Study of the effect of use of IO-ban in cardiovascular surgery patient‘s in Surgical site infection in Super speciality hospital of central India

Dr. AA. Baviskar; Dr. A. Badikal; Dr. Amol Thakre

Volume : VII, Issue : II, February - 2018

Study of the effect of use of IO-ban in cardiovascular surgery patient‘s in Surgical site infection in Super speciality hospital of central India

Dr. Aa. Baviskar, Dr. A. Badikal, Dr. Amol Thakre

Abstract :

Introduction: Sternal wound infections and mediastinitis after cardiac surgery was most serious complication observed among patients. Objective of the study was to see efficacy of iodine-impregnated incision drapes to assess their value in the prevention of SSI. Methodology: The present retrospective study was done at department of Cardiovascular thoracic surgery; Super speciality Hospital Nagpur. Total 102 cases operated from June 2016 to June 2017 in our centre were included in the study. Patients were followed for the prevalence of sternal wound infections (SWI) and/or donor site infections (DSI) for 90 days after cardiac surgery. Results: Mean age of study participants were 60.5 years with standard deviation of 11.2. Majority of patients underwent coronary artery bypass grafting i.e. 72 (70.5%) followed by valve replacements i.e. in 14 (13.7%). Surgical site infection was seen in 22 (21.5 %) cases. Among them sternal wound infection was in 13 (12.7%) cases and 9 (8.8%) cases were having donor site infections. Conclusion: Use of closed sterile dressing, antibiotic impregnated suture, and an additional wound barrier seal may provide the most conducive environment for decreasing SSI, although further studies are warranted.