Affiliation:
1. Universidad de Sevilla, Espanha
Abstract
Objective: to determine the microbiological characteristics of the red blood cells obtained with the cell saver in heart surgery patients on an extra-body circuit. Method: a cross-sectional and descriptive study conducted with 358 patients scheduled for heart surgery where the saver was used. Sociodemographic variables were collected, as well as from the saver and of the microbial identification in the re-infusion bag proceeding from the cell saver. Informed consent performed. Results: of the 170 GRAM+ bacteria isolations, the most frequent species were Staphylococcus epidermidis in 69% (n=138) of the cases and Streptococcus sanguinis with a report of 10% (n=20). Significant differences were found in the Staphylococcus epidermidis strain in patients with a Body Mass Index ≥25 (p=0.002) submitted to valve surgery (p=0.001). Vancomycin was the antimicrobial which resisted the Staphylococcus epidermidis strain with a minimum inhibitory concentration of >16 µg/ml. Conclusion: the microbiological characteristics of the red blood cells obtained after processing autologic blood recovered with the cell saver during heart surgery are of GRAM+ bacterial origin, the most isolated species being Staphylococcus epidermidis. Consequently, in order to reduce the presence of these GRAM+ cocci, an antibiotic should be added to the cell saver reservoir, according to a previously established protocol.
Reference32 articles.
1. Reemergence of Mycobacterium chimaera in heater-cooler units despite intensified cleaning and disinfection protocol;Schreiber P;Emerg Infect Dis,2016
2. Vancomycin added to the wash solution of the cell-saver. Effect on bacterial contamination;Perez A;Rev Esp Anestesiol Reanim,2017
3. Mycobacterium chimaera-a new therat for cardiac surgical patients?. Kardiochir Torakochirurgica;Jaworski R;Pol,2017
4. Mycobacterium chimaera contamination of heater cooler devices used in cardiac surgery-United States;Perkins K;CDC,2016
5. Nontuberculous mycobacterium infections associated with heater-cooler devices;Allen K;Ann Thorac Sur,2017
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