Silver-Impregnated Dressings for Sternotomy Incisions to Prevent Surgical Site Infections in Children
2016; American Association of Critical-Care Nurses; Volume: 25; Issue: 5 Linguagem: Inglês
10.4037/ajcc2016843
ISSN1937-710X
AutoresSandra L. Staveski, Claire Abrajano, Marina Casazza, Eric Bair, Hui Quan, E Dong, A H Petty, Klaus Felix, Stephen J. Roth,
Tópico(s)Infectious Aortic and Vascular Conditions
ResumoPediatric Critical Care| September 01 2016 Silver-Impregnated Dressings for Sternotomy Incisions to Prevent Surgical Site Infections in Children Sandra Staveski, RN, PhD, CPNP-AC; Sandra Staveski, RN, PhD, CPNP-AC Sandra Staveski is an assistant professor, Research in Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. Claire Abrajano, May Casazza, and Ellen Bair are nurse practitioners and Hanson Quan, Emily Dong, Amy Petty, and Katie Felix are cardiovascular surgery physician assistants, Lucile Packard Children's Hospital Stanford, Stanford University Medical Center, Palo Alto, California. Stephen J. Roth is a professor, Department of Pediatrics, and chief, Division of Pediatric Cardiology, at the Stanford University School of Medicine. He is a pediatric cardiac intensivist and director, Children's Heart Center, at Lucile Packard Children's Hospital Stanford. Corresponding author: Sandra Staveski, rn, phd, cpnp-ac, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH 45229 (E-mail: Sandra.staveski@cchmc.org). Search for other works by this author on: This Site PubMed Google Scholar Claire Abrajano, RN, MS, WOCN, RNFA, CPNP; Claire Abrajano, RN, MS, WOCN, RNFA, CPNP Sandra Staveski is an assistant professor, Research in Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. Claire Abrajano, May Casazza, and Ellen Bair are nurse practitioners and Hanson Quan, Emily Dong, Amy Petty, and Katie Felix are cardiovascular surgery physician assistants, Lucile Packard Children's Hospital Stanford, Stanford University Medical Center, Palo Alto, California. Stephen J. Roth is a professor, Department of Pediatrics, and chief, Division of Pediatric Cardiology, at the Stanford University School of Medicine. He is a pediatric cardiac intensivist and director, Children's Heart Center, at Lucile Packard Children's Hospital Stanford. Search for other works by this author on: This Site PubMed Google Scholar May Casazza, RN, MS, CPNP; May Casazza, RN, MS, CPNP Sandra Staveski is an assistant professor, Research in Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. Claire Abrajano, May Casazza, and Ellen Bair are nurse practitioners and Hanson Quan, Emily Dong, Amy Petty, and Katie Felix are cardiovascular surgery physician assistants, Lucile Packard Children's Hospital Stanford, Stanford University Medical Center, Palo Alto, California. Stephen J. Roth is a professor, Department of Pediatrics, and chief, Division of Pediatric Cardiology, at the Stanford University School of Medicine. He is a pediatric cardiac intensivist and director, Children's Heart Center, at Lucile Packard Children's Hospital Stanford. Search for other works by this author on: This Site PubMed Google Scholar Ellen Bair, RN, MS, CPNP; Ellen Bair, RN, MS, CPNP Sandra Staveski is an assistant professor, Research in Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. Claire Abrajano, May Casazza, and Ellen Bair are nurse practitioners and Hanson Quan, Emily Dong, Amy Petty, and Katie Felix are cardiovascular surgery physician assistants, Lucile Packard Children's Hospital Stanford, Stanford University Medical Center, Palo Alto, California. Stephen J. Roth is a professor, Department of Pediatrics, and chief, Division of Pediatric Cardiology, at the Stanford University School of Medicine. He is a pediatric cardiac intensivist and director, Children's Heart Center, at Lucile Packard Children's Hospital Stanford. Search for other works by this author on: This Site PubMed Google Scholar Hanson Quan, PA; Hanson Quan, PA Sandra Staveski is an assistant professor, Research in Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. Claire Abrajano, May Casazza, and Ellen Bair are nurse practitioners and Hanson Quan, Emily Dong, Amy Petty, and Katie Felix are cardiovascular surgery physician assistants, Lucile Packard Children's Hospital Stanford, Stanford University Medical Center, Palo Alto, California. Stephen J. Roth is a professor, Department of Pediatrics, and chief, Division of Pediatric Cardiology, at the Stanford University School of Medicine. He is a pediatric cardiac intensivist and director, Children's Heart Center, at Lucile Packard Children's Hospital Stanford. Search for other works by this author on: This Site PubMed Google Scholar Emily Dong, PA; Emily Dong, PA Sandra Staveski is an assistant professor, Research in Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. Claire Abrajano, May Casazza, and Ellen Bair are nurse practitioners and Hanson Quan, Emily Dong, Amy Petty, and Katie Felix are cardiovascular surgery physician assistants, Lucile Packard Children's Hospital Stanford, Stanford