Mediastinitis After Congenital Heart Surgery: Epidemiology, Clinical Features and Outcomes

被引：1

作者：

Villaverde, Serena ^{[1
,2
,3
]}

Carbonell-Sahuquillo, Silvia ^{[4
]}

Fernandez, Eduardo Lopez ^{[5
]}

Hofheinz, Sylvia Belda ^{[5
]}

Casado, Victoria Ramos ^{[5
]}

Garcia-Torres, Enrique ^{[6
]}

Montanes, Elena ^{[7
]}

Prieto, Luis Manuel ^{[1
,2
,3
]}

机构：

[1] Univ Complutense Madrid, Hosp Univ 12 Octubre, Dept Pediat, Pediat Infect Dis Unit, Madrid, Spain

[2] RITIP Traslat Res Network Pediat Infect Dis, Madrid, Spain

[3] Hosp 12 Octubre, Pediat Res & Clin Trials Unit UPIC, Inst Invest, imas12, Madrid, Spain

[4] Hosp Clin Univ Valencia, Dept Pediat, Valencia, Spain

[5] Univ Complutense Madrid, Hosp Univ 12 Octubre, Dept Pediat, Pediat Intens Care Unit, Madrid, Spain

[6] Hosp Univ 12 Octubre, Pediat Inst Heart, Pediat Cardiovasc Surg Unit, Madrid, Spain

[7] Hosp Univ 12 Octubre, Dept Pediat, Div Cardiol, Madrid, Spain

来源：

PEDIATRIC INFECTIOUS DISEASE JOURNAL | 2023年 / 42卷 / 07期

关键词：

mediastinitis; congenital heart disease; median sternotomy; microbiological diagnosis; mortality; POSTOPERATIVE MEDIASTINITIS; CARDIAC-SURGERY;

D O I：

10.1097/INF.0000000000003934

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

Mediastinitis after surgery for congenital heart disease has a great impact on morbidity and mortality. However, there are scarce studies focused on the epidemiology of postsurgical mediastinitis in pediatric patients. In this 18-year period retrospective study, the cumulative incidence of mediastinitis was low: 0.64%, (95% confidence interval: 0.36-1.1). Gram-negative bacilli were common (35%). The mortality rate was 7.1%, associated with fungal infection.

引用

页码：E250 / E253

页数：4

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