Continuous Infusion of Nafcillin for Sternal Osteomyelitis in an Infant After Cardiac Surgery

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Continuous infusion of nafcillin for sternal osteomyelitis in an infant after cardiac surgery.

We report the use of the continuous infusion of nafcillin for the treatment of an infant who had methicillinsusceptible Staphylococcus aureus sternal osteomyelitis not responsive to traditional nafcillin dosing. The patient was successfully treated with surgical debridement and the continuous infusion of nafcillin. To our knowledge, this is the first report describing the successful use of the ...

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Continuous Intravenous Insulin Infusion Reduces Incidence of Deep Sternal Wound Infection In Diabetic Cardiac Surgery Patients

Background: Diabetes mellitus (DM) is a risk factor for deep sternal wound infection (DSWI) following open heart surgery. We have previously shown that elevated postoperative blood glucose is a predictor of DSWI in diabetics. Therefore, we hypothesized that aggressive intravenous pharmacologic control of post operative blood glucose would reduce the incidence of deep sternal wound infection. Me...

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Sternal Osteomyelitis Caused by Gordonia bronchialis after Open-Heart Surgery

We report the case of a deep sternal wound infection with sternal osteomyelitis caused by Gordonia bronchialis after open-heart surgery. The isolate was identified as a G. bronchialis by 16S rRNA and hsp65 gene sequencing, having initially been misidentified as a Rhodococcus by a commercial phenotypic identification system.

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Deep sternal wound infection after cardiac surgery

BACKGROUND Deep sternal wound infection (DSWI) is a serious postoperative complication of cardiac surgery. In this study we investigated the incidence of DSWI and effect of re-exploration for bleeding on DSWI mortality. METHODS We reviewed 73,700 cases registered in the Japan Adult Cardiovascular Surgery Database (JACVSD) during the period from 2004 to 2009 and divided them into five groups: ...

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[Risk factors for mediastinitis and sternal dehiscence after cardiac surgery].

INTRODUCTION AND OBJECTIVES The aim of our study was to identify risk factors for the development of post-sternotomy mediastinitis and sternal dehiscence without infection. PATIENTS AND METHOD The records of all patients who presented with sternal abnormalities between January 1, 1997 and December 31, 2003 were reviewed retrospectively, and potential risk factors were examined. Patients were ...

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ژورنال

عنوان ژورنال: The Journal of Pediatric Pharmacology and Therapeutics

سال: 2010

ISSN: 1551-6776

DOI: 10.5863/1551-6776-15.1.49