Impact of the implementation of an interdisciplinary infection control program to prevent surgical wound infection in pediatric heart surgery
Abstract Surgical site infection (SSI) remains a major source of morbidity, mortality, and increased health care costs in children undergoing heart surgery. The aim of this study was to assess the effectiveness of an intervention program designed to reduce the high incidence of SSI observed at our c...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Izquierdo-Blasco, Jaume [verfasserIn] Campins-Martí, Magda [verfasserIn] Soler-Palacín, Pere [verfasserIn] Balcells, Joan [verfasserIn] Abella, Raul [verfasserIn] Gran, Ferran [verfasserIn] Castillo, Félix [verfasserIn] Nuño, Rosario [verfasserIn] Sanchez-de-Toledo, Joan [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2015 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: European journal of pediatrics - Berlin : Springer Science & Business Media B.V., 1975, 174(2015), 7 vom: 05. Feb., Seite 957-963 |
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| Übergeordnetes Werk: |
volume:174 ; year:2015 ; number:7 ; day:05 ; month:02 ; pages:957-963 |
| Links: |
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| DOI / URN: |
10.1007/s00431-015-2493-9 |
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| Katalog-ID: |
SPR005802539 |
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| 520 | |a Abstract Surgical site infection (SSI) remains a major source of morbidity, mortality, and increased health care costs in children undergoing heart surgery. The aim of this study was to assess the effectiveness of an intervention program designed to reduce the high incidence of SSI observed at our center in pediatric patients. An interdisciplinary infection control program including pre-, intra-, and postoperative measures was introduced for children undergoing heart surgery with cardiopulmonary bypass. We conducted a quasi-experimental interventional study comparing a pre-intervention cohort (June 2009 to March 2010) and a post-intervention cohort (July 2011 to July 2012). A significant drop in SSI incidence from 10.9 % (95 % CI 4.7–18.8) to 1.92 % (95 % CI 0.4–5.52) was observed. Variables significantly associated with infection risk were median age (14 days in infected vs 2.3 years in non-infected patients; p < 0.01), hospitalization unit (10.3 % SSI cumulative incidence in the neonatal intensive care unit vs 0 cases in the pediatric intensive care unit; p < 0.01), and median preoperative hospital stay (14 days in infected vs 1 day in non-infected patients; p = 0.03). Conclusions: The implementation of a new intervention program was associated with an 82 % (95 % CI 34–94) reduction in SSI incidence in children undergoing heart surgery at our center. What is known:• Surgical site infection (SSI) is associated with significant morbidity and mortality following pediatric cardiac surgery.• Younger patients and longer cardiopulmonary bypass times are associated with higher SSI rates.What is New:• Comprehensive infection control program including preoperative, intraoperative and postoperative nonpharmacologic measures is a key factor for the prevention of SSI.• A significant reduction in SSI rates can be achieve despite a narrower-spectrum antibiotic usage. | ||
| 650 | 4 | |a Surgical site infection |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Heart surgery |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Prophylaxis |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Congenital heart defects |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Campins-Martí, Magda |e verfasserin |4 aut | |
| 700 | 1 | |a Soler-Palacín, Pere |e verfasserin |4 aut | |
| 700 | 1 | |a Balcells, Joan |e verfasserin |4 aut | |
| 700 | 1 | |a Abella, Raul |e verfasserin |4 aut | |
| 700 | 1 | |a Gran, Ferran |e verfasserin |4 aut | |
| 700 | 1 | |a Castillo, Félix |e verfasserin |4 aut | |
| 700 | 1 | |a Nuño, Rosario |e verfasserin |4 aut | |
| 700 | 1 | |a Sanchez-de-Toledo, Joan |e verfasserin |4 aut | |
