Risk Factors of Vuorisalo et al for Surgical Site Infections in Coronary Artery Bypass Graft (CABG) Surgery Without Valve Procedure

 

Patient selection: CABG without valve procedure

 

Sites for surgical sites infection include:

(1) superficial incision for the donor site for blood vessels

(2) superficial incision for the chest area

(3) deep (organ space) for the chest area (mediastinum)

 

Risk factors for surgical site infection (SSI) include:

(1) body mass index (BMI) at an extreme (< 20 or >30 kg per square meter)

(2) female gender

(3) COPD

(4) diabetes (for SSI of chest area)

 

Avoidance of SSI involves:

(1) scrupulous skin preparation using an effective protocol

(2) use of effective prophylactic antibiotics

(3) special attention during emergency surgery