Bacteremia in the red blood cells obtained from the cell saver in patients submitted to heart surgery
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. Sociod...
| Autor: | |
|---|---|
| Tipo de recurso: | artículo |
| Estado: | Versión publicada |
| Fecha de publicación: | 2020 |
| País: | España |
| Institución: | Universidad de Sevilla (US) |
| Repositorio: | idUS. Depósito de Investigación de la Universidad de Sevilla |
| OAI Identifier: | oai:idus.us.es:11441/145337 |
| Acceso en línea: | https://hdl.handle.net/11441/145337 https://doi.org/10.1590/1518-8345.3092.3337 |
| Access Level: | acceso abierto |
| Palabra clave: | Blood Transfusion Blood Transfusion, Autologous Bacteremia Thoracic Surgery Erythrocytes Extracorporeal Circulation Operating Room Nursing Transfusión de Sangre Autóloga Bacteriemia Cirugía Cardíaca Eritrocitos Circulación Extracorpórea Enfermería de Quirófano Transfusão de Sangue Autóloga Cirurgia Cardíaca Eritrócitos Circulação Extracorpórea Enfermagem de Centro Cirúrgico |
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España |
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Bacteremia in the red blood cells obtained from the cell saver in patients submitted to heart surgery Bacteriemia en los glóbulos rojos obtenidos del “cell saver” en pacientes intervenidos de cirugía cardíaca Bacteremia nos glóbulos vermelhos obtidos do “cell saver” em pacientes submetidos a cirurgia cardíaca |
| title |
Bacteremia in the red blood cells obtained from the cell saver in patients submitted to heart surgery |
| spellingShingle |
Bacteremia in the red blood cells obtained from the cell saver in patients submitted to heart surgery Luque Oliveros, Manuel Blood Transfusion Blood Transfusion, Autologous Bacteremia Thoracic Surgery Erythrocytes Extracorporeal Circulation Operating Room Nursing Transfusión de Sangre Autóloga Bacteriemia Cirugía Cardíaca Eritrocitos Circulación Extracorpórea Enfermería de Quirófano Transfusão de Sangue Autóloga Cirurgia Cardíaca Eritrócitos Circulação Extracorpórea Enfermagem de Centro Cirúrgico |
| title_short |
Bacteremia in the red blood cells obtained from the cell saver in patients submitted to heart surgery |
| title_full |
Bacteremia in the red blood cells obtained from the cell saver in patients submitted to heart surgery |
| title_fullStr |
Bacteremia in the red blood cells obtained from the cell saver in patients submitted to heart surgery |
| title_full_unstemmed |
Bacteremia in the red blood cells obtained from the cell saver in patients submitted to heart surgery |
| title_sort |
Bacteremia in the red blood cells obtained from the cell saver in patients submitted to heart surgery |
| dc.creator.none.fl_str_mv |
Luque Oliveros, Manuel |
| author |
Luque Oliveros, Manuel |
| author_facet |
Luque Oliveros, Manuel |
| author_role |
author |
| dc.contributor.none.fl_str_mv |
Enfermería |
| dc.subject.none.fl_str_mv |
Blood Transfusion Blood Transfusion, Autologous Bacteremia Thoracic Surgery Erythrocytes Extracorporeal Circulation Operating Room Nursing Transfusión de Sangre Autóloga Bacteriemia Cirugía Cardíaca Eritrocitos Circulación Extracorpórea Enfermería de Quirófano Transfusão de Sangue Autóloga Cirurgia Cardíaca Eritrócitos Circulação Extracorpórea Enfermagem de Centro Cirúrgico |
| topic |
Blood Transfusion Blood Transfusion, Autologous Bacteremia Thoracic Surgery Erythrocytes Extracorporeal Circulation Operating Room Nursing Transfusión de Sangre Autóloga Bacteriemia Cirugía Cardíaca Eritrocitos Circulación Extracorpórea Enfermería de Quirófano Transfusão de Sangue Autóloga Cirurgia Cardíaca Eritrócitos Circulação Extracorpórea Enfermagem de Centro Cirúrgico |
| description |
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. |
| publishDate |
2020 |
| dc.date.none.fl_str_mv |
2020 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.none.fl_str_mv |
https://hdl.handle.net/11441/145337 https://doi.org/10.1590/1518-8345.3092.3337 |
| url |
https://hdl.handle.net/11441/145337 https://doi.org/10.1590/1518-8345.3092.3337 |
| dc.language.none.fl_str_mv |
Inglés Español Portugués |
| language_invalid_str_mv |
Inglés Español Portugués |
| dc.relation.none.fl_str_mv |
REVISTA LATINO-AMERICANA DE ENFERMAGEM, 28, e3337. https://www.scielo.br/j/rlae/a/QRwBMqPNdrk34GKcqqZXGdR/?lang=en |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf application/pdf application/pdf application/pdf |
| dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto |
| publisher.none.fl_str_mv |
Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto |
| dc.source.none.fl_str_mv |
