Risk factors associated with surgical site infection in pediatric open-heart surgery at Hanoi Heart Hospital
Main Article Content
Abstract
Surgical site infection (SSI) following open-heart surgery increases mortality rates, prolongs antibiotic use, extends postoperative hospitalization, and elevates healthcare costs compared to non-SSI cases. We conducted a cross-sectional descriptive study on 350 pediatric patients undergoing open-heart surgery at Hanoi Heart Hospital from April 2024 to February 2025. The results identified 20 cases (5.7%) of SSI, including 6 cases of superficial SSI and 14 cases of deep SSI. The incidence of SSI was higher in patients with cyanotic congenital heart disease (OR = 7.3), preoperative infection (OR = 2.5), vasoactive-inotropic score (VIS) ≥ 15 (OR = 4.6), sternal reopening (OR = 41), and in neonates younger than one month old (p < 0.05). Univariate analysis revealed that risk factors for SSI included age < 1 month old, cyanotic congenital heart disease, intraoperative blood transfusion volume, postoperative mechanical ventilation duration, and postoperative sternal reopening. Multivariate analysis identified age < 1 month old as an independent risk factor for SSI.
Article Details
Keywords
Surgical site infection, open-heart surgery, pediatric, associated risk factors
References
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