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Use of Ozonized Water in the Prevention of Surgical Site Infection in Children Undergoing Cardiovascular Surgery
Murakami, Alexandre Noboru; Croti, Ulisses Alexandre; Borim, Bruna Cury; Marchi, Carlos Henrique De; Murakami, Rouse Mary Rossini; Almeida, Margarete Teresa Gottardo de; Policarpo, Rafael da Silva; Avona, Fabiana Nakamura; Godoy, Moacir Fernandes de.
  • Murakami, Alexandre Noboru; Universidade Estadual de Londrina (UEL). Department of Cardiovascular Surgery. Londrina. BR
  • Croti, Ulisses Alexandre; CardioPedBrasil® - Hospital da Criança e Maternidade de São José do Rio Preto. Department of Pediatric Cardiology and Cardiovascular Surgery. São José do Rio Preto. BR
  • Borim, Bruna Cury; CardioPedBrasil® - Hospital da Criança e Maternidade de São José do Rio Preto. Department of Pediatric Cardiology and Cardiovascular Surgery. São José do Rio Preto. BR
  • Marchi, Carlos Henrique De; CardioPedBrasil® - Hospital da Criança e Maternidade de São José do Rio Preto. Department of Pediatric Cardiology and Cardiovascular Surgery. São José do Rio Preto. BR
  • Murakami, Rouse Mary Rossini; Hospital Evangélico de Londrina. Department of Pediatrics. Londrina. BR
  • Almeida, Margarete Teresa Gottardo de; Faculdade de Medicina de São José do Rio Preto. Department of Infectious Diseases. São José do Rio Preto. BR
  • Policarpo, Rafael da Silva; CardioPedBrasil® - Hospital da Criança e Maternidade de São José do Rio Preto. Department of Pediatric Cardiology and Cardiovascular Surgery. São José do Rio Preto. BR
  • Avona, Fabiana Nakamura; CardioPedBrasil® - Hospital da Criança e Maternidade de São José do Rio Preto. Department of Pediatric Cardiology and Cardiovascular Surgery. São José do Rio Preto. BR
  • Godoy, Moacir Fernandes de; Faculdade de Medicina de São José do Rio Preto. Department of Infectious Diseases. São José do Rio Preto. BR
Rev. bras. cir. cardiovasc ; 38(6): e20230006, 2023. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1507835
ABSTRACT
ABSTRACT

Introduction:

Since the reduction of healthcare-associated infections has been a focus for quality patient care, this study aimed to evaluate the surgical site infection rate of children who underwent cardiovascular surgery after implementation of ozonized water system for hand and body hygiene allied to previously implemented preventive measures.

Methods:

Two uniformly comparable groups of pediatric patients underwent cardiovascular surgery. Group A (187) patients were operated prior to installation of ozonized water system (March 1 to August 31, 2019), and group B (214) patients were operated after installation of ozonized water system (October 1, 2019, to March 31, 2020). Ozonized water was used for professional hand hygiene and patient body hygiene.

Results:

There was statistical significance for surgical site infection reduction in group B (P=0.0289), with a relative risk of 0.560 (95% confidence interval = 0.298 to 0.920), inferring the risk of being diagnosed with surgical site infections in group B was 44% less than in group A. There was no statistical significance regarding mechanical ventilation time (P=0.1998) or mortality (P=0.4457).

Conclusion:

Ozonized water for professional hand hygiene and patient body hygiene was an adjuvant combined with traditional preventive methods to reduce the risk of surgical site infection, although no impact on hospital stay or mortality was observed.


Full text: Available Index: LILACS (Americas) Type of study: Etiology study Language: English Journal: Rev. bras. cir. cardiovasc Journal subject: Cardiology / General Surgery Year: 2023 Type: Article Affiliation country: Brazil Institution/Affiliation country: CardioPedBrasil® - Hospital da Criança e Maternidade de São José do Rio Preto/BR / Faculdade de Medicina de São José do Rio Preto/BR / Hospital Evangélico de Londrina/BR / Universidade Estadual de Londrina (UEL)/BR

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Full text: Available Index: LILACS (Americas) Type of study: Etiology study Language: English Journal: Rev. bras. cir. cardiovasc Journal subject: Cardiology / General Surgery Year: 2023 Type: Article Affiliation country: Brazil Institution/Affiliation country: CardioPedBrasil® - Hospital da Criança e Maternidade de São José do Rio Preto/BR / Faculdade de Medicina de São José do Rio Preto/BR / Hospital Evangélico de Londrina/BR / Universidade Estadual de Londrina (UEL)/BR