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Mortality rate, length of stay and extra cost of sternal surgical site infections following coronary artery bypass grafting in a private medical centre in Turkey
- Source :
- Journal of Hospital Infection. 60:176-179
- Publication Year :
- 2005
- Publisher :
- Elsevier BV, 2005.
-
Abstract
- Florence Nightingale Hospital is a 300-bed university-affiliated private medical centre with a large open heart surgery programme in Istanbul Turkey. In this study the mortality rates lengths of stay (LOS) and extra costs of patients with deep sternal surgical site infections (DSSSIs) and superficial sternal surgical site infections (SSSSIs) following coronary artery bypass grafting (CABG) were determined from January 1999 to December 2002. Group I included 52 patients with DSSSIs Group II included 36 patients with SSSSIs and Group III included 88 controls. The controls were selected at random from patients operated within the same year with the same sex and age within five years but who had not developed infection. Mortality rates in Groups I II and III were 19.2% 0% and 4.5% respectively the mortality rate in Group I was significantly different from that in Groups II and III (P < 0.005). LOS was 47 33 and 12 days for Groups I II and III respectively and LOS was statistically different for each group (P < 0.005). The costs of extra LOS antibiotics and radiological microbiological and other laboratory examinations for Groups I and II were US$6850.93 and US$3740.58 respectively. Both DSSSI and SSSSI following CABG extended the LOS and increased the cost and DSSSI was significantly associated with a high mortality rate. These results suggest the need for improved infection control measures to reduce SSSIs following CABG. As an important component of the extra cost is the extra LOS it is essential to shorten this period. This may be particularly applicable in patients with SSSSIs. (c) 2004 The Hospital Infection Society. Published by Elsevier Ltd. All rights reserved.
- Subjects :
- Male
Microbiology (medical)
Sternum
medicine.medical_specialty
Turkey
Bypass grafting
Coronary artery
Drug Costs
Hospitals, Private
Risk Factors
Surgical site
Cost analysis
Humans
Surgical Wound Infection
Medicine
Infection control
Hospital Mortality
Coronary Artery Bypass
Hospital Costs
Antibacterial agent
Academic Medical Centers
Cross Infection
Health Services Needs and Demand
Infection Control
Clinical Laboratory Techniques
business.industry
Mortality rate
Surgical wound
General Medicine
Length of Stay
Middle Aged
Skin Care
Anti-Bacterial Agents
Surgery
Radiography
Infectious Diseases
medicine.anatomical_structure
Case-Control Studies
Population Surveillance
Radiological weapon
Female
Surgical site infections
business
Artery
Subjects
Details
- ISSN :
- 01956701
- Volume :
- 60
- Database :
- OpenAIRE
- Journal :
- Journal of Hospital Infection
- Accession number :
- edsair.doi.dedup.....cb07ea0415d03c97158328949e57cbb8