2.50
Hdl Handle:
http://hdl.handle.net/10755/162032
Category:
Abstract
Type:
Presentation
Title:
Prevention and Control of Mediastinitis in Cardiac Surgery
Author(s):
De Mattia Rocha, Adelaide; de Fatima Silqueira, Salete; De Mattia, Ana Lucia; Moreira de Assis, Keila
Author Details:
Adelaide De Mattia Rocha, PhD, RN, Minas Gerais Federal University School of Nursing, Minas Gerais, Brazil, email: adelaide@enf.ufmg.br; Salete Maria de Fatima Silqueira; Ana Lucia De Mattia, PhD, RN; Keila Moreira de Assis, RN
Abstract:
Poster presented at AORN's 58th Annual Congress: It became evident through an integrative literature review that aspects of prevention and control of postoperative mediastinitis in cardiac surgery has been linked to major risk factors, such as being male, diabetes mellitus, and being of advanced age. The main agent in the cultures of the secretion was Staphylococcus aureus. The mortality from mediastinitis was on average 33%. The main forms of treatment were used to antimicrobial therapy and/or surgical debridement of the wound and duration of treatment on average was 25 days. A preventive measure in the surgical technique was seen as a determining factor. Emphasized were care related to surgical technique and skin disinfection. The control incidence for all authors surveyed was based on the knowledge and control of risk factors. The conclusion points to the difficult control of infection because it occurs intermittently and multifactorial etiology. As emphasis on aspects of preoperative prophylaxis: a clinical evaluation of patients preoperatively (infectious processes; lung preparation; minimum period of confinement preoperative skin preparation with antiseptic solution the night before and morning of surgery; glycemic control, defining the protocol for antibiotic prophylaxis; and more appropriate time for administration). intraoperatively suggested segregation of surgical instruments and excellence of surgical technique. postoperative care was emphasized for clinical stabilization of the patient and expert manipulation drains, catheters, bandages, and surgical incision.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2011
Conference Name:
AORN 58th Annual Congress
Conference Host:
Association of periOperative Registered Nurses
Conference Location:
Philadelphia, Pennsylvania, USA
Description:
AORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Center
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePrevention and Control of Mediastinitis in Cardiac Surgeryen_GB
dc.contributor.authorDe Mattia Rocha, Adelaideen_US
dc.contributor.authorde Fatima Silqueira, Saleteen_US
dc.contributor.authorDe Mattia, Ana Luciaen_US
dc.contributor.authorMoreira de Assis, Keilaen_US
dc.author.detailsAdelaide De Mattia Rocha, PhD, RN, Minas Gerais Federal University School of Nursing, Minas Gerais, Brazil, email: adelaide@enf.ufmg.br; Salete Maria de Fatima Silqueira; Ana Lucia De Mattia, PhD, RN; Keila Moreira de Assis, RNen_US
dc.identifier.urihttp://hdl.handle.net/10755/162032-
dc.description.abstractPoster presented at AORN's 58th Annual Congress: It became evident through an integrative literature review that aspects of prevention and control of postoperative mediastinitis in cardiac surgery has been linked to major risk factors, such as being male, diabetes mellitus, and being of advanced age. The main agent in the cultures of the secretion was Staphylococcus aureus. The mortality from mediastinitis was on average 33%. The main forms of treatment were used to antimicrobial therapy and/or surgical debridement of the wound and duration of treatment on average was 25 days. A preventive measure in the surgical technique was seen as a determining factor. Emphasized were care related to surgical technique and skin disinfection. The control incidence for all authors surveyed was based on the knowledge and control of risk factors. The conclusion points to the difficult control of infection because it occurs intermittently and multifactorial etiology. As emphasis on aspects of preoperative prophylaxis: a clinical evaluation of patients preoperatively (infectious processes; lung preparation; minimum period of confinement preoperative skin preparation with antiseptic solution the night before and morning of surgery; glycemic control, defining the protocol for antibiotic prophylaxis; and more appropriate time for administration). intraoperatively suggested segregation of surgical instruments and excellence of surgical technique. postoperative care was emphasized for clinical stabilization of the patient and expert manipulation drains, catheters, bandages, and surgical incision.en_GB
dc.date.available2011-10-27T08:44:35Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T08:44:35Z-
dc.conference.date2011en_US
dc.conference.nameAORN 58th Annual Congressen_US
dc.conference.hostAssociation of periOperative Registered Nursesen_US
dc.conference.locationPhiladelphia, Pennsylvania, USAen_US
dc.descriptionAORN 58th Annual Congress, 2011 held March 18, 2011 - March 24, 2011 in Philadelphia Convention Centeren_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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