Artículos de revistas
Post-operative mediastinitis in a Heart Hospital of Recife: contributions for nursing care
Fecha
2012Registro en:
REVISTA DA ESCOLA DE ENFERMAGEM DA USP, CERQUERA CESAR, v. 46, n. 4, supl., Part 1-2, pp. 863-869, AUG, 2012
0080-6234
Autor
Pereira de Andrada Magalhaes, Marina Gabriella
Outtes Alves, Ludmila Medeiros
de Moraes Alcantara, Lidianne Fabia
Muniz da Silva Bezerra, Simone Maria
Institución
Resumen
The objective of this study was to determine the prevalence of post-operative mediastinitis with the purpose to contribute to nursing care knowledge. To do this, an analysis was performed on 896 medical records of patients who underwent heart surgery involving sternotomy at the Cardiology Emergency Room of Recife-PE, in the period between June 2007 and June 2009. The following variables were considered: gender, age, type of surgery, personal history, length of stay, use of antibiotics, and culture of the surgical wound. A high death rate from mediastinitis was observed (33.3%). Several risk factors were identified, including: systemic arterial hypertension (80.9%); smoking (61.9%); diabetes mellitus (42.8%); and obesity (33.3%), most of which (76.2%) were identified in patients who underwent surgery for myocardial revascularization. It is concluded that mediastinitis is a serious infection that needs continuous nursing supervision and preventive measures to assure an early diagnosis and, thus, reduce mortality.