Mediastinitis after pediatric cardiac surgery: a 15-year experience at a single institution
The spectrum of sternal wound infections after cardiac surgery ranges from superficial infections to a deep sternal infection known as mediastinitis. Mediastinitis is a rare but clinically relevant source of postoperative morbidity and mortality in adult and pediatric patients after cardiac surgery....
Saved in:
Published in | The Annals of thoracic surgery Vol. 76; no. 5; pp. 1655 - 1660 |
---|---|
Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
New York, NY
Elsevier Inc
01.11.2003
Elsevier Science |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | The spectrum of sternal wound infections after cardiac surgery ranges from superficial infections to a deep sternal infection known as mediastinitis. Mediastinitis is a rare but clinically relevant source of postoperative morbidity and mortality in adult and pediatric patients after cardiac surgery.
We retrospectively identified all patients diagnosed with mediastinitis after cardiac surgery from January 1987 to December 2002 (17 patients/7,616 surgeries = 0.2%). Demographic data, cardiac diagnosis, cardiac surgery, hospital length of stay, associated medical diagnosis, and surgical treatment for mediastinitis were collected.
Fifteen pediatric patients (age < 18 years) were diagnosed with mediastinitis (mean age at diagnosis 37.5 months, range 21 days to 17 years. The median postoperative day of diagnosis was 14 days (6 to 50 days). The most common organism was
Staphylococcus species (n = 9). Six patients had an associated bacteremia. The median hospital length of stay for all patients was 42.5 days (range 16 to 163 days). The hospital mortality was 1 of 15 (6%). Each patient was treated with intravenous antibiotics; sternal debridement; and rectus abdominus flap reconstruction (n = 7), pectoralis muscle flap reconstruction (n = 3), omentum reconstruction (n = 1), or primary sternal closure (n = 4). Three patients have undergone redo-sternotomy with orthotopic heart transplantation, bidirectional cavopulmonary anastomosis, and replacement of a right ventricle to pulmonary artery homograft.
Timely diagnosis, aggressive sternal debridement, and liberal use of rotational muscle flaps can potentially minimize the morbidity and mortality in pediatric postoperative cardiac patients. Subsequent redo-sternotomy has not been problematic. |
---|---|
AbstractList | The spectrum of sternal wound infections after cardiac surgery ranges from superficial infections to a deep sternal infection known as mediastinitis. Mediastinitis is a rare but clinically relevant source of postoperative morbidity and mortality in adult and pediatric patients after cardiac surgery.
We retrospectively identified all patients diagnosed with mediastinitis after cardiac surgery from January 1987 to December 2002 (17 patients/7,616 surgeries = 0.2%). Demographic data, cardiac diagnosis, cardiac surgery, hospital length of stay, associated medical diagnosis, and surgical treatment for mediastinitis were collected.
Fifteen pediatric patients (age < 18 years) were diagnosed with mediastinitis (mean age at diagnosis 37.5 months, range 21 days to 17 years. The median postoperative day of diagnosis was 14 days (6 to 50 days). The most common organism was Staphylococcus species (n = 9). Six patients had an associated bacteremia. The median hospital length of stay for all patients was 42.5 days (range 16 to 163 days). The hospital mortality was 1 of 15 (6%). Each patient was treated with intravenous antibiotics; sternal debridement; and rectus abdominus flap reconstruction (n = 7), pectoralis muscle flap reconstruction (n = 3), omentum reconstruction (n = 1), or primary sternal closure (n = 4). Three patients have undergone redo-sternotomy with orthotopic heart transplantation, bidirectional cavopulmonary anastomosis, and replacement of a right ventricle to pulmonary artery homograft.