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10.1007/s00431-015-2493-9 doi (DE-627)SPR005802539 (SPR)s00431-015-2493-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.67 bkl Izquierdo-Blasco, Jaume verfasserin aut Impact of the implementation of an interdisciplinary infection control program to prevent surgical wound infection in pediatric heart surgery 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Surgical site infection (SSI) remains a major source of morbidity, mortality, and increased health care costs in children undergoing heart surgery. The aim of this study was to assess the effectiveness of an intervention program designed to reduce the high incidence of SSI observed at our center in pediatric patients. An interdisciplinary infection control program including pre-, intra-, and postoperative measures was introduced for children undergoing heart surgery with cardiopulmonary bypass. We conducted a quasi-experimental interventional study comparing a pre-intervention cohort (June 2009 to March 2010) and a post-intervention cohort (July 2011 to July 2012). A significant drop in SSI incidence from 10.9 % (95 % CI 4.7–18.8) to 1.92 % (95 % CI 0.4–5.52) was observed. Variables significantly associated with infection risk were median age (14 days in infected vs 2.3 years in non-infected patients; p < 0.01), hospitalization unit (10.3 % SSI cumulative incidence in the neonatal intensive care unit vs 0 cases in the pediatric intensive care unit; p < 0.01), and median preoperative hospital stay (14 days in infected vs 1 day in non-infected patients; p = 0.03). Conclusions: The implementation of a new intervention program was associated with an 82 % (95 % CI 34–94) reduction in SSI incidence in children undergoing heart surgery at our center. What is known:• Surgical site infection (SSI) is associated with significant morbidity and mortality following pediatric cardiac surgery.• Younger patients and longer cardiopulmonary bypass times are associated with higher SSI rates.What is New:• Comprehensive infection control program including preoperative, intraoperative and postoperative nonpharmacologic measures is a key factor for the prevention of SSI.• A significant reduction in SSI rates can be achieve despite a narrower-spectrum antibiotic usage. Surgical site infection (dpeaa)DE-He213 Heart surgery (dpeaa)DE-He213 Prophylaxis (dpeaa)DE-He213 Congenital heart defects (dpeaa)DE-He213 Campins-Martí, Magda verfasserin aut Soler-Palacín, Pere verfasserin aut Balcells, Joan verfasserin aut Abella, Raul verfasserin aut Gran, Ferran verfasserin aut Castillo, Félix verfasserin aut Nuño, Rosario verfasserin aut Sanchez-de-Toledo, Joan verfasserin aut Enthalten in European journal of pediatrics Berlin : Springer Science & Business Media B.V., 1975 174(2015), 7 vom: 05. Feb., Seite 957-963 (DE-627)684135361 (DE-600)2647723-3 1432-1076 nnns volume:174 year:2015 number:7 day:05 month:02 pages:957-963 https://dx.doi.org/10.1007/s00431-015-2493-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.67 ASE AR 174 2015 7 05 02 957-963 |
| spelling |
10.1007/s00431-015-2493-9 doi (DE-627)SPR005802539 (SPR)s00431-015-2493-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.67 bkl Izquierdo-Blasco, Jaume verfasserin aut Impact of the implementation of an interdisciplinary infection control program to prevent surgical wound infection in pediatric heart surgery 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Surgical site infection (SSI) remains a major source of morbidity, mortality, and increased health care costs in children undergoing heart surgery. The aim of this study was to assess the effectiveness of an intervention program designed to reduce the high incidence of SSI observed at our center in pediatric patients. An interdisciplinary infection control program including pre-, intra-, and postoperative measures was introduced for children undergoing heart surgery with cardiopulmonary bypass. We conducted a quasi-experimental interventional study comparing a pre-intervention cohort (June 2009 to March 2010) and a post-intervention cohort (July 2011 to July 2012). A significant drop in SSI incidence from 10.9 % (95 % CI 4.7–18.8) to 1.92 % (95 % CI 0.4–5.52) was observed. Variables significantly associated with infection risk were median age (14 days in infected vs 2.3 years in non-infected patients; p < 0.01), hospitalization unit (10.3 % SSI cumulative incidence in the neonatal intensive care unit vs 0 cases in the pediatric intensive care unit; p < 0.01), and median preoperative hospital stay (14 days in infected vs 1 day in non-infected patients; p = 0.03). Conclusions: The implementation of a new intervention program was associated with an 82 % (95 % CI 34–94) reduction in SSI incidence in children undergoing heart surgery at our center. What is known:• Surgical site infection (SSI) is associated with significant morbidity and mortality following pediatric cardiac surgery.