Journal of Developmental Medicine(Electronic Version) 2016, Vol. 4 Issue (3): 162-165 DOI: |
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Research of performing comprehensive measures during perioperative period to prevent the incidence of wound infection in pediatric patients undergoing cardiac surgery |
WANG Gang, ZHOU Geng-xu, YIN Xiu, et al
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WANG Gang, ZHOU Geng-xu, YIN Xiu, WANG Hui, CHEN Xi, XIN Cheng-lei (Department of Cardiac Surgery, Bayi Children’s Hospital Affiliated to Chinese People's Liberation Army General Hospital, Beijing 100700, China)
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Abstract Objective To discuss the comprehensive measures during perioperative period for sternal wound infections in children undergoing cardiac surgery. Methods Patients from January 2013 to December 2014 who underwent cardiac surgery in our center were selected and randomly divided into the study group (n=337) and the control group (n=309). Study group received comprehensive measures to prevent wound infection; while control group received the routine measures. Results The weight of study group and control group was (5.3±1.2) and (5.0±1.3) kg; the age was (6.2±3.3) and (7.2±1.4) months; extracorporeal circulation ratio was 47.5% (160/337) and 46.9% (145/309); and delay closed chest ratio was 14.8% (50/337) and 19.4% (60/309). There was no significant difference about the above indicators between two groups (P>0.05). The infection incidence of Ⅰ、Ⅱ、Ⅲ type of study group and control group was 0.3% (1/337) and 0.6% (1/337), 0.0% (0/337) and 8.4% (26/309), 0.0% (0/337) and 1.0% (3/309); the average hospitalization days were (20.1±17.5) and (21.1± 15.5) d; the mean costs of hospitalization were (73 141±53 853) and (101 654±174 699) yuan. The above three indicators in study group were lower than control group (P<0.05). Conclusions Taking comprehensive preventive measures during perioperative period can greatly decrease the incidence of incision infection in pediatric patients undergoing cardiac surgery.
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Received: 22 February 2016
Published: 26 January 2018
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