Timely diagnosis, aggressive sternal debridement, and liberal use of rotational muscle flaps can potentially minimize the morbidity and mortality in pediatric postoperative cardiac patients. Subsequent redo-sternotomy has not been problematic. BACKGROUNDThe spectrum of sternal wound infections after cardiac surgery ranges from superficial infections to a deep sternal infection known as mediastinitis. Mediastinitis is a rare but clinically relevant source of postoperative morbidity and mortality in adult and pediatric patients after cardiac surgery.METHODSWe retrospectively identified all patients diagnosed with mediastinitis after cardiac surgery from January 1987 to December 2002 (17 patients/7,616 surgeries = 0.2%). Demographic data, cardiac diagnosis, cardiac surgery, hospital length of stay, associated medical diagnosis, and surgical treatment for mediastinitis were collected.RESULTSFifteen pediatric patients (age < 18 years) were diagnosed with mediastinitis (mean age at diagnosis 37.5 months, range 21 days to 17 years. The median postoperative day of diagnosis was 14 days (6 to 50 days). The most common organism was Staphylococcus species (n = 9). Six patients had an associated bacteremia. The median hospital length of stay for all patients was 42.5 days (range 16 to 163 days). The hospital mortality was 1 of 15 (6%). Each patient was treated with intravenous antibiotics; sternal debridement; and rectus abdominus flap reconstruction (n = 7), pectoralis muscle flap reconstruction (n = 3), omentum reconstruction (n = 1), or primary sternal closure (n = 4). Three patients have undergone redo-sternotomy with orthotopic heart transplantation, bidirectional cavopulmonary anastomosis, and replacement of a right ventricle to pulmonary artery homograft.CONCLUSIONSTimely diagnosis, aggressive sternal debridement, and liberal use of rotational muscle flaps can potentially minimize the morbidity and mortality in pediatric postoperative cardiac patients. Subsequent redo-sternotomy has not been problematic. The spectrum of sternal wound infections after cardiac surgery ranges from superficial infections to a deep sternal infection known as mediastinitis. Mediastinitis is a rare but clinically relevant source of postoperative morbidity and mortality in adult and pediatric patients after cardiac surgery. We retrospectively identified all patients diagnosed with mediastinitis after cardiac surgery from January 1987 to December 2002 (17 patients/7,616 surgeries = 0.2%). Demographic data, cardiac diagnosis, cardiac surgery, hospital length of stay, associated medical diagnosis, and surgical treatment for mediastinitis were collected. Fifteen pediatric patients (age < 18 years) were diagnosed with mediastinitis (mean age at diagnosis 37.5 months, range 21 days to 17 years. The median postoperative day of diagnosis was 14 days (6 to 50 days). The most common organism was Staphylococcus species (n = 9). Six patients had an associated bacteremia. The median hospital length of stay for all patients was 42.5 days (range 16 to 163 days). The hospital mortality was 1 of 15 (6%). Each patient was treated with intravenous antibiotics; sternal debridement; and rectus abdominus flap reconstruction (n = 7), pectoralis muscle flap reconstruction (n = 3), omentum reconstruction (n = 1), or primary sternal closure (n = 4). Three patients have undergone redo-sternotomy with orthotopic heart transplantation, bidirectional cavopulmonary anastomosis, and replacement of a right ventricle to pulmonary artery homograft. Timely diagnosis, aggressive sternal debridement, and liberal use of rotational muscle flaps can potentially minimize the morbidity and mortality in pediatric postoperative cardiac patients. Subsequent redo-sternotomy has not been problematic. |
Author | Feltes, Timothy F Fraser, Charles D Mott, Antonio R Tortoriello, Tia A McKenzie, E.Dean Randall, Jessica Friedman, Jeffrey D |