• Younger patients and longer cardiopulmonary bypass times are associated with higher SSI rates.What is New:• Comprehensive infection control program including preoperative, intraoperative and postoperative nonpharmacologic measures is a key factor for the prevention of SSI.• A significant reduction in SSI rates can be achieve despite a narrower-spectrum antibiotic usage. Surgical site infection (dpeaa)DE-He213 Heart surgery (dpeaa)DE-He213 Prophylaxis (dpeaa)DE-He213 Congenital heart defects (dpeaa)DE-He213 Campins-Martí, Magda verfasserin aut Soler-Palacín, Pere verfasserin aut Balcells, Joan verfasserin aut Abella, Raul verfasserin aut Gran, Ferran verfasserin aut Castillo, Félix verfasserin aut Nuño, Rosario verfasserin aut Sanchez-de-Toledo, Joan verfasserin aut Enthalten in European journal of pediatrics Berlin : Springer Science & Business Media B.V., 1975 174(2015), 7 vom: 05. Feb., Seite 957-963 (DE-627)684135361 (DE-600)2647723-3 1432-1076 nnns volume:174 year:2015 number:7 day:05 month:02 pages:957-963 https://dx.doi.org/10.1007/s00431-015-2493-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.67 ASE AR 174 2015 7 05 02 957-963 |
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10.1007/s00431-015-2493-9 doi (DE-627)SPR005802539 (SPR)s00431-015-2493-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.67 bkl Izquierdo-Blasco, Jaume verfasserin aut Impact of the implementation of an interdisciplinary infection control program to prevent surgical wound infection in pediatric heart surgery 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Surgical site infection (SSI) remains a major source of morbidity, mortality, and increased health care costs in children undergoing heart surgery. The aim of this study was to assess the effectiveness of an intervention program designed to reduce the high incidence of SSI observed at our center in pediatric patients. An interdisciplinary infection control program including pre-, intra-, and postoperative measures was introduced for children undergoing heart surgery with cardiopulmonary bypass. We conducted a quasi-experimental interventional study comparing a pre-intervention cohort (June 2009 to March 2010) and a post-intervention cohort (July 2011 to July 2012). A significant drop in SSI incidence from 10.9 % (95 % CI 4.7–18.8) to 1.92 % (95 % CI 0.4–5.52) was observed. Variables significantly associated with infection risk were median age (14 days in infected vs 2.3 years in non-infected patients; p < 0.01), hospitalization unit (10.3 % SSI cumulative incidence in the neonatal intensive care unit vs 0 cases in the pediatric intensive care unit; p < 0.01), and median preoperative hospital stay (14 days in infected vs 1 day in non-infected patients; p = 0.03). Conclusions: The implementation of a new intervention program was associated with an 82 % (95 % CI 34–94) reduction in SSI incidence in children undergoing heart surgery at our center. What is known:• Surgical site infection (SSI) is associated with significant morbidity and mortality following pediatric cardiac surgery.• Younger patients and longer cardiopulmonary bypass times are associated with higher SSI rates.What is New:• Comprehensive infection control program including preoperative, intraoperative and postoperative nonpharmacologic measures is a key factor for the prevention of SSI.• A significant reduction in SSI rates can be achieve despite a narrower-spectrum antibiotic usage. Surgical site infection (dpeaa)DE-He213 Heart surgery (dpeaa)DE-He213 Prophylaxis (dpeaa)DE-He213 Congenital heart defects (dpeaa)DE-He213 Campins-Martí, Magda verfasserin aut Soler-Palacín, Pere verfasserin aut Balcells, Joan verfasserin aut Abella, Raul verfasserin aut Gran, Ferran verfasserin aut Castillo, Félix verfasserin aut Nuño, Rosario verfasserin aut Sanchez-de-Toledo, Joan verfasserin aut Enthalten in European journal of pediatrics Berlin : Springer Science & Business Media B.V., 1975 174(2015), 7 vom: 05. Feb., Seite 957-963 (DE-627)684135361 (DE-600)2647723-3 1432-1076 nnns volume:174 year:2015 number:7 day:05 month:02 pages:957-963 https://dx.doi.org/10.1007/s00431-015-2493-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.67 ASE AR 174 2015 7 05 02 957-963 |
