The role of infectious pathology in pediatric patients with cardiac surgery
Abstract
Aim. To study concomitant infectious pathology in pediatric patients with cardiac surgery.
Material and methods. 150 patients hospitalized in the department of cardiac surgery for the period of 2012-2015 were observed. Methods of the study included echocardiography, ECG, chest radiography, clinical laboratory tests, a blood test for intrauterine infection, procalcitonin test, immunogram test, genetic tests, angiocardiography, bacteriological examinations of smears and sputum.
Results. In 28.6% cases cytomegalovirus infection (CMV) and in 37.3% cases bacterial infection was diagnosed. It was found that in 38.4% cases the presence of comorbid infectious pathology in cardiosurgical patients has a significant effect on the progression of infectious complications in the postoperative period.
Conclusion. The concomitant pathology of infectious genesis in cardiosurgical patients often requires additional costs for diagnosis and treatment.
About the Author
G. I. SarsenbaevaKazakhstan
Sarsenbaeva Gulzhan Iskandirovna - Deputy Director for Science, Candidate of Medicine, Cardiosurgeon
mob. 87772337581
Almaty
References
1. Bokeriya L. A., Beloborodova N. V. Infektsiya v kardiokhirurgii [Infection in cardiac surgery]. Moscow, NTSSSKH im. A.N. Bakuleva RAMN Publ., 2007. 582 p.
2. Bokeriya L. A., Gudkova R. G. Serdechnososudistaya khirurgiya - 2011. Bolezni i vrozhdennye anomalii sistemy krovoobrashcheniya [Cardiovascular Surgery - 2011. Diseases and congenital anomalies of the circulatory system]. Moscow, NTS SSKH im. AN Bakuleva RAMN Publ., 2012. 196 p.
3. Bukharin V. A., Nezhlukto A. Ya., Dmitrieva V. A. Khirurgicheskiy sepsis [Surgical sepsis] Moscow, 1982. 30-32 p.
4. Degtyareva E. A., Samuilova D. Sh., Ostrovskaya E. A. Znachenie NST-testa v diagnostike infektsionnykh oslozhneniy u bolnykh s vrozhdennymi porokami serdtsa [The value of the NBT-test in the diagnosis of infectious complications in patients with congenital heart defects]. Pediatriya - Pediatrics, 1994, No. 1.
5. Dmitrieva N. V., Petukhova I. N. Posleoperatsionnye infektsionnye oslozhneniya: diagnostika, lechenie, profilaktika: prakticheskoe rukovodstvo [Postoperative infectious complications: diagnosis, treatment, prevention: a practical guide]. Moscow, Prakticheskaya meditsina Publ., 2013. 424 p.
6. Loskutov O. A., Spisarenko S. P., Druzhina A. N. Ratsionalnaya antibakterialnaya terapiya v khirurgii vrozhdennykh porokov serdtsa u detey mladshego vozrasta [Рациональная antibiotic therapy in surgery for congenital heart defects in young children]. Ukrainskiy zhurnal ekstremalnoy meditsini іmenі G.O. Mozhaeva - Ukrainian journal of extreme medicine named after G. O. Mozhaev, 2005, Vol. 6, No. 1, pp. 71-75.
7. Maksimova S. M., Samoylenko I. G., Maksimova N. V., Rovinskaya T. S., Khomchenko M. A. Vliyanie torch-infektsiy (VPG-1, -2, TSMV) na formirovanie vrozhdennykh porokov razvitiya u detey [Effect of torch infections (HSV-1, -2, CMV) on the formation of congenital malformations in children].Zdorove rebyonka - Children's health, 2011, Vol. 32, No. 5, pp. 132-134.
8. Samsygina G. A., Dudina T. A., Chebysheva M. V. Gospitalnye pnevmonii u detey: etiologiya i kliniko-morfologicheskie osobennosti [Hospital pneumonia in children: etiology, clinical and morphological features]. Pediatriya - Pediatrics, 2001, No. 1, pp. 15-19.
9. Savelev V. S., Gelfand B. R., Kleymenov O. N. Gospitalnaya infektsiya v kardiokhirurgii [Hospital infection in cardiac surgery]. Grudnaya khirurgiya - Thoracic surgery, 1992, No. 5, pp. 3−14.
10. Sidarenko L. N., Kogosov Yu. P., Spasokukotskiy A. Yu. Immunoprofilaktika gnoynykh oslozhneniy pri operatsiyakh na serdtse [Prevention of purulent complications during heart surgery]. Grudnaya i serdechno-sosudistaya khirurgiya - Thoracic and cardiovascular surgery, 1996, No. 3, pp. 61-64.
11. Sidorova I. S., Makarov I. O., Matvienko N. A. Vnutriutrobnye infektsii: Uchebnoe posobie [Intrauterine Infections: Tutorial]. Moscow, 2006. 4-164 p.
12. Berman S., Simoes E.A.F., Lanata C. Archives of Disease in Childhood, 1991, No. 66, pp. 81-84.
13. Hall C.B, Powell K.R., Mc. Donald N.E. et al. New England Journal of Medicine, 1986, No. 315, pp. 77-81.
14. Cinatl J., Scholz M., Kotchetkov R. et al. Molecular mechanisms of the modulatory effects of HCMV infection in tumor cell biology. Trends in Molecular Medicine, 2004, Vol. 10, pp. l9-23.
15. Vestergaard RF. Effect of Hemostatic Material on Sternal Healing After Cardiac Surgery. The Annals of thoracic surgery, 2014, No. 97, Vol. 1, pp. 153-160.
Review
For citations:
Sarsenbaeva G.I. The role of infectious pathology in pediatric patients with cardiac surgery. Health care of Tajikistan. 2018;(3):63-68. (In Russ.)