Author_xml | – sequence: 1 givenname: Tia A surname: Tortoriello fullname: Tortoriello, Tia A organization: The Lillie Frank Abercrombie Section of Pediatric Cardiology, The Heart Center, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas, USA – sequence: 2 givenname: Jeffrey D surname: Friedman fullname: Friedman, Jeffrey D organization: Department of Plastic and Reconstructive Surgery, The Heart Center, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas, USA – sequence: 3 givenname: E.Dean surname: McKenzie fullname: McKenzie, E.Dean organization: Department of Congenital Heart Surgery, The Heart Center, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas, USA – sequence: 4 givenname: Charles D surname: Fraser fullname: Fraser, Charles D organization: Department of Congenital Heart Surgery, The Heart Center, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas, USA – sequence: 5 givenname: Timothy F surname: Feltes fullname: Feltes, Timothy F organization: The Lillie Frank Abercrombie Section of Pediatric Cardiology, The Heart Center, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas, USA – sequence: 6 givenname: Jessica surname: Randall fullname: Randall, Jessica organization: The Lillie Frank Abercrombie Section of Pediatric Cardiology, The Heart Center, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas, USA – sequence: 7 givenname: Antonio R surname: Mott fullname: Mott, Antonio R email: amott@bcm.tmc.edu organization: The Lillie Frank Abercrombie Section of Pediatric Cardiology, The Heart Center, Texas Children's Hospital, Baylor College of Medicine, Houston, Texas, USA |
BackLink | http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15249224$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/14602304$$D View this record in MEDLINE/PubMed |
BookMark | eNqFkEtP3DAQgK0KVBban1DkSys4hI4dO3G4oArxkkA9tD31YHntCTLKOlvbQey_x_tQOXIae-abh75DshfGgIR8YXDGgDXffwFAXYmulSdQnwIDLqv2A5kxKXnVcNntkdl_5IAcpvRUvryUP5IDJhrgNYgZ-fuAzpuUffDZJ2r6jJEu17kcvaXWxPK0NE3xEePqnBrKZLVCEym-LDF6DBapySWffHgckPpQhuUp-zF8Ivu9GRJ-3sUj8uf66vflbXX_8-bu8sd9ZaWAXM27TtRNzaE2jVKdVG4uGoeCK7DYGlBcKdM7ROkYBwNWNYxx5Di3rm1FUx-Rb9u5yzj-mzBlvfDJ4jCYgOOUdMtqyRRjBZRb0MYxpYi9Xka_MHGlGei1Vb2xqtfKdIkbq7otfce7BdN8ge6ta6exAF93gEnWDH00wfr0xkkuOs7X3MWWw6Lj2WPUyW4UOh_RZu1G_84prz0IlRc |
CODEN | ATHSAK |
CitedBy_id | crossref_primary_10_1016_j_athoracsur_2009_11_048 crossref_primary_10_1111_jocs_12243 crossref_primary_10_4330_wjc_v2_i11_391 crossref_primary_10_1053_j_jvca_2010_07_022 crossref_primary_10_9794_jspccs_29_34 crossref_primary_10_1016_j_athoracsur_2012_07_079 crossref_primary_10_1111_j_1460_9592_2008_02808_x crossref_primary_10_1510_icvts_2010_235903 crossref_primary_10_1007_s12519_022_00606_5 crossref_primary_10_1016_j_bjps_2007_11_025 crossref_primary_10_1111_ped_14101 crossref_primary_10_5863_1551_6776_15_1_49 crossref_primary_10_1093_icvts_ivu234 crossref_primary_10_1016_j_bjps_2015_08_014 crossref_primary_10_1007_s10396_020_01029_3 crossref_primary_10_1016_j_ijcard_2007_12_094 crossref_primary_10_3389_fsurg_2022_870044 crossref_primary_10_1097_PCC_0000000000000758 crossref_primary_10_1097_01_inf_0000157205_31624_ed crossref_primary_10_1097_01_CCM_0000269027_50834_FE crossref_primary_10_1097_01_inf_0000176615_77854_7a crossref_primary_10_1186_1471_2334_7_112 crossref_primary_10_1016_j_athoracsur_2010_10_030 crossref_primary_10_1016_j_mycmed_2014_03_006 crossref_primary_10_1002_psp4_13196 crossref_primary_10_1016_j_bjps_2007_05_004 crossref_primary_10_1017_S1047951108003016 crossref_primary_10_1016_j_athoracsur_2010_09_055 crossref_primary_10_1016_j_athoracsur_2005_05_035 crossref_primary_10_1016_j_pcl_2012_09_002 crossref_primary_10_1111_j_1399_3046_2011_01474_x crossref_primary_10_1111_jocs_12463 crossref_primary_10_1186_s13643_017_0502_y crossref_primary_10_1155_2013_426923 crossref_primary_10_1111_aor_13321 crossref_primary_10_1016_j_athoracsur_2014_04_090 crossref_primary_10_1097_01_sap_0000183681_56595_0a crossref_primary_10_1016_j_ijantimicag_2008_10_006 crossref_primary_10_1002_ccr3_3356 crossref_primary_10_1007_s00246_006_0008_1 crossref_primary_10_1007_s00398_008_0619_3 crossref_primary_10_1017_S1047951107000066 crossref_primary_10_12968_jowc_2012_21_8_408 crossref_primary_10_18821_1560_9510_2019_23_2_68_71 crossref_primary_10_1097_INF_0000000000002620 crossref_primary_10_1177_2150135115598211 crossref_primary_10_1510_icvts_2009_206029 crossref_primary_10_24884_0042_4625_2017_176_2_62_65 crossref_primary_10_1111_jocs_15561 crossref_primary_10_1055_s_0040_1715483 crossref_primary_10_1093_icvts_ivu050 crossref_primary_10_1016_j_jtcvs_2006_09_026 crossref_primary_10_1590_S0100_39842008000400014 crossref_primary_10_1016_j_cpem_2011_09_005 crossref_primary_10_1016_j_emcaa_2005_07_002 crossref_primary_10_1016_j_athoracsur_2007_03_064 crossref_primary_10_1016_S1166_4568_05_40574_4 crossref_primary_10_1177_2150135112454145 |