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10.1007/s00431-015-2493-9 doi (DE-627)SPR005802539 (SPR)s00431-015-2493-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.67 bkl Izquierdo-Blasco, Jaume verfasserin aut Impact of the implementation of an interdisciplinary infection control program to prevent surgical wound infection in pediatric heart surgery 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Surgical site infection (SSI) remains a major source of morbidity, mortality, and increased health care costs in children undergoing heart surgery. The aim of this study was to assess the effectiveness of an intervention program designed to reduce the high incidence of SSI observed at our center in pediatric patients. An interdisciplinary infection control program including pre-, intra-, and postoperative measures was introduced for children undergoing heart surgery with cardiopulmonary bypass. We conducted a quasi-experimental interventional study comparing a pre-intervention cohort (June 2009 to March 2010) and a post-intervention cohort (July 2011 to July 2012). A significant drop in SSI incidence from 10.9 % (95 % CI 4.7–18.8) to 1.92 % (95 % CI 0.4–5.52) was observed. Variables significantly associated with infection risk were median age (14 days in infected vs 2.3 years in non-infected patients; p < 0.01), hospitalization unit (10.3 % SSI cumulative incidence in the neonatal intensive care unit vs 0 cases in the pediatric intensive care unit; p < 0.01), and median preoperative hospital stay (14 days in infected vs 1 day in non-infected patients; p = 0.03). Conclusions: The implementation of a new intervention program was associated with an 82 % (95 % CI 34–94) reduction in SSI incidence in children undergoing heart surgery at our center. What is known:• Surgical site infection (SSI) is associated with significant morbidity and mortality following pediatric cardiac surgery.• Younger patients and longer cardiopulmonary bypass times are associated with higher SSI rates.What is New:• Comprehensive infection control program including preoperative, intraoperative and postoperative nonpharmacologic measures is a key factor for the prevention of SSI.• A significant reduction in SSI rates can be achieve despite a narrower-spectrum antibiotic usage. Surgical site infection (dpeaa)DE-He213 Heart surgery (dpeaa)DE-He213 Prophylaxis (dpeaa)DE-He213 Congenital heart defects (dpeaa)DE-He213 Campins-Martí, Magda verfasserin aut Soler-Palacín, Pere verfasserin aut Balcells, Joan verfasserin aut Abella, Raul verfasserin aut Gran, Ferran verfasserin aut Castillo, Félix verfasserin aut Nuño, Rosario verfasserin aut Sanchez-de-Toledo, Joan verfasserin aut Enthalten in European journal of pediatrics Berlin : Springer Science & Business Media B.V., 1975 174(2015), 7 vom: 05. Feb., Seite 957-963 (DE-627)684135361 (DE-600)2647723-3 1432-1076 nnns volume:174 year:2015 number:7 day:05 month:02 pages:957-963 https://dx.doi.org/10.1007/s00431-015-2493-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.67 ASE AR 174 2015 7 05 02 957-963 |
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10.1007/s00431-015-2493-9 doi (DE-627)SPR005802539 (SPR)s00431-015-2493-9-e DE-627 ger DE-627 rakwb eng 610 ASE 44.67 bkl Izquierdo-Blasco, Jaume verfasserin aut Impact of the implementation of an interdisciplinary infection control program to prevent surgical wound infection in pediatric heart surgery 2015 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Surgical site infection (SSI) remains a major source of morbidity, mortality, and increased health care costs in children undergoing heart surgery. The aim of this study was to assess the effectiveness of an intervention program designed to reduce the high incidence of SSI observed at our center in pediatric patients. An interdisciplinary infection control program including pre-, intra-, and postoperative measures was introduced for children undergoing heart surgery with cardiopulmonary bypass. We conducted a quasi-experimental interventional study comparing a pre-intervention cohort (June 2009 to March 2010) and a post-intervention cohort (July 2011 to July 2012). A significant drop in SSI incidence from 10.9 % (95 % CI 4.7–18.8) to 1.92 % (95 % CI 0.4–5.52) was observed. Variables significantly associated with infection risk were median age (14 days in infected vs 2.3 years in non-infected patients; p < 0.01), hospitalization unit (10.3 % SSI cumulative incidence in the neonatal intensive care unit vs 0 cases in the pediatric intensive care unit; p < 0.01), and median preoperative hospital stay (14 days in infected vs 1 day in non-infected patients; p = 0.03). Conclusions: The implementation of a new intervention program was associated with an 82 % (95 % CI 34–94) reduction in SSI incidence in children undergoing heart surgery at our center. What is known:• Surgical site infection (SSI) is associated with significant morbidity and mortality following pediatric cardiac surgery.