Some epidemiological aspects of infectious and inflammatory complications of cardiac surgery with sternal access: literature review

Abstract

Literature data on the mechanisms of sternal wound infection during open-heart surgery with sternal access are discussed. The possibilities of both exo-and endogenous contamination of the surgical site by gram-positive and gram-negative bacteria of various species are emphasized. The increasing role of endogenous mechanisms of sternal wound colonization after cardiac surgery is noted. At the same time, translocation of bacteria from various biotopes of patients is possible. In this regard, the prevention of infectious and inflammatory complications is recommended to carry out adequate decontamination during patient preoperative preparation.

Keywords

cardiac surgery / infectious complications / sternal wound

References

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