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...
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| Format: | article |
| Status: | Published version |
| Publication Date: | 2020 |
| Country: | España |
| Institution: | Universidad de Sevilla (US) |
| Repository: | idUS. Depósito de Investigación de la Universidad de Sevilla |
| OAI Identifier: | oai:idus.us.es:11441/145337 |
| Online Access: | https://hdl.handle.net/11441/145337 https://doi.org/10.1590/1518-8345.3092.3337 |
| Access Level: | Open access |
| Keyword: | 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 |
| Summary: | 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. |
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