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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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