Some epidemiological aspects of infectious and inflammatory complications of cardiac surgery with sternal access: literature review

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Abstract

Literature data on the mechanisms of sternal wound infection during open-heart surgery with sternal access are discussed. The possibilities of both exo-and endogenous contamination of the surgical site by gram-positive and gram-negative bacteria of various species are emphasized. The increasing role of endogenous mechanisms of sternal wound colonization after cardiac surgery is noted. At the same time, translocation of bacteria from various biotopes of patients is possible. In this regard, the prevention of infectious and inflammatory complications is recommended to carry out adequate decontamination during patient preoperative preparation.

About the authors

Anatolii V. Kasatov

E.A. Vagner Perm State Medical University

Email: a.kasatov@gmail.com
ORCID iD: 0000-0001-6835-7063

Candidate of Medical Sciences, Associate Professor, Head of the Department of Hospital Surgery

Russian Federation, Perm

Eduard S. Gorowitz

E.A. Vagner Perm State Medical University

Author for correspondence.
Email: eduard.gorovitz@mail.ru
ORCID iD: 0000-0003-4320-8672
SPIN-code: 2880-6494

MD, PhD, Professor, Honored Scientist of the Russian Federation, Head of the Department of Microbiology and Virology

Russian Federation, Perm

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