Infection

, Volume 40, Issue 4, pp 397–404

Surgical site infections after coronary artery bypass graft surgery: incidence, perioperative hospital stay, readmissions, and revision surgeries

  • M. Cristofolini
  • D. Worlitzsch
  • A. Wienke
  • R.-E. Silber
  • M. Borneff-Lipp
Clinical and Epidemiological Study

DOI: 10.1007/s15010-012-0275-0

Cite this article as:
Cristofolini, M., Worlitzsch, D., Wienke, A. et al. Infection (2012) 40: 397. doi:10.1007/s15010-012-0275-0
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Abstract

Purpose

High-tech operations performed in cardiac surgery are associated with an increased risk of surgical site infections. In this study, we investigated if surgical site infections following cardiac surgery influence revision surgeries and patients’ length of stay, and compared the results to German hospital infection surveillance data.

Methods

Over a period of 3 years, 2,621 patients of a cardiac surgery unit were enrolled following cardiac artery bypass graft surgery. Patients were examined for the incidence of surgical site infections, revision surgeries, and length of stay. The results were compared to the National Reference Center (NRC) data retrospectively.

Results

Of the observed population, 4.5 % suffer from surgical site infections, and in 7.7 % of the patients, revision surgery had to be performed. The length of stay was exceeded significantly for the patients with surgical site infections (average stay 14.5 vs. 42.2 days, p < 0.001). Compared to the NRC data, severe surgical site infections were not increased significantly.

Conclusion

Surgical site infections resulted in revision surgeries with a significantly increased inpatient stay. However, this increase did not differ significantly from comparable German university hospitals.

Keywords

Surgical site infectionCoronary artery bypass graft surgery (CABG)Length of stayReadmissionResternotomy

Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • M. Cristofolini
    • 1
  • D. Worlitzsch
    • 2
  • A. Wienke
    • 3
  • R.-E. Silber
    • 1
  • M. Borneff-Lipp
    • 2
  1. 1.Department of Cardiothoracic SurgeryHalle University Hospital (Saale)HalleGermany
  2. 2.Institute of Hygiene, Medical FacultyMartin-Luther-University Halle-WittenbergHalle (Saale)Germany
  3. 3.Institute of Medical Epidemiology, Biometry and Information Science, Medical FacultyUniversity of Halle-WittenbergHalleGermany