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Extracorporeal Membrane Oxygenation-Related Nosocomial Infection after Cardiac Surgery in Adult Patients

Overview of attention for article published in Brazilian journal of cardiovascular surgery, January 2021
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Title
Extracorporeal Membrane Oxygenation-Related Nosocomial Infection after Cardiac Surgery in Adult Patients
Published in
Brazilian journal of cardiovascular surgery, January 2021
DOI 10.21470/1678-9741-2020-0068
Pubmed ID
Authors

Jing Wang, Liangshan Wang, Ming Jia, Zhongtao Du, Xiaotong Hou

Abstract

The evaluation of extracorporeal membrane oxygenation-related nosocomial infection (ECMO-related NI) in a homogeneous cohort remains scarce. This study analyzed ECMOrelated NI in adult patients who have undergone cardiac surgery. From January 2012 to December 2017, 322 adult patients who have received ECMO support after cardiac surgery were divided into the infection group (n=131) and the noninfection group (n=191). ECMO-related NI was evaluated according to demographic data, surgical procedures, and ECMO parameters. The incidence of ECMO-related NI was 85.4 cases per 1000 ECMO days. Acinetobacter baumannii was the most common pathogen causing blood stream infection and respiratory tract infection. Prolonged duration of surgery (P=0.042) and cardiopulmonary bypass assist (P=0.044) increased the risk of ECMO-related NI. Body mass index (odds ratio [OR]: 1.077; 95% confidence interval [CI]: 1.004-1.156; P=0.039) and duration of ECMO support (OR: 1.006; 95% CI: 1.003-1.009; P=0.0001) were the independent risk factors for ECMO-related NI. Duration of ECMO support > 144 hours (OR: 2.460; 95% CI: 1.155-7.238; P<0.0001) and ECMO-related NI (OR: 3.726; 95% CI: 1.274-10.895; P=0.016) increased significantly the risk of in-hospital death. Prolonged duration of ECMO support was an independent risk factor for NI. Surgical correcting latent causes of cardiopulmonary failure and shortening duration of ECMO whenever possible would reduce susceptibility to NI.

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Geographical breakdown

Country Count As %
Unknown 4 100%

Demographic breakdown

Readers by professional status Count As %
Unspecified 1 25%
Student > Ph. D. Student 1 25%
Other 1 25%
Unknown 1 25%
Readers by discipline Count As %
Unspecified 1 25%
Pharmacology, Toxicology and Pharmaceutical Science 1 25%
Medicine and Dentistry 1 25%
Unknown 1 25%