Cites_doi | 10.3109/14017439109098094 10.1016/0003-4975(90)90136-T 10.1016/S0003-4975(99)01075-9 10.1016/S0003-4975(98)01195-3 10.1067/mtc.2002.118505 10.1016/S1010-7940(02)00084-2 10.1016/S0022-5223(19)37692-5 10.1016/S0022-3476(77)80365-X 10.1097/00000637-199704000-00010 10.1016/S0003-4975(97)01003-5 10.1097/00003246-199004000-00006 10.1055/s-2000-6891 10.1378/chest.119.5.1461 10.1016/0003-4975(94)90179-1 10.1542/peds.67.4.548 10.1016/S0003-4975(01)03087-9 10.1016/S0196-6553(99)70088-X 10.1016/S0003-4975(10)60030-6 10.1016/S0003-4975(01)02835-1 10.1016/S1010-7940(01)00676-5 10.1097/00006454-200210000-00005 10.1016/S1010-7940(01)00991-5 10.1016/S1010-7940(02)00124-0 10.3109/14017438309099365 10.1016/S0022-5223(19)35277-8 10.1111/j.1540-8191.1991.tb00322.x 10.1097/00006454-200210000-00006 10.1016/S0003-4975(10)62035-8 |
ContentType | Journal Article |
Copyright | 2003 The Society of Thoracic Surgeons 2004 INIST-CNRS |
Copyright_xml | – notice: 2003 The Society of Thoracic Surgeons – notice: 2004 INIST-CNRS |
DBID | IQODW CGR CUY CVF ECM EIF NPM AAYXX CITATION 7X8 |
DOI | 10.1016/S0003-4975(03)01025-7 |
DatabaseName | Pascal-Francis Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef MEDLINE - Academic |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef MEDLINE - Academic |
DatabaseTitleList | MEDLINE MEDLINE - Academic |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
EISSN | 1552-6259 |
EndPage | 1660 |
ExternalDocumentID | 10_1016_S0003_4975_03_01025_7 14602304 15249224 S0003497503010257 |
Genre | Journal Article Comparative Study |
GroupedDBID | --- --K .1- .55 .FO .GJ 0R~ 1B1 1P~ 1~5 23M 3O- 4.4 457 4G. 53G 5GY 5RE 5VS 6J9 7-5 71M AAEDT AAEDW AAEJM AAIAV AALRI AAQFI AAQQT AAQXK AAXUO ABJNI ABLJU ABMAC ABOCM ACGFO ACGFS ACIUM ACRZS ADBBV ADMUD ADPAM AENEX AEVXI AFCTW AFFNX AFRHN AFTJW AGHFR AGZHU AHPSJ AI. AITUG AJJEV AJUYK ALMA_UNASSIGNED_HOLDINGS ALXNB AMRAJ ASPBG AVWKF AZFZN BAWUL BELOY C5W CS3 DIK E3Z EBS EFJIC EJD F5P FDB FEDTE FGOYB GBLVA GX1 HVGLF HZ~ IH2 IHE J1W J5H K-O KOM L7B M41 MO0 N9A NQ- O9- OA- OK1 OL. OVD P2P P6G PC. R2- RIG ROL RPZ SES SSZ TEORI TR2 UDS UNMZH UV1 VH1 W8F X7M XH2 XPP Z5R ZA5 ZGI ZXP 08R AAUGY IQODW AKRWK CGR CUY CVF ECM EIF NPM AAYXX ACRPL ADNMO CITATION 7X8 |
ID | FETCH-LOGICAL-c540t-b994363203a688958db46de4280ce7a08288afdee5d120a0c86112e2ebcd77463 |
ISSN | 0003-4975 |
IngestDate | Sat Aug 17 00:13:28 EDT 2024 Fri Dec 06 04:41:34 EST 2024 Sat Sep 28 08:38:45 EDT 2024 Sun Oct 22 16:04:27 EDT 2023 Fri Feb 23 02:32:33 EST 2024 |
IsDoiOpenAccess | false |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 5 |
Keywords | 5 Human Heart Pediatrics Treatment Mediastinum disease Surgery Mediastinitis Anesthesia Circulatory system Institution Cardiology Child |
Language | English |
License | CC BY 4.0 https://www.elsevier.com/tdm/userlicense/1.0 |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c540t-b994363203a688958db46de4280ce7a08288afdee5d120a0c86112e2ebcd77463 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
OpenAccessLink | http://www.annalsthoracicsurgery.org/article/S0003497503010257/pdf |
PMID | 14602304 |
PQID | 71351811 |
PQPubID | 23479 |
PageCount | 6 |
ParticipantIDs | proquest_miscellaneous_71351811 crossref_primary_10_1016_S0003_4975_03_01025_7 pubmed_primary_14602304 pascalfrancis_primary_15249224 elsevier_sciencedirect_doi_10_1016_S0003_4975_03_01025_7 |
PublicationCentury | 2000 |
PublicationDate | 2003-11-01 |
PublicationDateYYYYMMDD | 2003-11-01 |
PublicationDate_xml | – month: 11 year: 2003 text: 2003-11-01 day: 01 |
