Puncture wound during CPR from sternotomy wires: case report and discussion of periresuscitation infection risks.
Performing resuscitations presents multiple infectious risks to critical care providers. Potential sources for infection include direct contact with blood and other bodily fluids and possible inoculation through needlestick injuries. In this article, we present a case of a cardiac care unit nurse who, while providing cardiopulmonary resuscitation, suffered a puncture wound to her left hand from the patient's sternotomy wires from previous cardiac surgery. The patient died despite these resuscitation efforts. He was seronegative for human immunodefiency virus, hepatitis B, and hepatitis C, and the nurse's wound healed without complications. This is the first reported case of such an injury occurring during a resuscitation. It demonstrates how a subtle, invisible, and unrecognized physical risk could cause infection in critical care providers.
Department of Medicine, Rhode Island and Miriam Hospital, Brown University School of Medicine, Providence, USA.
J P
JP
Steinhoff
C
C
Pattavina
R
R
Renzi
D000328:Adult; D016887:Cardiopulmonary Resuscitation; D001026:Coronary Artery Bypass / Q000295:instrumentation*; D003325:Coronary Care Units; D006230:Hand Injuries / Q000209:etiology*; D006323:Heart Arrest / Q000451:nursing*; D006801:Humans; D007239:Infections / Q000635:transmission*; D017758:Infectious Disease Transmission, Patient-to-Professional; D008297:Male; D016273:Occupational Exposure; D012307:Risk Factors; D013249:Sternum; D014950:Wounds, Penetrating / Q000209:etiology*