eComment. Prevention of sternal wound infection

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Overview and management of sternal wound infection.

Sternal wound infection is a life-threatening complication after cardiac surgery associated with high morbidity and mortality. Past treatment options have included closed suction and continuous irrigation. Current paradigms in the management of sternal wound infection include surgical debridement, vacuum-assisted closure therapy, flap coverage, and sternal plating. We provide a general overview...

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Delayed Presentation of Deep Sternal Wound Infection

Deep sternal wound infections (DSWI) are infections of the sternum, mediastinum, or the muscle, fascia and soft tissue that overlie the sternum, typically occurring within a month of cardiac surgery. They are infrequent though severe complications of cardiac surgery. Diagnosis is made by the clinical presentation of fever, chest pain, or sternal instability in the setting of wound drainage, pos...

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Sternal wound infection caused by Mycobacterium chelonae.

INTRODUCTION Sternal wound infection caused by Mycobacterium chelonae, a member of the rapidly growing nontuberculous mycobacteria (NTM), is rare and may present without signs and symptoms of systemic infection. METHODS We present a patient who had a M. chelonae infection of the sternum following excision of a left atrial myxoma and conducted a review of the literature from 1976 to 2013. RE...

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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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Prevention of wound infection.

Discussion It is not easy to reconcile these findings with those obtained in the early days of diphtheria immunization when F.T. was extensively used with definite clinical success. It is possible that the reason for the poor immunizing action of the present-day F.T. is the fact that it is prepared in a highly purified form, whereas the F.T. used in the early days undoubtedly contained many imp...

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ژورنال

عنوان ژورنال: Interactive CardioVascular and Thoracic Surgery

سال: 2013

ISSN: 1569-9293,1569-9285

DOI: 10.1093/icvts/ivt275