Post cardiac surgery sternal wound sepsis burden, risk factors and outcomes at Red Cross War Memorial Children's Hospital, Cape Town, South Africa: a five-year experience

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dc.contributor.advisorZühlke, Liesl
dc.contributor.advisorBrooks, A
dc.contributor.authorMpisane, Fefekazi
dc.date.accessioned2021-09-14T17:58:33Z
dc.date.available2021-09-14T17:58:33Z
dc.date.issued2021
dc.date.updated2021-09-14T07:41:03Z
dc.description.abstractPurpose Sternal wound infection (SWI) is associated with significant morbidity and mortality in postoperative cardiac patients. We aimed to describe the burden, risk factors and outcomes of SWI in post-operative paediatric cardiac patients at a tertiary children's hospital. Methods We conducted a retrospective record review of cardiac surgeries via median sternotomy over a five-year period to identify cases of SWI. Results Between 2012-16, 1319 patients underwent median sternotomy. Thirty-four (2.6%) patients developed SWI; eighteen (1.4%) patients developed deep sternal wound infection (DSWI), and sixteen (1.2%) developed superficial sternal wound infections (SSWI). Twenty-two (1.6%) of SWIs were apparent within a week post-surgery before discharge, the remaining were re-admitted post-discharge. Seven (0.5%) patients died from complications. Conclusion Significant morbidity was associated with SWI. Furthermore, with a mortality rate of 20 % in the case of DSWI. We strongly support quality improvement procedures such as the Sternal Wound Prevention Bundle (SWPB) that was introduced in late 2014. However, the rate of SWI implies that ongoing monitoring and evaluation of the SWPB is necessary and more stringent adherence to the protocol may result in better outcomes.
dc.identifier.apacitationMpisane, F. (2021). <i>Post cardiac surgery sternal wound sepsis burden, risk factors and outcomes at Red Cross War Memorial Children's Hospital, Cape Town, South Africa: a five-year experience</i>. (). ,Faculty of Health Sciences ,Department of Paediatrics and Child Health. Retrieved from http://hdl.handle.net/11427/33887en_ZA
dc.identifier.chicagocitationMpisane, Fefekazi. <i>"Post cardiac surgery sternal wound sepsis burden, risk factors and outcomes at Red Cross War Memorial Children's Hospital, Cape Town, South Africa: a five-year experience."</i> ., ,Faculty of Health Sciences ,Department of Paediatrics and Child Health, 2021. http://hdl.handle.net/11427/33887en_ZA
dc.identifier.citationMpisane, F. 2021. Post cardiac surgery sternal wound sepsis burden, risk factors and outcomes at Red Cross War Memorial Children's Hospital, Cape Town, South Africa: a five-year experience. . ,Faculty of Health Sciences ,Department of Paediatrics and Child Health. http://hdl.handle.net/11427/33887en_ZA
dc.identifier.risTY - Master Thesis AU - Mpisane, Fefekazi AB - Purpose Sternal wound infection (SWI) is associated with significant morbidity and mortality in postoperative cardiac patients. We aimed to describe the burden, risk factors and outcomes of SWI in post-operative paediatric cardiac patients at a tertiary children's hospital. Methods We conducted a retrospective record review of cardiac surgeries via median sternotomy over a five-year period to identify cases of SWI. Results Between 2012-16, 1319 patients underwent median sternotomy. Thirty-four (2.6%) patients developed SWI; eighteen (1.4%) patients developed deep sternal wound infection (DSWI), and sixteen (1.2%) developed superficial sternal wound infections (SSWI). Twenty-two (1.6%) of SWIs were apparent within a week post-surgery before discharge, the remaining were re-admitted post-discharge. Seven (0.5%) patients died from complications. Conclusion Significant morbidity was associated with SWI. Furthermore, with a mortality rate of 20 % in the case of DSWI. We strongly support quality improvement procedures such as the Sternal Wound Prevention Bundle (SWPB) that was introduced in late 2014. However, the rate of SWI implies that ongoing monitoring and evaluation of the SWPB is necessary and more stringent adherence to the protocol may result in better outcomes. DA - 2021_ DB - OpenUCT DP - University of Cape Town KW - Medicine LK - https://open.uct.ac.za PY - 2021 T1 - ETD: Post cardiac surgery sternal wound sepsis burden, risk factors and outcomes at Red Cross War Memorial Children's Hospital, Cape Town, South Africa: a five-year experience TI - ETD: Post cardiac surgery sternal wound sepsis burden, risk factors and outcomes at Red Cross War Memorial Children's Hospital, Cape Town, South Africa: a five-year experience UR - http://hdl.handle.net/11427/33887 ER -en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/33887
dc.identifier.vancouvercitationMpisane F. Post cardiac surgery sternal wound sepsis burden, risk factors and outcomes at Red Cross War Memorial Children's Hospital, Cape Town, South Africa: a five-year experience. []. ,Faculty of Health Sciences ,Department of Paediatrics and Child Health, 2021 [cited yyyy month dd]. Available from: http://hdl.handle.net/11427/33887en_ZA
dc.language.rfc3066eng
dc.publisher.departmentDepartment of Paediatrics and Child Health
dc.publisher.facultyFaculty of Health Sciences
dc.subjectMedicine
dc.titlePost cardiac surgery sternal wound sepsis burden, risk factors and outcomes at Red Cross War Memorial Children's Hospital, Cape Town, South Africa: a five-year experience
dc.typeMaster Thesis
dc.type.qualificationlevelMasters
dc.type.qualificationlevelMMed
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