Risk factors for surgical wound infection and bacteraemia following coronary artery bypass surgery

Aust N Z J Surg. 2000 Jan;70(1):47-51. doi: 10.1046/j.1440-1622.2000.01742.x.

Abstract

Background: There has been no consensus from previous studies of risk factors for surgical wound infections (SWI) and postoperative bacteraemia for patients undergoing coronary artery bypass graft (CABG) surgery.

Methods: Data on 15 potential risk factors were prospectively collected on all patients undergoing CABG surgery during a 12-month period.

Results: Of 693 patients, 62 developed 65 SWI using the Centres for Disease Control definition: 23 were sternal wound infections and 42 were arm or leg wound infections at the site of conduit harvest. There were 19 episodes of postoperative bacteraemia. Multivariate analysis revealed that: (i) diabetes, obesity and previous cardiovascular procedure were independent predictors of SWI; and (ii) obesity was an independent risk factor for postoperative bacteraemia.

Conclusions: These findings suggest that improved diabetic control and pre-operative weight reduction may result in a decrease in the incidence of SWI. But further prospective studies need to be undertaken to examine (i) whether the increased SWI risk in diabetes occurs with both insulin- and non-insulin-requiring diabetes, and whether improved peri-operative diabetes control decreases SWI; and (ii) what degree of obesity confers a risk of SWI and postoperative bacteraemia, and whether pre-operative weight reduction, if a realistic strategy in this patient group, results in a decrease in SWI.

MeSH terms

  • Bacteremia / epidemiology
  • Bacteremia / etiology*
  • Bacteremia / microbiology
  • Coronary Artery Bypass*
  • Data Collection
  • Diabetes Complications
  • Humans
  • Methicillin Resistance
  • Multivariate Analysis
  • Obesity / complications
  • Postoperative Complications / epidemiology
  • Prospective Studies
  • Risk Factors
  • Smoking
  • Staphylococcus aureus / drug effects
  • Staphylococcus aureus / isolation & purification
  • Surgical Wound Infection / epidemiology
  • Surgical Wound Infection / etiology*
  • Surgical Wound Infection / microbiology