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. 2022 Nov 26;11(23):6991. doi: 10.3390/jcm11236991

Table 1.

The preventive measures for SSI in cardiac surgery.

Preventive Measures for SSI in Cardiac Surgery
  • Preoperative optimisation of the patient’s condition
    • -
      nutritional support in patients with hypoalbuminaemia <2.5 g/mL or total body weight loss >10% within 6 months before surgery
    • -
      body weight control in obese patients (i.e., BMI > 30 kg/m2)
    • -
      screening for diabetes and hyperglycaemia
    • -
      removal other sources of infection
    • -
      smoking cessation
    • -
      pulmonary physiotherapy (smokers, COPD patients)
  • Staphylococcus aureus decolonisation
    • -
      intranasal mupirocin ointment
    • -
      chlorhexidine baths

  • Preoperative bathing

  • Surgical site preparation
    • -
      hair removal (if necessary) with a clipper
    • -
      skin preparation (alcohol-based chlorhexidine solutions)

  • Perioperative antibiotic prophylaxis—PAP (tab 2)

  • Perioperative glycemic control

  • Appropriate surgical techniques

  • Negative pressure wound therapy