Early postoperative candida colonization in alimentary canal in patients undergoing open heart surgery

Küçük Resim Yok

Tarih

2005

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Edizioni Minerva Medica

Erişim Hakkı

info:eu-repo/semantics/closedAccess

Özet

Aim To examine the frequency and factors predisposing to candidiasis in the digestive tract in the early postoperative period after open heart surgery. Methods. One hundred patients undergoing open heart surgery were enrolled in this study. Patients were divided into 2 groups in regard to Candida spp. colonization. Group A means increased Candida spp. colonization after open heart surgery (31/100). Group B indicates unchanged Candida spp. colonization after open heart surgery (69/100). Samples were obtained from both oral and anal inucosa in 3 different periods of operation: 1) preoperatively (stage 1), 2) at the end of the first hour in the intensive care unit (stage 2), 3) 24 hours after operation (stage 3). Findings were compared with both preoperative and intraoperative parameters. For fungal isolation Sabourauds dextrose agar and blood agar were used. Results. In Group A (31), there was a significant relationship between the samples in stage 1 and 2 (p=0.031), and also a significance between stage 1 and 3 (p=0.048). Comparison between Candida positive and negative groups (Group A and B) did not reflect any statistical significance (P>0.05). Conclusion. Candida colonization in the alimentary canal in the early postoperative period after open heart surgery is due to individual preoperative features. However, early postoperative Candida colonization in the digestive tract is not a risk factor for sepsis unless the patient has an additional risk factor leading to prolongation of length of stay in the intensive care unit.

Açıklama

8th Turkish Cardiovascular Surgery Congress -- 2004 -- Nevsehir, TURKEY

Anahtar Kelimeler

Candida colonization, mycosis, Candida albicans, Candidiasis, open heart surgery, cardiopulmonary bypass, intensive care unit

Kaynak

Journal of Cardiovascular Surgery

WoS Q Değeri

Q3

Scopus Q Değeri

Q2

Cilt

46

Sayı

5

Künye