Incidence of Cell-Saver contamination during cardiopulmonary bypass
During regular bacteriological surveillance of cardiac surgical equipment and patients, the Cell Saver apparatus (CSA) was prospectively evaluated to determine if it represented an additional risk for infection. Nineteen patients were studied. After each operation, the effluent from the CSA was ster...
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| Veröffentlicht in: | The Annals of thoracic surgery 1989-07, Vol.48 (1), p.51-53 |
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| container_title | The Annals of thoracic surgery |
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| creator | Schwieger, Ian M. Gallagher, Christopher J. Finlayson, Donald C. Daly, William L. Maher, Kathryn L. |
| description | During regular bacteriological surveillance of cardiac surgical equipment and patients, the Cell Saver apparatus (CSA) was prospectively evaluated to determine if it represented an additional risk for infection. Nineteen patients were studied. After each operation, the effluent from the CSA was sterilely sealed for subsequent culture. A total of 42 aerobic and 42 anaerobic cultures were nude. Postoperatively all patients were evaluated daily for four days and before discharge for clinical evidence of infection. Four patients had positive CSA cultures without evidence of postoperative clinical infection. Five patients in whom postoperative infectious complications developed had negative CSA cultures. Ten patients had negative CSA cultures and no evidence of postoperative infection. We conclude that the CSA does not appear to contribute to the risk of infection in cardiac surgical patients and that it is a safe adjunct to cardiac surgery. |
| doi_str_mv | 10.1016/0003-4975(89)90175-6 |
| format | Article |
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Nineteen patients were studied. After each operation, the effluent from the CSA was sterilely sealed for subsequent culture. A total of 42 aerobic and 42 anaerobic cultures were nude. Postoperatively all patients were evaluated daily for four days and before discharge for clinical evidence of infection. Four patients had positive CSA cultures without evidence of postoperative clinical infection. Five patients in whom postoperative infectious complications developed had negative CSA cultures. Ten patients had negative CSA cultures and no evidence of postoperative infection. We conclude that the CSA does not appear to contribute to the risk of infection in cardiac surgical patients and that it is a safe adjunct to cardiac surgery.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/0003-4975(89)90175-6</identifier><identifier>PMID: 2764600</identifier><identifier>CODEN: ATHSAK</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Anesthesia ; Anesthesia depending on type of surgery ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Bacterial Infections - transmission ; Biological and medical sciences ; Blood Transfusion, Autologous - instrumentation ; Cardiopulmonary Bypass ; Centrifugation - instrumentation ; Equipment Contamination ; Female ; Humans ; Intraoperative Care - instrumentation ; Male ; Medical sciences ; Middle Aged ; Postoperative Complications - etiology ; Prospective Studies ; Risk Factors ; Thoracic and cardiovascular surgery. 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Nineteen patients were studied. After each operation, the effluent from the CSA was sterilely sealed for subsequent culture. A total of 42 aerobic and 42 anaerobic cultures were nude. Postoperatively all patients were evaluated daily for four days and before discharge for clinical evidence of infection. Four patients had positive CSA cultures without evidence of postoperative clinical infection. Five patients in whom postoperative infectious complications developed had negative CSA cultures. Ten patients had negative CSA cultures and no evidence of postoperative infection. We conclude that the CSA does not appear to contribute to the risk of infection in cardiac surgical patients and that it is a safe adjunct to cardiac surgery.</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia</subject><subject>Anesthesia depending on type of surgery</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Bacterial Infections - transmission</subject><subject>Biological and medical sciences</subject><subject>Blood Transfusion, Autologous - instrumentation</subject><subject>Cardiopulmonary Bypass</subject><subject>Centrifugation - instrumentation</subject><subject>Equipment Contamination</subject><subject>Female</subject><subject>Humans</subject><subject>Intraoperative Care - instrumentation</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Postoperative Complications - etiology</subject><subject>Prospective Studies</subject><subject>Risk Factors</subject><subject>Thoracic and cardiovascular surgery. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Bacterial Infections - transmission</topic><topic>Biological and medical sciences</topic><topic>Blood Transfusion, Autologous - instrumentation</topic><topic>Cardiopulmonary Bypass</topic><topic>Centrifugation - instrumentation</topic><topic>Equipment Contamination</topic><topic>Female</topic><topic>Humans</topic><topic>Intraoperative Care - instrumentation</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Postoperative Complications - etiology</topic><topic>Prospective Studies</topic><topic>Risk Factors</topic><topic>Thoracic and cardiovascular surgery. 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Nineteen patients were studied. After each operation, the effluent from the CSA was sterilely sealed for subsequent culture. A total of 42 aerobic and 42 anaerobic cultures were nude. Postoperatively all patients were evaluated daily for four days and before discharge for clinical evidence of infection. Four patients had positive CSA cultures without evidence of postoperative clinical infection. Five patients in whom postoperative infectious complications developed had negative CSA cultures. Ten patients had negative CSA cultures and no evidence of postoperative infection. We conclude that the CSA does not appear to contribute to the risk of infection in cardiac surgical patients and that it is a safe adjunct to cardiac surgery.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>2764600</pmid><doi>10.1016/0003-4975(89)90175-6</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Annals of thoracic surgery, 1989-07, Vol.48 (1), p.51-53 |
| issn | 0003-4975 1552-6259 |
| language | eng |
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| source | MEDLINE; Alma/SFX Local Collection; EZB Electronic Journals Library |
| subjects | Adult Aged Anesthesia Anesthesia depending on type of surgery Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Bacterial Infections - transmission Biological and medical sciences Blood Transfusion, Autologous - instrumentation Cardiopulmonary Bypass Centrifugation - instrumentation Equipment Contamination Female Humans Intraoperative Care - instrumentation Male Medical sciences Middle Aged Postoperative Complications - etiology Prospective Studies Risk Factors Thoracic and cardiovascular surgery. Cardiopulmonary bypass |
| title | Incidence of Cell-Saver contamination during cardiopulmonary bypass |
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