative samples at hospitalization had postoperative septic complications. In L1- habitual bacteria with multiple sensitivity vs L2 – Ac. baumanii (25%), Kl. pneumonia (18.7%), Ps. aeruginosa (12.5%), St. epidermis (18.7%) - all without sensitivity. Total septic complications presented: pneumonia 85%, sepsis - 42.8%, wound infection - 28.5%. For patients without septic complications, the average duration of hospitalization 10 days (±2) vs. 21 days (± 4 days) in patients with septic complications. Conclusion. Patients who were transferred by emergency from other medical institutions have nosocomial infections without sensitivity compared to scheduled hospitalizations, which is directly associated with a higher rate of septic complications and lethality. |
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Cuvinte-cheie nosocomial infections, septic complications, cardiac surgery, infecții nosocomiale, complicații septice, cardiochirurgie |
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