Bazylev Vladlen Vladlenovich (MD, Chief Physician of the Federal State Budgetary Institution "Federal Center for Cardiovascular Surgery" of the Ministry of Health of the Russian Federation)
Shutov Dmitry Borisovich (Deputy Chief Medical Officer of the Federal State Budgetary Institution "Federal Center for Cardiovascular Surgery" of the Ministry of Health of the Russian Federation, Penza)
Medovshchikova Svetlana Evgenievna (an epidemiologist at the Federal State Budgetary Institution "Federal Center for Cardiovascular Surgery" of the Ministry of Health of the Russian Federation )
Astashkin Andrey Fedorovich (Head of the Organizational and Methodological Department, Statistician of the Federal State Budgetary Institution "Federal Center for Cardiovascular Surgery" of the Ministry of Health of the Russian Federation, Penza)
Karnakhin Vadim A. (a cardiovascular surgeon at the Cardiac Surgery Department No. 2, Federal State Budgetary Institution "Federal Center for Cardiovascular Surgery" of the Ministry of Health of the Russian Federation, Penza)
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Objective. To analyze the incidence of sternotomic wound infections after bimammary bypass surgery, identify potential predictors and find the most effective method of intraoperative topical application of vancomycin. Materials and methods: this prospective study included 7061 patients operated at the Federal State Budgetary Institution "FCSSH" of the Ministry of Health of Russia (Penza). The patients were divided into two groups. In the first group, there were 3,953 patients who either did not use vancomycin topically during surgery, or were used routinely. The second group included 2,775 patients in whom vancomycin was topically used only in the presence of risk factors. Results: the analysis of independent risk factors revealed three statistically significant predictors: age, BMI and the use of vancomycin according to indications. With an increase in the patient's age by 1 year, the chance of developing SSI increases by 4%. With an increase in the BMI value by 1 unit, the chance of developing SSI increases by 6%. The use of vancomycin according to indications reduces the chance of developing SSI by 26%. Conclusions: when performing bilateral internal mammary artery grafting, topical use of vancomycin in patients with risk factors for SSI reduces the chance of development by 26%.
Keywords:bimammary bypass surgery, sternal infection, vancomycin.
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Citation link:
Bazylev V. V., Shutov D. B., Medovshchikova S. E., Astashkin A. F., Karnakhin V. A. STRATEGY FOR THE PREVENTION OF STERNAL WOUND INFECTIONS AFTER BILATERAL INTERNAL // Современная наука: актуальные проблемы теории и практики. Серия: Естественные и Технические Науки. -2024. -№12. -С. 154-159 DOI 10.37882/2223-2966.2024.12.05 |
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