Deep Sternal Wound Infection: Diagnosis, Treatment and Prevention

被引：64
作者：
Phoon, Priscilla Hui Yi [1 ,2 ]
Hwang, Nian Chih [1 ,2 ]
机构：
[1] Singapore Gen Hosp, Dept Anaesthesiol, Singapore, Singapore
[2] Natl Heart Ctr, Dept Cardiothorac Anaesthesia, Singapore, Singapore
来源：
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA | 2020年 / 34卷 / 06期
关键词：
sternal instability; wound dehiscence; cardiac surgery; prevention; treatment; management of mediastinitis; INTERNAL THORACIC ARTERY; VACUUM-ASSISTED CLOSURE; SURGICAL-SITE INFECTION; OPEN-HEART-SURGERY; POST-STERNOTOMY MEDIASTINITIS; PREDICTIVE SCORING SYSTEM; CORONARY-BYPASS SURGERY; LONG-TERM SURVIVAL; RISK-FACTORS; CARDIAC-SURGERY;
D O I：
10.1053/j.jvca.2019.09.019
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Deep sternal wound infection (DSWI) is a rare but potentially devastating complication of median sternotomy performed in cardiac surgery. The incidence of DSWI is reported to be between 0.2% and 3%. Identifying high-risk patients and strategies to optimize risk factors plays an important role in reducing the incidence of DSWI. Management of DSWI can be complex and may require a multidisciplinary team approach involving infectious disease specialists, microbiologists, as well as cardiothoracic and plastic surgeons. Early detection, appropriate antibiotic treatment, aggressive surgical debridement, and use of regional muscle flaps have significantly improved treatment outcomes. (C) 2019 Elsevier Inc. All rights reserved.
引用
收藏
页码：1602 / 1613
页数：12
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