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10.1111/aas.13360 http://scihub22266oqcxt.onion/10.1111/aas.13360 30888057/?report=reader!6619098!30888057     free     free     free Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 217.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 251.2 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Acta+Anaesthesiol+Scand 2019 ; 63 (7): 871-878 Nephropedia Template TP {{tp|p=30888057|t=2019. Infections and outcomes after cardiac surgery-The impact of outbreaks traced to transesophageal echocardiography probes |pdf=|usr=}}{{30888057}} gab.com Text Infections and outcomes after cardiac surgery-The impact of outbreaks traced to transesophageal echocardiography probes JO: Acta Anaesthesiol Scand http://www.kidney.de/pget.php?&tw=1&pmid=30888057 #FOAvip BACKGROUND: 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. Twit Text FOAVip Infections and outcomes after cardiac surgery-The impact of outbreaks traced to transesophageal echocardiography probes ????Acta Anaesthesiol Scand http://www.kidney.de/pget.php?&tw=1&pmid=30888057 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=30888057 #FOAvip English Wikipedia <ref>{{Cite pmid|30888057}}</ref> Infections and outcomes after cardiac surgery-The impact of outbreaks traced to transesophageal echocardiography probes #MMPMID30888057 Vesteinsdottir E; Helgason KO; Sverrisson KO; Gudlaugsson O; Karason S Acta Anaesthesiol Scand 2019[Aug]; 63 (7): 871-878 PMID30888057show ga BACKGROUND: 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. |Age Factors[MESH] |Aged[MESH] |Cardiac Surgical Procedures/*adverse effects[MESH] |Cohort Studies[MESH] |Diabetes Mellitus, Type 1/complications[MESH] |Disease Outbreaks[MESH] |Echocardiography, Transesophageal/*instrumentation/*methods[MESH] |Enterococcus faecalis[MESH] |Female[MESH] |Gram-Positive Bacterial Infections/epidemiology/microbiology/mortality[MESH] |Humans[MESH] |Klebsiella Infections/epidemiology/microbiology/mortality[MESH] |Male[MESH] |Middle Aged[MESH] |Operative Time[MESH] |Pneumonia/epidemiology/etiology[MESH] |Postoperative Complications/*epidemiology/*etiology/microbiology[MESH] |Pseudomonas Infections/epidemiology/microbiology/mortality[MESH] |Retrospective Studies[MESH] |Risk Factors[MESH]Infections and outcomes after cardiac surgery-The impact of outbreaks (epmc).pdf DeepDyve Pubget Overpricing