Microbiological Spectrum of Nosocomial ECMO Infections in a Tertiary Care Center
Rev. bras. cir. cardiovasc
; 36(3): 338-345, May-June 2021. tab
Article
em En
| LILACS
| ID: biblio-1288242
Biblioteca responsável:
BR1.1
ABSTRACT
Abstract Introduction:
Extracorporeal membrane oxygenation (ECMO) is a life-saving treatment in cardiogenic and respiratory shock. It is prone to various complications, infection being among the most frequent. This study aims to define the prevalence and characteristics of infections in ECMO patients in a tertiary care center for cardiac diseases.Methods:
All ECMO patients between 2012 and 2016 in a single cardiac center were retrospectively included. Demographic data, ECMO indications, type, site, duration, and infection-related data were recorded. Data were analyzed among all patients and separately between pediatric and adult patient groups.Results:
One hundred and twenty-six patients, 66 (53.4%) pediatric and 60 (47.6%) adult, received ECMO within the study period. Mean age was 3.54±4.27 years in the pediatric group and 54.92±15.57 years in the adult group. The main indication for ECMO was postcardiotomy shock (77.8%). Forty-six (36.5%) of all cases developed a culture-proven nosocomial infection with a rate of 49/1000 ECMO days. Infection was associated with > 5 days of ECMO duration and hemodialysis requirement in all patients and lower age in the pediatric group. The most frequent infection site was the lower respiratory tract (14.3%), while the most common isolated organisms were Klebsiella (8.7%) and Streptococcus (4.8%) species.Conclusion:
The respiratory tract is the most common site of infection, however, all sites impose a threat to recovery, with longer treatment durations required for patients with culture-proven infections. A better understanding of the infectious spectrum and its effect on the mortality and morbidity is required for more successful treatment of ECMO patients.Palavras-chave
Texto completo:
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Índice:
LILACS
Assunto principal:
Choque
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Oxigenação por Membrana Extracorpórea
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Infecção Hospitalar
Tipo de estudo:
Observational_studies
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Risk_factors_studies
Limite:
Adult
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Child
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Child, preschool
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Humans
Idioma:
En
Revista:
Rev. bras. cir. cardiovasc
Assunto da revista:
CARDIOLOGIA
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CIRURGIA GERAL
Ano de publicação:
2021
Tipo de documento:
Article