Infections and outcomes after cardiac surgery-The impact of outbreaks traced to transesophageal echocardiography probes.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
Helgason, Kristjan Orri
Sverrisson, Kristinn Orn
MetadataShow full item record
CitationInfections and outcomes after cardiac surgery-The impact of outbreaks traced to transesophageal echocardiography probes. 2019, 63(7):871-878 Acta Anaesthesiol Scand
AbstractBACKGROUND: Infections are a frequent complication of cardiac surgery. The intraoperative use of transesophageal echocardiography (TEE) may be an underrecognized risk factor for post-operative infections. The aim of this study was to investigate infection rates and outcomes after cardiac surgery in a nationwide cohort, especially in relation to periods where surface damaged TEE probes were used. METHODS: This was a retrospective, observational study at Landspitali University Hospital. All consecutive cardiac surgery patients from 1 January 2013 to 31 December 2017 were included. Patients' charts were reviewed for evidence of infection, post-operative complications or death. RESULTS: During the study period, 973 patients underwent cardiac surgery at Landspitali and 198 (20.3%) developed a post-operative infection. The most common infections were: Pneumonia (9.1%), superficial surgical site (5.7%), bloodstream (2.8%) and deep sternal wound (1.7%). Risk factors for developing an infection included: The duration of procedure, age, insulin-dependent diabetes, EuroScore II, reoperation for bleeding and an operation in a period with a surface damaged TEE probe in use. Twenty-two patients were infected with a multidrug resistant strain of Klebsiella oxytoca, 10 patients with Pseudomonas aeruginosa and two patients developed endocarditis with Enterococcus faecalis. All three pathogens were cultured from the TEE probe in use at respective time, after decontamination. The 30-day mortality rate in the patient cohort was 3.2%. CONCLUSIONS: The intraoperative use of surface damaged TEE probes caused two serious infection outbreaks in patients after cardiac surgery. TEE probes need careful visual inspection during decontamination and probe sheaths are recommended.
DescriptionTo access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Download
- Nosocomial outbreak of multidrug-resistant Pseudomonas aeruginosa caused by damaged transesophageal echocardiogram probe used in cardiovascular surgical operations.
- Authors: Seki M, Machida H, Yamagishi Y, Yoshida H, Tomono K
- Issue date: 2013 Aug
- A recurrent and transesophageal echocardiography-associated outbreak of extended-spectrum β-lactamase-producing <i>Enterobacter cloacae</i> complex in cardiac surgery patients.
- Authors: Van Maerken T, De Brabandere E, Noël A, Coorevits L, De Waegemaeker P, Ablorh R, Bouchez S, Herck I, Peperstraete H, Bogaerts P, Verhasselt B, Glupczynski Y, Boelens J, Leroux-Roels I
- Issue date: 2019
- Changes in the incidence and antimicrobial susceptibility of healthcare-associated infections in a New York hospital system, 2006-2012.
- Authors: Cohen B, Liu J, Larson E
- Issue date: 2017 Dec
- A retrospective non-randomized study on the impact of INTEGUSEAL, a preoperative microbial skin sealant, on the rate of surgical site infections after cardiac surgery.
- Authors: Dohmen PM, Gabbieri D, Weymann A, Linneweber J, Geyer T, Konertz W
- Issue date: 2011 Jun
- Mediastinitis after cardiac surgery in Madani Heart Center, Tabriz, Iran.
- Authors: Ghotaslou R, Yagoubi AR, Khalili AA, Mahmodian R
- Issue date: 2008 Jul