• Younger patients and longer cardiopulmonary bypass times are associated with higher SSI rates.What is New:• Comprehensive infection control program including preoperative, intraoperative and postoperative nonpharmacologic measures is a key factor for the prevention of SSI.• A significant reduction in SSI rates can be achieve despite a narrower-spectrum antibiotic usage. Surgical site infection (dpeaa)DE-He213 Heart surgery (dpeaa)DE-He213 Prophylaxis (dpeaa)DE-He213 Congenital heart defects (dpeaa)DE-He213 Campins-Martí, Magda verfasserin aut Soler-Palacín, Pere verfasserin aut Balcells, Joan verfasserin aut Abella, Raul verfasserin aut Gran, Ferran verfasserin aut Castillo, Félix verfasserin aut Nuño, Rosario verfasserin aut Sanchez-de-Toledo, Joan verfasserin aut Enthalten in European journal of pediatrics Berlin : Springer Science & Business Media B.V., 1975 174(2015), 7 vom: 05. Feb., Seite 957-963 (DE-627)684135361 (DE-600)2647723-3 1432-1076 nnns volume:174 year:2015 number:7 day:05 month:02 pages:957-963 https://dx.doi.org/10.1007/s00431-015-2493-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.67 ASE AR 174 2015 7 05 02 957-963 |
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Enthalten in European journal of pediatrics 174(2015), 7 vom: 05. Feb., Seite 957-963 volume:174 year:2015 number:7 day:05 month:02 pages:957-963 |
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Enthalten in European journal of pediatrics 174(2015), 7 vom: 05. Feb., Seite 957-963 volume:174 year:2015 number:7 day:05 month:02 pages:957-963 |
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Surgical site infection Heart surgery Prophylaxis Congenital heart defects |
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European journal of pediatrics |
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Izquierdo-Blasco, Jaume @@aut@@ Campins-Martí, Magda @@aut@@ Soler-Palacín, Pere @@aut@@ Balcells, Joan @@aut@@ Abella, Raul @@aut@@ Gran, Ferran @@aut@@ Castillo, Félix @@aut@@ Nuño, Rosario @@aut@@ Sanchez-de-Toledo, Joan @@aut@@ |
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The aim of this study was to assess the effectiveness of an intervention program designed to reduce the high incidence of SSI observed at our center in pediatric patients. An interdisciplinary infection control program including pre-, intra-, and postoperative measures was introduced for children undergoing heart surgery with cardiopulmonary bypass. We conducted a quasi-experimental interventional study comparing a pre-intervention cohort (June 2009 to March 2010) and a post-intervention cohort (July 2011 to July 2012). A significant drop in SSI incidence from 10.9 % (95 % CI 4.7–18.8) to 1.92 % (95 % CI 0.4–5.52) was observed. Variables significantly associated with infection risk were median age (14 days in infected vs 2.3 years in non-infected patients; p < 0.01), hospitalization unit (10.3 % SSI cumulative incidence in the neonatal intensive care unit vs 0 cases in the pediatric intensive care unit; p < 0.01), and median preoperative hospital stay (14 days in infected vs 1 day in non-infected patients; p = 0.03). Conclusions: The implementation of a new intervention program was associated with an 82 % (95 % CI 34–94) reduction in SSI incidence in children undergoing heart surgery at our center. What is known:• Surgical site infection (SSI) is associated with significant morbidity and mortality following pediatric cardiac surgery.• Younger patients and longer cardiopulmonary bypass times are associated with higher SSI rates.What is New:• Comprehensive infection control program including preoperative, intraoperative and postoperative nonpharmacologic measures is a key factor for the prevention of SSI.• A significant reduction in SSI rates can be achieve despite a narrower-spectrum antibiotic usage.