Surgical Site Infection in Pediatric Patients Undergoing Cardiac Surgery with Delayed Sternal Closure: Experience from a Center in Chile (2015–2020)

Simple item page
dc.catalogadorvzp
dc.contributor.authorJiménez Paredes, Daniela
dc.contributor.authorValderrama E., Paulo
dc.contributor.authorCorrea Irarrázaval, Nicolas
dc.contributor.authorCerda Lorca, Jaime Rodrigo
dc.contributor.authorRiquelme Parada, Maria Ines
dc.contributor.authorBecker Rencoret, Pedro Antonio German
dc.contributor.authorGonzalez Foretic, Rodrigo Vicente
dc.contributor.authorScheu Goncalves, Christian Andrés
dc.contributor.authorClaveria Rodríguez, Cristian
dc.date.accessioned2025-11-05T14:31:41Z
dc.date.available2025-11-05T14:31:41Z
dc.date.issued2025
dc.description.abstractDelayed sternal closure (DSC) is a technique used in complex cardiac surgery (CCS) and is associated with an increased risk of surgical site infection (SSI). SSI increases hospital stay and healthcare costs, with an incidence ranging from 1.5% to 34%. To determine the SSI rate and associated risk factors in patients with congenital heart disease (CHD) undergoing CCS with DSC between January 2015 and December 2020, and to compare them with previous results, before the implementation of measures by the Healthcare-Associated Infections Committee (HAIC). A descriptive study was conducted inpatients under 18 years of age who required DSC between 2015 and 2020 at the Hospital of Pontifical Catholic University of Chile, meeting the Chilean Ministry of Health’s definition of SSI. SSI rates were compared between the periods 2009–2010 and 2015–2020 using the Poisson rate ratio. A total of 1,471 surgeries were performed, of which 138 (9.38%) required DSC and 6 (4.34%) presented SSI. 67% were males older than 7 days, with one patient premature. 66.7% had extracorporeal circulation (ECC)>200 min and 83.3% required mechanical ventilation (MV)>5 days. Several SSI-causingmicroorganisms were identified. Comparing both studies, a decrease in the prevalence of SSI in DSC was found from 22% to 4.3%, with a rate ratio of 5.16 (95% IC 1.83–16.54, p=0.001), with no significant differences in the risk factors identified in the initial study (ECC>200 min and MV>5 days). The SSI rate was 4.34%, a significant decrease compared to the previous study, attributed to improvements in cardiovascular management and IAAS Committee measures.
dc.format.extent7 páginas
dc.fuente.origenORCID
dc.identifier.doi10.1007/s00246-025-04080-4
dc.identifier.urihttps://doi.org/10.1007/s00246-025-04080-4
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/106520
dc.information.autorucEscuela de Medicina; Jiménez Paredes, Daniela; S/I; 1044219
dc.information.autorucEscuela de Medicina; Correa Irarrázaval, Nicolas; S/I; 93691
dc.information.autorucEscuela de Medicina; Cerda Lorca, Jaime Rodrigo; 0000-0003-3463-8304; 3935
dc.information.autorucEscuela de Enfermería; Riquelme Parada, Maria Ines; S/I; 116881
dc.information.autorucEscuela de Medicina; Becker Rencoret, Pedro Antonio German; S/I; 77763
dc.information.autorucEscuela de Medicina; Gonzalez Foretic, Rodrigo Vicente; S/I; 1006371
dc.information.autorucEscuela de Medicina; Scheu Goncalves, Christian Andrés; 0000-0002-8284-2433; 11940
dc.information.autorucEscuela de Medicina; Claveria Rodríguez, Cristian; 0000-0001-5058-8082; 68215
dc.language.isoen
dc.nota.accesocontenido parcial
dc.revistaPediatric Cardiology
dc.rightsacceso restringido
dc.subjectSurgical site infection
dc.subjectDelayed sternal closure
dc.subjectPediatric cardiac surgery
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleSurgical Site Infection in Pediatric Patients Undergoing Cardiac Surgery with Delayed Sternal Closure: Experience from a Center in Chile (2015–2020)
dc.typeartículo
sipa.codpersvinculados1044219
sipa.codpersvinculados93691
sipa.codpersvinculados3935
sipa.codpersvinculados116881
sipa.codpersvinculados77763
sipa.codpersvinculados1006371
sipa.codpersvinculados11940
sipa.codpersvinculados68215
sipa.trazabilidadORCID;2025-11-03
Files
Collections
Artículos de revistas