European Association for Cardio-Thoracic Surgery expert consensus statement on the prevention and management of mediastinitis

被引：128

作者：

Abu-Omar, Yasir ^{[1
]}

Kocher, Gregor J. ^{[2
]}

Bosco, Paolo ^{[1
]}

Barbero, Cristina ^{[3
,4
]}

Waller, David ^{[5
]}

Gudbjartsson, Tomas ^{[6
,7
]}

Sousa-Uva, Miguel ^{[8
]}

Licht, Peter B. ^{[9
]}

Dunning, Joel ^{[10
]}

Schmid, Ralph A. ^{[1
]}

Cardillo, Giuseppe ^{[11
]}

机构：

[1] Papworth Hosp NHS Fdn Trust, Dept Cardiothorac Surg, Cambridge CB23 3RE, England

[2] Inselspital Bern, Univ Hosp Bern, Div Gen Thorac Surg, Bern, Switzerland

[3] Univ Turin, Dept Cardiovasc & Thorac Surg, Turin, Italy

[4] San Giovanni Battista Hosp, Citta Salute & Sci, Turin, Italy

[5] Glenfield Hosp, Dept Thorac Surg, Leicester, Leics, England

[6] Univ Iceland, Landspitali Univ Hosp, Dept Cardiothorac Surg, Reykjavik, Iceland

[7] Univ Iceland, Fac Med, Reykjavik, Iceland

[8] Hosp Cruz Vermelha, Unit Cardiac Surg, Lisbon, Portugal

[9] Odense Univ Hosp, Dept Cardiothorac Surg, Clin Guidelines Comm, Odense, Denmark

[10] James Cook Univ Hosp, Dept Cardiothorac Surg, Middlesbrough, Cleveland, England

[11] Lazzaro Spallanzani Hosp, Unit Thorac Surg, Azienda Osped S Camillo Forlanini, EACTS Thorac Domain, Rome, Italy

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 2017年 / 51卷 / 01期

关键词：

Mediastinitis; Cardiac surgery; General thoracic surgery; Treatment; Prevention; Guideline; STERNAL WOUND INFECTIONS; SURGICAL-SITE INFECTION; DESCENDING NECROTIZING MEDIASTINITIS; STAPHYLOCOCCUS-AUREUS INFECTIONS; VACUUM-ASSISTED CLOSURE; BYPASS GRAFT-SURGERY; GENTAMICIN-COLLAGEN SPONGE; RISK-FACTOR-ANALYSIS; CARDIAC-SURGERY; POSTSTERNOTOMY MEDIASTINITIS;

D O I：

10.1093/ejcts/ezw326

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Mediastinitis continues to be an important and life-threatening complication after median sternotomy despite advances in prevention and treatment strategies, with an incidence of 0.25-5%. It can also occur as extension of infection from adjacent structures such as the oesophagus, airways and lungs, or as descending necrotizing infection from the head and neck. In addition, there is a chronic form of 'chronic fibrosing mediastinitis' usually caused by granulomatous infections. In this expert consensus, the evidence for strategies for treatment and prevention of mediatinitis is reviewed in detail aiming at reducing the incidence and optimizing the management of this serious condition.

引用

页码：10 / 25

页数：16

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