{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T22:29:35Z","timestamp":1793831375580,"version":"4.6.1"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"10","license":[{"start":{"date-parts":[[2025,3,9]],"date-time":"2025-03-09T00:00:00Z","timestamp":1741478400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,3,9]],"date-time":"2025-03-09T00:00:00Z","timestamp":1741478400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Liaocheng Municipal Clinical Research Center for Cardiac Disease"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Gen Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:sec>\n            <jats:title>Objective<\/jats:title>\n            <jats:p>To investigate the use of antimicrobials during the perioperative period of minimally invasive coronary artery bypass grafting (MICS CABG) and traditional open-heart bypass grafting. We aimed to determine whether the duration of perioperative antibiotic use and infection rate is significantly different between different surgical methods.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods<\/jats:title>\n            <jats:p>A total of 471 cases of coronary artery bypass grafting (CABG) were collected from January 2019 to December 2022. Patients were divided into minimally invasive group (229 cases) and a conventional group (242 cases) according to the type of surgery. We compared differences in the duration of antimicrobial use and infection rates between the two groups.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results<\/jats:title>\n            <jats:p>Compared with the conventional group, the minimally invasive group had a significantly shorter average duration of antimicrobial therapy [(1.95\u2009\u00b1\u20092.40) d vs. (4.67\u2009\u00b1\u20095.89) d, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001], a higher rate of short antibiotic treatment duration (T\u2009\u2264\u200924\u00a0h) [51.97% vs. 7.02%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001], lower postoperative pneumonia rate [38.86% vs. 56.20%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001], lower positive rate of blood and surgical site sample culture (1 case and 0 case) vs. (7 cases and 3 cases), <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001. Subgroup analysis of different durations of antimicrobial treatment (T\u2009\u2264\u200924\u00a0h, 24\u00a0h\u2009&lt;\u2009T\u2009\u2264\u200948\u00a0h, and 48\u00a0h\u2009&lt;\u2009T\u2009\u2264\u200996\u00a0h) in the minimally invasive group showed that there was no statistically significant difference in the incidence of infection among the various medication durations (<jats:italic>P<\/jats:italic>\u2009&gt;\u20090.05).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusion<\/jats:title>\n            <jats:p>Compared with traditional surgery, MICS CABG requires a significantly shorter duration of perioperative antibiotic treatment duration and a reduced incidence of infection. Extending the duration of antibiotic treatment did not reduce the incidence of infection.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Trial registration<\/jats:title>\n            <jats:p>chictr.org.cn ChiCTR2400091571.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s11748-025-02136-z","type":"journal-article","created":{"date-parts":[[2025,3,9]],"date-time":"2025-03-09T11:01:41Z","timestamp":1741518101000},"page":"736-741","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A survey on perioperative antibiotic use for minimally invasive coronary artery bypass grafting"],"prefix":"10.1007","volume":"73","author":[{"given":"Xiuxiu","family":"Zhang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chaohua","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Huanjun","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yichang","family":"Song","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yingxue","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tiantong","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tingting","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xinyan","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dapeng","family":"Yu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,3,9]]},"reference":[{"issue":"4","key":"2136_CR1","doi-asserted-by":"publisher","first-page":"181","DOI":"10.1016\/j.tcm.2021.04.002","volume":"32","author":"GE Shaya","year":"2022","unstructured":"Shaya GE, Leucker TM, Jones SR, et al. Coronary heart disease risk: Low-density lipoprotein and beyond [J]. Trends Cardiovasc Med. 2022;32(4):181\u201394.","journal-title":"Trends Cardiovasc Med"},{"issue":"3","key":"2136_CR2","doi-asserted-by":"publisher","first-page":"829","DOI":"10.1016\/j.jtcvs.2021.04.052","volume":"162","author":"FG Bakaeen","year":"2021","unstructured":"Bakaeen FG, Gaudino M, Whitman G, et al. The American association for thoracic surgery expert consensus document: coronary artery bypass grafting in patients with ischemic cardiomyopathy and heart failure [J]. J Thorac Cardiovasc Surg. 2021;162(3):829-50.e1.","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"3","key":"2136_CR3","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1093\/eurheartj\/ehz425","volume":"41","author":"J Knuuti","year":"2020","unstructured":"Knuuti J, Wijns W, Saraste A, et al. 2019 ESC guidelines for the diagnosis and management of chronic coronary syndromes [J]. 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