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Resumo
Surgical wound infection is a significant complication in patients undergoing pediatric cardiac surgery, which can compromise the postoperative recovery process and increase morbidity. Several risk factors are associated with this condition, including patient characteristics, type of surgical procedure, hospital environment, and postoperative care practices. Understanding these factors is crucial to developing effective prevention strategies and optimizing clinical outcomes in this vulnerable population. Objective: To analyze and synthesize the available evidence on the risk factors for surgical wound infection in patients undergoing pediatric cardiac surgery. The aim is to identify patterns and gaps in the literature, contributing to a more comprehensive understanding of the elements that influence the occurrence of this specific complication. Methodology: The review was conducted following the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines. The PubMed, Scielo and Web of Science databases were consulted to identify studies published in the last 10 years, using the descriptors "pediatric heart surgery", "operative wound infection", "risk factors", "children" and "prevention ". Three inclusion criteria were established, considering original studies that addressed risk factors in pediatric cardiac surgery, while three exclusion criteria were applied to filter articles that did not meet the specific objectives of the review. Results: Results revealed a variety of risk factors, including patient age, length of surgery, presence of comorbidities, and infection control practices. The review highlighted the importance of specific preventive strategies for the pediatric population undergoing cardiac procedures. Conclusion: This systematic review provides a comprehensive overview of risk factors for surgical wound infection in pediatric cardiac surgery, emphasizing the need for personalized prevention approaches. The conclusions highlight the importance of targeting preventive interventions, adapting them to the unique characteristics of this population, aiming to improve clinical results and reduce the incidence of postoperative infections.
Referências
Ribeiro ACL, Siciliano RF, Lopes AA, Strabelli TMV. Risk Factors for Surgical Site Infection in Patients Undergoing Pediatric Cardiac Surgery. Arq Bras Cardiol. 2023 Dec;120(12):e20220592. Portuguese, English. doi: 10.36660/abc.20220592.
Goodenough CJ, Anderson KT, Cepeda A Jr, Smith KE, Hanfland RA, Wadhwa N, Teichgraeber JF, Greives MR. Impact of Cardiac Risk Factors in the Postsurgical Outcomes of Patients With Cleft Lip. J Craniofac Surg. 2021 May 1;32(3):944-946. doi: 10.1097/SCS.0000000000007349.
Shibamura-Fujiogi M, Ormsby J, Breibart M, Warf B, Priebe GP, Soriano SG, Sandora TJ, Yuki K. Risk factors for pediatric surgical site infection following neurosurgical procedures for hydrocephalus: a retrospective single-center cohort study. BMC Anesthesiol. 2021 Apr 21;21(1):124. doi: 10.1186/s12871-021-01342-5.
Catania VD, Boscarelli A, Lauriti G, Morini F, Zani A. Risk Factors for Surgical Site Infection in Neonates: A Systematic Review of the Literature and Meta-Analysis. Front Pediatr. 2019 Mar 29;7:101. doi: 10.3389/fped.2019.00101.
Li K, Li X, Si W, Cui Y, Xia H, Sun X, Song X, Liang H. Preoperative and operation-related risk factors for postoperative nosocomial infections in pediatric patients: A retrospective cohort study. PLoS One. 2019 Dec 23;14(12):e0225607. doi: 10.1371/journal.pone.0225607.
Crews JD, Mina M, Johnson E, Guillen J, Simmons J, Joshi A. Risk Factors for Surgical Site Infections Following Vertical Expandable Prosthetic Titanium Rib (VEPTR) Surgery in Children. Spine Deformation. 2018 Nov-Dec;6(6):791-796. doi: 10.1016/j.jspd.2018.03.016. P
Eeftinck Schattenkerk LD, Musters GD, Coultre SEL, de Jonge WJ, van Heurn LE, Derikx JP. Incisional hernia after abdominal surgery in infants: A retrospective analysis of incidence and risk factors. J Pediatr Surg. 2021 Nov;56(11):2107-2112. doi: 10.1016/j.jpedsurg.2021.01.037.
Caruso TJ, Wang EY, Schwenk H, Marquez JLS, Cahn J, Loh L, Shaffer J, Chen K, Wood M, Sharek PJ. A Postoperative Care Bundle Reduces Surgical Site Infections in Pediatric Patients Undergoing Cardiac Surgeries. Jt Comm J Qual Patient Saf. 2019 Mar;45(3):156-163. doi: 10.1016/j.jcjq.2018.05.009.
Katayanagi T. Nasal methicillin-resistant S. aureus is a major risk for mediastinitis in pediatric cardiac surgery. Ann Thorac Cardiovasc Surg. 2015;21(1):37-44. doi: 10.5761/atcs.oa.14-00157.
Mouws EMJP, de Groot NMS, van de Woestijne PC, de Jong PL, Helbing WA, van Beynum IM, Bogers AJJC. Tetralogy of Fallot in the Current Era. Semin Thorac Cardiovasc Surg. 2019 Autumn;31(3):496-504. doi: 10.1053/j.semtcvs.2018.10.015.
Lam S, Fridley J, Desai VR, Srinivasan VM, Jea A, Luerssen TG, Pan IW. Pediatric National Surgical Quality Improvement Program: Useful for Quality Improvement in Craniosynostosis Surgery? J Craniofac Surg. 2016 May;27(3):605-11. doi: 10.1097/SCS.0000000000002529.
Gadgil N, Pan IW, Babalola S, Lam S. Evaluating the National Surgical Quality Improvement Program-Pediatric Surgical Risk Calculator for Pediatric Craniosynostosis Surgery. J Craniofac Surg. 2018 Sep;29(6):1546-1550. doi: 10.1097/SCS.0000000000004654.
Woodward C, Taylor R, Son M, Taeed R, Husain SA. Efforts to Reduce Infections in Delayed Sternal Closure Patients: A Survey of Pediatric Practice. World J Pediatr Congenit Heart Surg. 2020 May;11(3):310-315. doi: 10.1177/2150135120907372.
Macher J, Gras Le Guen C, Chenouard A, Liet JM, Gaillard Le Roux B, Legrand A, Mahuet J, Launay E, Gournay V, Joram N. Preoperative Staphylococcus aureus Carriage and Risk of Surgical Site Infection After Cardiac Surgery in Younger Children than 1 year: A Pilot Cohort Study. Pediatr Cardiol. 2017 Jan;38(1):176-183. doi: 10.1007/s00246-016-1499-z.
Izquierdo-Blasco J, Campins-Martí M, Soler-Palacín P, Balcells J, Abella R, Gran F, Castillo F, Nuño R, Sanchez-de-Toledo J. Impact of the implementation of an interdisciplinary infection control program to prevent surgery wound infection in pediatric heart surgery. Eur J Pediatr. 2015 Jul;174(7):957-63. doi: 10.1007/s00431-015-2493-9.
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Copyright (c) 2024 Arthur Azeredo Labarba , Luiz Felipe Antônio Vieira Cavalcante , Jordana Clara Gomes Pedreira , Edward Rodrigues de Oliveira Filho , Cristiana Daniela de Souza , Julia Ferreira Junqueira , Érico Roberto Barbosa , Ana Carolina Dutra de Sousa , Héllida Patrícia Oliveira Camilo Pereira , Gabriel Raizama Obeid , Anthony Yuri Viana Pitanga , Charles Correa Gomes