Patient skin contamination as a real predictor of postoperative infection


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Abstract

Healthcare-associated infections are a serious problem in the treatment and rehabilitation of cardiac surgery patients. Particular attention should be given to the nosocomial bacterial strains of the genus Acinetobacter and Klebsiella, which are resistant to antibiotics. The patients’ skin and environment after orthotopic heart transplantation were retrospectively analyzed for contamination with these microorganisms in the early postoperative period. The investigation used data on 194 patients operated on in the period January 1, 2013 to December 31, 2016. Postoperative contamination of the patients’ skin and environment was ascertained to increase the risk of blood bacterial infection (BBI) associated with these microorganisms by more than 3 times. Epidemiological monitoring of the patients’ skin and environment in the early postoperative period can be an effective prognostic tool for the prevention and reduction of the risk of BBI.

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About the authors

N. I Gabrielyan

Academician V.I. Shumakov National Research Center of Transplantology and Artificial Organs, Ministry of Health of Russia

Email: labgso@mail.ru
MD, Associate Professor, Head, Department of Endotoxicosis and Purulent-Septic Complications 1, Shchukinskaya St., Moscow123182, Russia Telephone: +7(495) 544-18-00

I. V Drabkina

Academician V.I. Shumakov National Research Center of Transplantology and Artificial Organs, Ministry of Health of Russia

Email: drabkina58@mail.ru
Bacteriologist, Laboratory of Bacteriology, Department Endotoxicosis and Purulent-septic Complications Moscow, Russia

V. M Zakharevich

Academician V.I. Shumakov National Research Center of Transplantology and Artificial Organs, Ministry of Health of Russia

Email: zaharslava@yandex.ru
MD, Chef Researcher, Doctor-Surgeon Moscow, Russia

R. Sh Saitgareev

Academician V.I. Shumakov National Research Center of Transplantology and Artificial Organs, Ministry of Health of Russia

Email: rinat.saitgareev@rambler.ru
MD, Head, Department of Cardiac Surgery Third Moscow, Russia

T. B Safonova

Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia

Email: pushok42@mail.ru
Cand. Med. Sci., Associate Professor, Department of Microbiology Moscow, Russia

M. I Petrukhina

Russian Medical Academy of Postgraduate Education, Ministry of Health of Russia

Email: epidrmapo@mail.ru
Cand. Med. Sci., Associate Professor, Department of Epidemiology Moscow, Russia

S. O Sharapchenko

Academician V.I. Shumakov National Research Center of Transplantology and Artificial Organs, Ministry of Health of Russia

Email: Nyashka1512@yandex.ru
Laboratory Assistant-Researcher, Department ofEndotoxicosis and Purulent-septic Complications Moscow, Russia

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