University Medical Center, Palo Alto, California. Stephen J. Roth is a professor, Department of Pediatrics, and chief, Division of Pediatric Cardiology, at the Stanford University School of Medicine. He is a pediatric cardiac intensivist and director, Children's Heart Center, at Lucile Packard Children's Hospital Stanford. Search for other works by this author on: This Site PubMed Google Scholar Amy Petty, PA; Amy Petty, PA Sandra Staveski is an assistant professor, Research in Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. Claire Abrajano, May Casazza, and Ellen Bair are nurse practitioners and Hanson Quan, Emily Dong, Amy Petty, and Katie Felix are cardiovascular surgery physician assistants, Lucile Packard Children's Hospital Stanford, Stanford University Medical Center, Palo Alto, California. Stephen J. Roth is a professor, Department of Pediatrics, and chief, Division of Pediatric Cardiology, at the Stanford University School of Medicine. He is a pediatric cardiac intensivist and director, Children's Heart Center, at Lucile Packard Children's Hospital Stanford. Search for other works by this author on: This Site PubMed Google Scholar Katie Felix, PA; Katie Felix, PA Sandra Staveski is an assistant professor, Research in Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. Claire Abrajano, May Casazza, and Ellen Bair are nurse practitioners and Hanson Quan, Emily Dong, Amy Petty, and Katie Felix are cardiovascular surgery physician assistants, Lucile Packard Children's Hospital Stanford, Stanford University Medical Center, Palo Alto, California. Stephen J. Roth is a professor, Department of Pediatrics, and chief, Division of Pediatric Cardiology, at the Stanford University School of Medicine. He is a pediatric cardiac intensivist and director, Children's Heart Center, at Lucile Packard Children's Hospital Stanford. Search for other works by this author on: This Site PubMed Google Scholar Stephen J. Roth, MD, MPH Stephen J. Roth, MD, MPH Sandra Staveski is an assistant professor, Research in Patient Services, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. Claire Abrajano, May Casazza, and Ellen Bair are nurse practitioners and Hanson Quan, Emily Dong, Amy Petty, and Katie Felix are cardiovascular surgery physician assistants, Lucile Packard Children's Hospital Stanford, Stanford University Medical Center, Palo Alto, California. Stephen J. Roth is a professor, Department of Pediatrics, and chief, Division of Pediatric Cardiology, at the Stanford University School of Medicine. He is a pediatric cardiac intensivist and director, Children's Heart Center, at Lucile Packard Children's Hospital Stanford. Search for other works by this author on: This Site PubMed Google Scholar Am J Crit Care (2016) 25 (5): 402–408. https://doi.org/10.4037/ajcc2016843 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Share Icon Share Twitter LinkedIn Tools Icon Tools Cite Icon Cite Get Permissions Citation Sandra Staveski, Claire Abrajano, May Casazza, Ellen Bair, Hanson Quan, Emily Dong, Amy Petty, Katie Felix, Stephen J. Roth; Silver-Impregnated Dressings for Sternotomy Incisions to Prevent Surgical Site Infections in Children. Am J Crit Care 1 September 2016; 25 (5): 402–408. doi: https://doi.org/10.4037/ajcc2016843 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search nav search search input Search input auto suggest search filter All ContentAmerican Journal of Critical Care Search Advanced Search BackgroundThe consequences of surgical site infections can be severe and range from short-term delays in discharge from the hospital to life-threatening infections such as mediastinitis.ObjectivesTo evaluate the effectiveness of silver-impregnated dressings in decreasing surgical site infections in children after cardiac surgery.MethodsA randomized, controlled trial was used to compare silver-impregnated dressings (59 participants) with standard dressings (58 participants). The study team supervised all dressing changes after a sternotomy and ensured adherence with the hospital's bundle for reduction of surgical site infections. The ASEPSIS tool was used to evaluate sternal wounds for evidence of infection.ResultsThe 2 groups had comparable Risk Adjustment for Congenital Heart Surgery scores, age, sex, weight, height, operating room characteristics, and number of chest tubes and/or pacemaker wires. No surgical site infections occurred in any study participant. Infections did occur, however, during the same period, in cardiac surgical patients who were not enrolled in the study.ConclusionsThe evidence did not support the superiority of silver-impregnated dressings for prevention of surgical site infections in children after cardiac surgery. Adherence to a bundle for prevention of surgical site infections may have decreased the incidence of such infections in the study population during the study period. ©2016 American Association of Critical-Care Nurses2016 You do not currently have access to this content.
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