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Surgical site infection</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Heart surgery</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Prophylaxis</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">Congenital heart defects</subfield><subfield code="7">(dpeaa)DE-He213</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Campins-Martí, Magda</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Soler-Palacín, Pere</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Balcells, Joan</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Abella, Raul</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Gran, Ferran</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Castillo, Félix</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Nuño, Rosario</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="700" ind1="1" ind2=" "><subfield code="a">Sanchez-de-Toledo, Joan</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="773" ind1="0" ind2="8"><subfield code="i">Enthalten in</subfield><subfield code="t">European journal of pediatrics</subfield><subfield code="d">Berlin : Springer Science & Business Media B.V., 1975</subfield><subfield code="g">174(2015), 7 vom: 05. 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Izquierdo-Blasco, Jaume |
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Izquierdo-Blasco, Jaume ddc 610 bkl 44.67 misc Surgical site infection misc Heart surgery misc Prophylaxis misc Congenital heart defects Impact of the implementation of an interdisciplinary infection control program to prevent surgical wound infection in pediatric heart surgery |
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610 ASE 44.67 bkl Impact of the implementation of an interdisciplinary infection control program to prevent surgical wound infection in pediatric heart surgery Surgical site infection (dpeaa)DE-He213 Heart surgery (dpeaa)DE-He213 Prophylaxis (dpeaa)DE-He213 Congenital heart defects (dpeaa)DE-He213 |
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ddc 610 bkl 44.67 misc Surgical site infection misc Heart surgery misc Prophylaxis misc Congenital heart defects |
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ddc 610 bkl 44.67 misc Surgical site infection misc Heart surgery misc Prophylaxis misc Congenital heart defects |
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Impact of the implementation of an interdisciplinary infection control program to prevent surgical wound infection in pediatric heart surgery |
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Izquierdo-Blasco, Jaume |
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Izquierdo-Blasco, Jaume Campins-Martí, Magda Soler-Palacín, Pere Balcells, Joan Abella, Raul Gran, Ferran Castillo, Félix Nuño, Rosario Sanchez-de-Toledo, Joan |
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Izquierdo-Blasco, Jaume |
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impact of the implementation of an interdisciplinary infection control program to prevent surgical wound infection in pediatric heart surgery |
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Impact of the implementation of an interdisciplinary infection control program to prevent surgical wound infection in pediatric heart surgery |
| abstract |
Abstract Surgical site infection (SSI) remains a major source of morbidity, mortality, and increased health care costs in children undergoing heart surgery. The aim of this study was to assess the effectiveness of an intervention program designed to reduce the high incidence of SSI observed at our center in pediatric patients. An interdisciplinary infection control program including pre-, intra-, and postoperative measures was introduced for children undergoing heart surgery with cardiopulmonary bypass. We conducted a quasi-experimental interventional study comparing a pre-intervention cohort (June 2009 to March 2010) and a post-intervention cohort (July 2011 to July 2012). A significant drop in SSI incidence from 10.9 % (95 % CI 4.7–18.8) to 1.92 % (95 % CI 0.4–5.52) was observed. Variables significantly associated with infection risk were median age (14 days in infected vs 2.3 years in non-infected patients; p < 0.01), hospitalization unit (10.3 % SSI cumulative incidence in the neonatal intensive care unit vs 0 cases in the pediatric intensive care unit; p < 0.01), and median preoperative hospital stay (14 days in infected vs 1 day in non-infected patients; p = 0.03). Conclusions: The implementation of a new intervention program was associated with an 82 % (95 % CI 34–94) reduction in SSI incidence in children undergoing heart surgery at our center. What is known:• Surgical site infection (SSI) is associated with significant morbidity and mortality following pediatric cardiac surgery.• Younger patients and longer cardiopulmonary bypass times are associated with higher SSI rates.What is New:• Comprehensive infection control program including preoperative, intraoperative and postoperative nonpharmacologic measures is a key factor for the prevention of SSI.• A significant reduction in SSI rates can be achieve despite a narrower-spectrum antibiotic usage. |
