Perioperative infection control manual（cardiac surgery）

Abstract

Although routine cardiac surgery is clean surgery, surgical site infections (SSIs) can occur. The incidence of deep sternal wound infection(DSWI), which is sternotomyelitis and mediastinitis after median sternotomy, is 0.25〜5%, and the mortality rate is as high as 20〜45%. DSWI is also a problem in terms of length of hospital stay and medical costs. In order to reduce DSWI, we are conducting perioperative infection control while referring to the ERAS（Enhanced Recovery After Surgery）protocol. Perioperative infections reduce patient satisfaction with our surgery, no matter how good the heart condition is. It is important to set a clear goal of preventing the perioperative infections, and to bundle managements that we believe are correct.