reponame:idUS. Depósito de Investigación de la Universidad de Sevilla instname:Universidad de Sevilla (US) |
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Universidad de Sevilla (US) |
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idUS. Depósito de Investigación de la Universidad de Sevilla |
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idUS. Depósito de Investigación de la Universidad de Sevilla |
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1869414082388426752 |
| spelling |
Bacteremia in the red blood cells obtained from the cell saver in patients submitted to heart surgeryBacteriemia en los glóbulos rojos obtenidos del “cell saver” en pacientes intervenidos de cirugía cardíacaBacteremia nos glóbulos vermelhos obtidos do “cell saver” em pacientes submetidos a cirurgia cardíacaLuque Oliveros, ManuelBlood TransfusionBlood Transfusion, AutologousBacteremiaThoracic SurgeryErythrocytesExtracorporeal CirculationOperating Room NursingTransfusión de Sangre AutólogaBacteriemiaCirugía CardíacaEritrocitosCirculación ExtracorpóreaEnfermería de QuirófanoTransfusão de Sangue AutólogaCirurgia CardíacaEritrócitosCirculação ExtracorpóreaEnfermagem de Centro CirúrgicoObjective: 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.Objetivo: determinar las características microbiológicas de los glóbulos rojos obtenidos con el “cell saver” en el paciente de cirugía cardíaca bajo un circuito extracorpóreo. Método: estudio descriptivo transversal con 358 pacientes programados para cirugía cardíaca donde se utilizó el “cell saver”. Se recogieron variables sociodemográficas e identificación microbiana de la bolsa de reinfusión procedente del “cell saver”. Consentimiento informado realizado. Resultados: de 170 aislamientos de bacterias GRAM+, las especies más frecuentes fueron el Staphylococcus epidermidis en el 69% (n=138) de los casos y el Streptococcus sanguinis con un reporte del 10% (n=20). Se encontraron diferencias significativas en la cepa Staphylococcus epidermidis en pacientes con índice de masa corporal ≥25 (p=0,002) sometidos a cirugía valvular (p=0,001). La vancomicina fue el antimicrobiano resistente a la cepa Staphylococcus epidermidis con una concentración mínima inhibitoria >16 ug/ml. Conclusión: las características microbiológicas de los glóbulos rojos obtenidos tras el procesamiento de sangre autóloga recuperada con el “cell saver” en cirugía cardíaca son de origen bacteriano GRAM+ siendo la especie más aislada el Staphylococcus epidermidis. Por ello, con el fin de reducir la presencia de estos cocos GRAM+ se debería añadir un antibiótico en el reservorio del “cell saver”, según un protocolo previamente establecido.Objetivo: determinar as características microbiológicas dos glóbulos vermelhos obtidos com o “cell saver” em pacientes submetidos à cirurgia cardíaca em circuito extracorpóreo. Método: estudo descritivo transversal com 358 pacientes de cirurgia cardíaca em que o “cell saver” foi utilizado. Foram coletadas variáveis sociodemográficas e identificação microbiana da bolsa de reinfusão do “cell saver”. Foi confirmado o Termo de Consentimento. Resultados: das 170 baterias isoladas GRAM+, as mais frequentes foram Staphylococcus epidermidis em 69% (n=138) dos casos e Streptococcus sanguinis com um registro de 10% (n=20). Diferenças significativas foram encontradas na cepa Staphylococcus epidermidis em pacientes com índice de massa corporal ≥25 (p=0,002) submetidos a cirurgia valvular (p=0,001). A vancomicina foi o antimicrobiano resistente à cepa Staphylococcus epidermidis com uma concentração inibitória mínima >16 μg/ml. Conclusão: as características microbiológicas dos glóbulos vermelhos obtidas após o processamento do sangue autólogo recuperado com o “cell saver” em cirurgia cardíaca são de origem bacteriana GRAM+, sendo a espécie mais isolada o Staphylococcus epidermidis. Portanto, para reduzir a presença desses cocos GRAM+, um antibiótico deve ser adicionado ao “cell saver”, de acordo com um protocolo previamente estabelecido.Universidade de São Paulo. Escola de Enfermagem de Ribeirão PretoEnfermería2020info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttps://hdl.handle.net/11441/145337https://doi.org/10.1590/1518-8345.3092.3337reponame:idUS. Depósito de Investigación de la Universidad de Sevillainstname:Universidad de Sevilla (US)InglésEspañolPortuguésREVISTA LATINO-AMERICANA DE ENFERMAGEM, 28, e3337.https://www.scielo.br/j/rlae/a/QRwBMqPNdrk34GKcqqZXGdR/?lang=eninfo:eu-repo/semantics/openAccessoai:idus.us.es:11441/1453372026-06-17T12:51:07Z |
| score |
15.198674 |