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العنوان
Factors Affecting the Incidence of Wound Infection in Patients after Valve Replacement/
المؤلف
MBBCH,Mostafa Mohamed Elsayed, .
هيئة الاعداد
باحث / ¬مصطفي محمد السيد
مشرف / محسن محمد عبدالكريم
مشرف / ياسر شعبان محمد مبارك
مشرف / فيصل عمرو مراد
تاريخ النشر
2017.
عدد الصفحات
136.p;
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
1/10/2017
مكان الإجازة
جامعة عين شمس - كلية الطب - Cardiothoracic Sugary
الفهرس
Only 14 pages are availabe for public view

from 136

from 136

Abstract

Follow up the appropriate treatment for each type of SWI including repeated dressing and antibiotic with debridement for infected part in SSWI or VAC therapy and surgical debridement for DSWI.
The incidences of superficial sternal wound infection in 21 patients (19.44%) and deep sternal wound infection in 3 patients (2.77%). The causative organisms were staph. aureus in 33.33%, staph. epidermis in 16.66%, staph pyogenes in 25%, streptococcus epidermis in 4.16% and E-coli in 12.5%. There was no growth in 8.33%.
There are significant perioperative risk factors associated for sternal wound infection using regression analysis obesity, diabetes mellitus, elevated HA1c > 7%, history of hepatitis C, surgery for mitral valve disease, preoperative use of only one shower, no use of showering antiseptic, prolonged bypass time >120 min, blood loss > 500 ml in ICU, and prolonged mechanical ventilation > 12hours.