PublicationDecade | 2000 |
PublicationPlace | New York, NY |
PublicationPlace_xml | – name: New York, NY – name: Netherlands |
PublicationTitle | The Annals of thoracic surgery |
PublicationTitleAlternate | Ann Thorac Surg |
PublicationYear | 2003 |
Publisher | Elsevier Inc Elsevier Science |
Publisher_xml | – name: Elsevier Inc – name: Elsevier Science |
References | Backer, Pensler, Tobin, Mavroudis (BIB15) 1994; 57 Combes, Trouillet, Baudot, Mokhtari, Chastre, Gibert (BIB1) 2001; 72 Ulicny, Hiratzka (BIB5) 1991; 6 Ottino, Paulis, Pansini (BIB11) 1987; 44 Carrier, Marchand, Auger (BIB26) 2002; 123 Grossi, Culliford, Krieger (BIB10) 1985; 40 Nakamura, Rohling, Shashaty, Hongzhou, Tang, Edwards (BIB28) 2002; 21 Curtis, Clark, McKenney (BIB20) 2001; 72 Shafir, Weiss, Herman, Cohen, Stern, Igra (BIB25) 1988; 96 Grant, Breitbart, Parnell (BIB17) 1997; 38 Julian, Lopez-Belio, Dye (BIB19) 1957; 42 Baskett, MacDougall, Ross (BIB8) 1999; 67 Pollock, Ford-Jones, Rebeyka (BIB23) 1990; 18 Aeba, Katogi, Kawada (BIB18) 2000; 48 Serry, Bleck, Javid (BIB9) 1980; 80 Ivert, Lindblom, Sahni, Eldh (BIB12) 1991; 25 Bitkover, Gardlund (BIB7) 1998; 65 Losanoff, Richman, Jones (BIB13) 2002; 21 Ridderstolpe, Gill, Granfeldt, Ahlfeldt, Rutberg (BIB2) 2001; 20 Waldman, Rosenthal, Smith, Shurin, Nadas (BIB21) 1977; 90 Biggar, Ramirez, Rose (BIB22) 1981; 67 Gardlund, Bitkover, Vaage (BIB27) 2002; 21 Leal-Noval, Rincon-Ferrari, Garcia-Curiel (BIB14) 2001; 119 Mangram, Horan, Pearson, Silver, Jarvis (BIB4) 1999; 27 Loop, Lytle, Cosgrove (BIB6) 1990; 49 Sattler, Mason, Kaplan (BIB29) 2002; 21 De Feo, Gregorio, Della Corte (BIB3) 2001; 19 Harjula, Jarvinen (BIB24) 1983; 17 Erez, Katz, Sharoni (BIB16) 2000; 69 Leal-Noval (10.1016/S0003-4975(03)01025-7_BIB14) 2001; 119 Biggar (10.1016/S0003-4975(03)01025-7_BIB22) 1981; 67 Sattler (10.1016/S0003-4975(03)01025-7_BIB29) 2002; 21 Ottino (10.1016/S0003-4975(03)01025-7_BIB11) 1987; 44 Baskett (10.1016/S0003-4975(03)01025-7_BIB8) 1999; 67 Carrier (10.1016/S0003-4975(03)01025-7_BIB26) 2002; 123 Grant (10.1016/S0003-4975(03)01025-7_BIB17) 1997; 38 Waldman (10.1016/S0003-4975(03)01025-7_BIB21) 1977; 90 Ridderstolpe (10.1016/S0003-4975(03)01025-7_BIB2) 2001; 20 Backer (10.1016/S0003-4975(03)01025-7_BIB15) 1994; 57 Losanoff (10.1016/S0003-4975(03)01025-7_BIB13) 2002; 21 Nakamura (10.1016/S0003-4975(03)01025-7_BIB28) 2002; 21 Ivert (10.1016/S0003-4975(03)01025-7_BIB12) 1991; 25 Curtis (10.1016/S0003-4975(03)01025-7_BIB20) 2001; 72 Mangram (10.1016/S0003-4975(03)01025-7_BIB4) 1999; 27 Bitkover (10.1016/S0003-4975(03)01025-7_BIB7) 1998; 65 Pollock (10.1016/S0003-4975(03)01025-7_BIB23) 1990; 18 Grossi (10.1016/S0003-4975(03)01025-7_BIB10) 1985; 40 De Feo (10.1016/S0003-4975(03)01025-7_BIB3) 2001; 19 Harjula (10.1016/S0003-4975(03)01025-7_BIB24) 1983; 17 Combes (10.1016/S0003-4975(03)01025-7_BIB1) 2001; 72 Julian (10.1016/S0003-4975(03)01025-7_BIB19) 1957; 42 Gardlund (10.1016/S0003-4975(03)01025-7_BIB27) 2002; 21 Serry (10.1016/S0003-4975(03)01025-7_BIB9) 1980; 80 Erez (10.1016/S0003-4975(03)01025-7_BIB16) 2000; 69 Aeba (10.1016/S0003-4975(03)01025-7_BIB18) 2000; 48 Ulicny (10.1016/S0003-4975(03)01025-7_BIB5) 1991; 6 Loop (10.1016/S0003-4975(03)01025-7_BIB6) 1990; 49 Shafir (10.1016/S0003-4975(03)01025-7_BIB25) 1988; 96 |
References_xml | – volume: 27 start-page: 97 year: 1999 end-page: 134 ident: BIB4 article-title: The hospital infection control practices advisory committee. Guideline for prevention of surgical site infection, 1999 publication-title: Am J Infect Control contributor: fullname: Jarvis – volume: 40 start-page: 214 year: 1985 end-page: 223 ident: BIB10 article-title: A survey of 77 major infectious complications of median sternotomy publication-title: Ann Thorac Surg contributor: fullname: Krieger – volume: 57 start-page: 797 year: 1994 end-page: 802 ident: BIB15 article-title: Vascularized muscle flaps for life-threatening mediastinal wounds in children publication-title: Ann Thorac Surg contributor: fullname: Mavroudis – volume: 65 start-page: 36 year: 1998 end-page: 40 ident: BIB7 article-title: Mediastinitis