| abstractGer |
Abstract Surgical site infection (SSI) remains a major source of morbidity, mortality, and increased health care costs in children undergoing heart surgery. The aim of this study was to assess the effectiveness of an intervention program designed to reduce the high incidence of SSI observed at our center in pediatric patients. An interdisciplinary infection control program including pre-, intra-, and postoperative measures was introduced for children undergoing heart surgery with cardiopulmonary bypass. We conducted a quasi-experimental interventional study comparing a pre-intervention cohort (June 2009 to March 2010) and a post-intervention cohort (July 2011 to July 2012). A significant drop in SSI incidence from 10.9 % (95 % CI 4.7–18.8) to 1.92 % (95 % CI 0.4–5.52) was observed. Variables significantly associated with infection risk were median age (14 days in infected vs 2.3 years in non-infected patients; p < 0.01), hospitalization unit (10.3 % SSI cumulative incidence in the neonatal intensive care unit vs 0 cases in the pediatric intensive care unit; p < 0.01), and median preoperative hospital stay (14 days in infected vs 1 day in non-infected patients; p = 0.03). Conclusions: The implementation of a new intervention program was associated with an 82 % (95 % CI 34–94) reduction in SSI incidence in children undergoing heart surgery at our center. What is known:• Surgical site infection (SSI) is associated with significant morbidity and mortality following pediatric cardiac surgery.• Younger patients and longer cardiopulmonary bypass times are associated with higher SSI rates.What is New:• Comprehensive infection control program including preoperative, intraoperative and postoperative nonpharmacologic measures is a key factor for the prevention of SSI.• A significant reduction in SSI rates can be achieve despite a narrower-spectrum antibiotic usage. |
| abstract_unstemmed |
Abstract Surgical site infection (SSI) remains a major source of morbidity, mortality, and increased health care costs in children undergoing heart surgery. The aim of this study was to assess the effectiveness of an intervention program designed to reduce the high incidence of SSI observed at our center in pediatric patients. An interdisciplinary infection control program including pre-, intra-, and postoperative measures was introduced for children undergoing heart surgery with cardiopulmonary bypass. We conducted a quasi-experimental interventional study comparing a pre-intervention cohort (June 2009 to March 2010) and a post-intervention cohort (July 2011 to July 2012). A significant drop in SSI incidence from 10.9 % (95 % CI 4.7–18.8) to 1.92 % (95 % CI 0.4–5.52) was observed. Variables significantly associated with infection risk were median age (14 days in infected vs 2.3 years in non-infected patients; p < 0.01), hospitalization unit (10.3 % SSI cumulative incidence in the neonatal intensive care unit vs 0 cases in the pediatric intensive care unit; p < 0.01), and median preoperative hospital stay (14 days in infected vs 1 day in non-infected patients; p = 0.03). Conclusions: The implementation of a new intervention program was associated with an 82 % (95 % CI 34–94) reduction in SSI incidence in children undergoing heart surgery at our center. What is known:• Surgical site infection (SSI) is associated with significant morbidity and mortality following pediatric cardiac surgery.• Younger patients and longer cardiopulmonary bypass times are associated with higher SSI rates.What is New:• Comprehensive infection control program including preoperative, intraoperative and postoperative nonpharmacologic measures is a key factor for the prevention of SSI.• A significant reduction in SSI rates can be achieve despite a narrower-spectrum antibiotic usage. |
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Impact of the implementation of an interdisciplinary infection control program to prevent surgical wound infection in pediatric heart surgery |
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| score |
7.399457 |