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- W4362470585 abstract "BackgroundSternal wound infections (SWIs) and aortic graft infections (AGIs) are serious complications after cardiac surgery. Staphylococcus aureus and coagulase-negative staphylococci are the most common causes of SWIs, whereas AGIs are less studied. AGIs may occur from contamination during surgery or postoperative haematogenous spread. Skin commensals, such as Cutibacterium acnes, are present in the surgical wound; however, their ability to cause infection is debated.AimTo investigate the presence of skin bacteria in the sternal wound and to evaluate their potential to contaminate surgical materials.MethodsFifty patients undergoing coronary artery bypass graft surgery and/or valve replacement surgery at Örebro University Hospital from 2020 to 2021 were included. Cultures were collected from skin and subcutaneous tissue at two timepoints during surgery, and from pieces of vascular graft and felt that were pressed against subcutaneous tissue. The most common bacterial isolates were tested for antibiotic susceptibility with disc diffusion and gradient tests.FindingsCultures from skin had bacterial growth in 48% of patients at surgery start and in 78% after 2 h, and cultures from subcutaneous tissue were positive in 72% and 76% of patients, respectively. The most common isolates were C. acnes and S. epidermidis. Cultures from surgical materials were positive in 80–88%. No difference in susceptibility was found for S. epidermidis isolates at surgery start compared with after 2 h.ConclusionThe results suggest that skin bacteria are present in the wound and may contaminate surgical graft material during cardiac surgery." @default.
- W4362470585 created "2023-04-05" @default.
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- W4362470585 date "2023-05-01" @default.
- W4362470585 modified "2023-09-25" @default.
- W4362470585 title "The presence of skin bacteria in the sternal wound and contamination of implantation materials during cardiac surgery" @default.
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- W4362470585 doi "https://doi.org/10.1016/j.jhin.2023.03.018" @default.
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