Volume : 7, Issue : 2, February - 2018

Study of the effect of use of IO-ban in cardiovascular surgery patient‘s in Surgical site infection in Super speciality hospital of central India

Dr. Aa. Baviskar, Dr. A. Badikal, Dr. Amol Thakre

Abstract :

<p>&nbsp;</p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify;line-height:200%"><b><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:200%;mso-bidi-font-family:Calii;mso-bidi-theme-font:minor-latin;&#10;color:#222222;background:white">Introduction:</span></b><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;mso-bidi-font-family:Calii;&#10;mso-bidi-theme-font:minor-latin;color:#222222;background:white"> Sternal wound infections and mediastinitis after cardiac surgery was most serious complication observed among patients. </span><span lang="EN-IN" style="font-size:&#10;12.0pt;line-height:200%;mso-bidi-font-family:Calii;mso-bidi-theme-font:minor-latin">Objective of the study was to see efficacy of iodine-impregnated incision drapes to assess their value in the prevention of SSI. <b>Methodology:</b> </span><span lang="EN-IN" style="font-size:12.0pt;line-height:200%">The present retrospective study was done at d<span style="color:black;mso-themecolor:text1">epartment of Cardiovascular thoracic surgery; Super speciality Hospital Nagpur.</span></span><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;mso-fareast-font-family:&#10;&quot;Times New Roman&quot;;mso-fareast-theme-font:minor-fareast;color:black;mso-themecolor:&#10;text1;mso-font-kerning:12.0pt"> Total 102 cases operated from June 2016 to June 2017 in our centre were included in the study. </span><span lang="EN-IN" style="font-size:12.0pt;line-height:200%;mso-fareast-font-family:&quot;Times New Roman&quot;;&#10;mso-fareast-theme-font:minor-fareast;mso-bidi-font-family:&quot;Times New Roman&quot;;&#10;color:black;mso-themecolor:text1;mso-font-kerning:12.0pt"><span style="mso-spacerun:yes">&nbsp;</span>Patients were followed for the prevalence of sternal wound infections (SWI) and/or donor site infections (DSI) for 90 days after cardiac surgery.<span style="mso-spacerun:yes">&nbsp; </span><b>Results: </b></span><span lang="EN-IN" style="font-size:12.0pt;line-height:200%"><span style="mso-spacerun:yes">&nbsp;</span><span style="mso-spacerun:yes">&nbsp;</span>Mean age of study participants were 60.5 years with standard deviation of 11.2. Majority of patients underwent coronary artery bypass grafting i.e. 72 (70.5%) followed by valve replacements i.e. in 14 (13.7%).<span style="mso-spacerun:yes">&nbsp; </span>Surgical site infection was seen in 22 (21.5 %) cases. Among them sternal wound infection was in 13 (12.7%) cases and 9 (8.8%) cases were having donor site infections. <b>Conclusion: </b>Use of closed sterile dressing, antibiotic impregnated suture, and an additional wound barrier seal may provide the most conducive environment for decreasing SSI, although further studies are warranted.<b><o:p></o:p></b></span></p>