after cardiovascular operations publication-title: Ann Thorac Surg contributor: fullname: Gardlund – volume: 67 start-page: 548 year: 1981 end-page: 551 ident: BIB22 article-title: Congenital asplenia publication-title: Pediatrics contributor: fullname: Rose – volume: 20 start-page: 1168 year: 2001 end-page: 1175 ident: BIB2 article-title: Superficial and deep sternal wound complications publication-title: Eur J Cardiothorac Surg contributor: fullname: Rutberg – volume: 69 start-page: 572 year: 2000 end-page: 577 ident: BIB16 article-title: Pectoralis major muscle flap for deep sternal wound infections in neonates publication-title: Ann Thorac Surg contributor: fullname: Sharoni – volume: 80 start-page: 861 year: 1980 end-page: 867 ident: BIB9 article-title: Sternal wound complications publication-title: J Thorac Cardiovasc Surg contributor: fullname: Javid – volume: 18 start-page: 378 year: 1990 end-page: 384 ident: BIB23 article-title: Early nosocomial infections in pediatric cardiovascular surgery patients publication-title: Crit Care Med contributor: fullname: Rebeyka – volume: 119 start-page: 1461 year: 2001 end-page: 1468 ident: BIB14 article-title: Transfusion of blood components and postoperative infection in patients undergoing cardiac surgery publication-title: Chest contributor: fullname: Garcia-Curiel – volume: 42 start-page: 753 year: 1957 end-page: 761 ident: BIB19 article-title: The median sternotomy incision in cardiac surgery with extracorporeal circulation publication-title: Surgery contributor: fullname: Dye – volume: 67 start-page: 462 year: 1999 end-page: 465 ident: BIB8 article-title: Is mediastinitis a preventable complication? A 10 year review publication-title: Ann Thorac Surg contributor: fullname: Ross – volume: 17 start-page: 277 year: 1983 end-page: 281 ident: BIB24 article-title: Postoperative median sternotomy dehiscence publication-title: Scand J Thorac Cardiovasc Surg contributor: fullname: Jarvinen – volume: 19 start-page: 811 year: 2001 end-page: 816 ident: BIB3 article-title: Deep sternal wound infection publication-title: Eur J Cardiothorac Surg contributor: fullname: Della Corte – volume: 49 start-page: 179 year: 1990 end-page: 187 ident: BIB6 article-title: Sternal wound complications after isolated coronary artery bypass grafting publication-title: Ann Thorac Surg contributor: fullname: Cosgrove – volume: 72 start-page: 1592 year: 2001 end-page: 1597 ident: BIB1 article-title: Is it possible to cure mediastinitis in patients with major postcardiac surgery complications? publication-title: Ann Thorac Surg contributor: fullname: Gibert – volume: 72 start-page: 731 year: 2001 end-page: 734 ident: BIB20 article-title: Tracheostomy publication-title: Ann Thorac Surg contributor: fullname: McKenney – volume: 21 start-page: 825 year: 2002 end-page: 830 ident: BIB27 article-title: Postoperative mediastinitis in cardiac surgery-microbiology and pathogenesis publication-title: Eur J Cardiothorac Surg contributor: fullname: Vaage – volume: 38 start-page: 365 year: 1997 end-page: 370 ident: BIB17 article-title: Muscle flap reconstruction of pediatric poststernotomy wound infections publication-title: Ann Plast Surg contributor: fullname: Parnell – volume: 123 start-page: 40 year: 2002 end-page: 44 ident: BIB26 article-title: Methicillin-resistant publication-title: J Thorac Cardiovasc Surg contributor: fullname: Auger – volume: 48 start-page: 243 year: 2000 end-page: 244 ident: BIB18 article-title: Omental flap for mediastinitis after median sternotomy in asplenia syndrome and gut malrotation publication-title: Thorac Cardiov Surg contributor: fullname: Kawada – volume: 96 start-page: 310 year: 1988 end-page: 313 ident: BIB25 article-title: Faulty sternotomy and complications after median sternotomy publication-title: J Thorac Cardiovasc Surg contributor: fullname: Igra – volume: 21 start-page: 831 year: 2002 end-page: 839 ident: BIB13 article-title: Disruption and infection of median sternotomy publication-title: Eur J Cardiothorac Surg contributor: fullname: Jones – volume: 90 start-page: 555 year: 1977 end-page: 559 ident: BIB21 article-title: Sepsis and congenital asplenia publication-title: J Pediatr contributor: fullname: Nadas – volume: 44 start-page: 173 year: 1987 end-page: 179 ident: BIB11 article-title: Major sternal wound infection after open heart surgery publication-title: Ann Thorac Surg contributor: fullname: Pansini – volume: 25 start-page: 111 year: 1991 end-page: 117 ident: BIB12 article-title: Management of deep sternal wound infection after cardiac surgery-Hanuman syndrome publication-title: Scand J Cardiovasc Surg contributor: fullname: Eldh – volume: 6 start-page: 338 year: 1991 end-page: 351 ident: BIB5 article-title: The risk factors of median sternotomy infection publication-title: J Card Surg contributor: fullname: Hiratzka – volume: 21 start-page: 917 year: 2002 end-page: 921 ident: BIB28 article-title: Prevalence of methicillin-resistant publication-title: Pediatr Infect Dis J contributor: fullname: Edwards – volume: 21 start-page: 910 year: 2002 end-page: 916 ident: BIB29 article-title: Prospective comparison of risk factors and demographic and clinical characteristics of community-acquired, methicillin-resistant versus methicillin-susceptible publication-title: Pediatr Infect Dis J contributor: fullname: Kaplan – volume: 25 start-page: 111 year: 1991 ident: 10.1016/S0003-4975(03)01025-7_BIB12 article-title: Management of deep sternal wound infection after cardiac surgery-Hanuman syndrome publication-title: Scand J Cardiovasc Surg doi: 10.3109/14017439109098094 contributor: fullname: Ivert – volume: 49 start-page: 179 year: 1990 ident: 10.1016/S0003-4975(03)01025-7_BIB6 article-title: Sternal wound complications after isolated coronary artery bypass grafting publication-title: Ann Thorac Surg doi: 10.1016/0003-4975(90)90136-T contributor: fullname: Loop – volume: 69 start-page: 572 year: 2000 ident: 10.1016/S0003-4975(03)01025-7_BIB16 article-title: Pectoralis major muscle flap for deep sternal wound infections in neonates publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(99)01075-9 contributor: fullname: Erez – volume: 67 start-page: 462 year: 1999 ident: 10.1016/S0003-4975(03)01025-7_BIB8 article-title: Is mediastinitis a preventable complication? A 10 year review publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(98)01195-3 contributor: fullname: Baskett – volume: 123 start-page: 40 year: 2002 ident: 10.1016/S0003-4975(03)01025-7_BIB26 article-title: Methicillin-resistant Staphylococcus aureus infection in a cardiac surgical unit publication-title: J Thorac Cardiovasc Surg doi: 10.1067/mtc.2002.118505 contributor: fullname: Carrier – volume: 21 start-page: 825 year: 2002 ident: 10.1016/S0003-4975(03)01025-7_BIB27 article-title: Postoperative mediastinitis in cardiac surgery-microbiology and pathogenesis publication-title: Eur J Cardiothorac Surg doi: 10.1016/S1010-7940(02)00084-2 contributor: fullname: Gardlund – volume: 80 start-page: 861 year: 1980 ident: 10.1016/S0003-4975(03)01025-7_BIB9 article-title: Sternal wound complications publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(19)37692-5 contributor: fullname: Serry – volume: 90 start-page: 555 year: 1977 ident: 10.1016/S0003-4975(03)01025-7_BIB21 article-title: Sepsis and congenital asplenia publication-title: J Pediatr doi: 10.1016/S0022-3476(77)80365-X contributor: fullname: Waldman – volume: 38 start-page: 365 year: 1997 ident: 10.1016/S0003-4975(03)01025-7_BIB17 article-title: Muscle flap reconstruction of pediatric poststernotomy wound infections publication-title: Ann Plast Surg doi: 10.1097/00000637-199704000-00010 contributor: fullname: Grant – volume: 65 start-page: 36 year: 1998 ident: 10.1016/S0003-4975(03)01025-7_BIB7 article-title: Mediastinitis after cardiovascular operations publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(97)01003-5 contributor: fullname: Bitkover – volume: 18 start-page: 378 year: 1990 ident: 10.1016/S0003-4975(03)01025-7_BIB23 article-title: Early nosocomial infections in pediatric cardiovascular surgery patients publication-title: Crit Care Med doi: 10.1097/00003246-199004000-00006 contributor: fullname: Pollock – volume: 48 start-page: 243 year: 2000 ident: 10.1016/S0003-4975(03)01025-7_BIB18 article-title: Omental flap for mediastinitis after median sternotomy in asplenia syndrome and gut malrotation publication-title: Thorac Cardiov Surg doi: 10.1055/s-2000-6891 contributor: fullname: Aeba – volume: 119 start-page: 1461 year: 2001 ident: 10.1016/S0003-4975(03)01025-7_BIB14 article-title: Transfusion of blood components and postoperative infection in patients undergoing cardiac surgery publication-title: Chest doi: 10.1378/chest.119.5.1461 contributor: fullname: Leal-Noval – volume: 57 start-page: 797 year: 1994 ident: 10.1016/S0003-4975(03)01025-7_BIB15 article-title: Vascularized muscle flaps for life-threatening mediastinal wounds in children publication-title: Ann Thorac Surg doi: 10.1016/0003-4975(94)90179-1 contributor: fullname: Backer – volume: 67 start-page: 548 year: 1981 ident: 10.1016/S0003-4975(03)01025-7_BIB22 article-title: Congenital asplenia publication-title: Pediatrics doi: 10.1542/peds.67.4.548 contributor: fullname: Biggar – volume: 72 start-page: 1592 year: 2001 ident: 10.1016/S0003-4975(03)01025-7_BIB1 article-title: Is it possible to cure mediastinitis in patients with major postcardiac surgery complications? publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(01)03087-9 contributor: fullname: Combes – volume: 27 start-page: 97 year: 1999 ident: 10.1016/S0003-4975(03)01025-7_BIB4 article-title: The hospital infection control practices advisory committee. Guideline for prevention of surgical site infection, 1999 publication-title: Am J Infect Control doi: 10.1016/S0196-6553(99)70088-X contributor: fullname: Mangram – volume: 40 start-page: 214 year: 1985 ident: 10.1016/S0003-4975(03)01025-7_BIB10 article-title: A survey of 77 major infectious complications of median sternotomy publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(10)60030-6 contributor: fullname: Grossi – volume: 42 start-page: 753 year: 1957 ident: 10.1016/S0003-4975(03)01025-7_BIB19 article-title: The median sternotomy incision in cardiac surgery with extracorporeal circulation publication-title: Surgery contributor: fullname: Julian – volume: 72 start-page: 731 year: 2001 ident: 10.1016/S0003-4975(03)01025-7_BIB20 article-title: Tracheostomy publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(01)02835-1 contributor: fullname: Curtis – volume: 19 start-page: 811 year: 2001 ident: 10.1016/S0003-4975(03)01025-7_BIB3 article-title: Deep sternal wound infection publication-title: Eur J Cardiothorac Surg doi: 10.1016/S1010-7940(01)00676-5 contributor: fullname: De Feo – volume: 21 start-page: 910 year: 2002 ident: 10.1016/S0003-4975(03)01025-7_BIB29 article-title: Prospective comparison of risk factors and demographic and clinical characteristics of community-acquired, methicillin-resistant versus methicillin-susceptible Staphylococcus aureus infection in children publication-title: Pediatr Infect Dis J doi: 10.1097/00006454-200210000-00005 contributor: fullname: Sattler – volume: 20 start-page: 1168 year: 2001 ident: 10.1016/S0003-4975(03)01025-7_BIB2 article-title: Superficial and deep sternal wound complications publication-title: Eur J Cardiothorac Surg doi: 10.1016/S1010-7940(01)00991-5 contributor: fullname: Ridderstolpe – volume: 21 start-page: 831 year: 2002 ident: 10.1016/S0003-4975(03)01025-7_BIB13 article-title: Disruption and infection of median sternotomy publication-title: Eur J Cardiothorac Surg doi: 10.1016/S1010-7940(02)00124-0 contributor: fullname: Losanoff – volume: 17 start-page: 277 year: 1983 ident: 10.1016/S0003-4975(03)01025-7_BIB24 article-title: Postoperative median sternotomy dehiscence publication-title: Scand J Thorac Cardiovasc Surg doi: 10.3109/14017438309099365 contributor: fullname: Harjula – volume: 96 start-page: 310 year: 1988 ident: 10.1016/S0003-4975(03)01025-7_BIB25 article-title: Faulty sternotomy and complications after median sternotomy publication-title: J Thorac Cardiovasc Surg doi: 10.1016/S0022-5223(19)35277-8 contributor: fullname: Shafir – volume: 6 start-page: 338 year: 1991 ident: 10.1016/S0003-4975(03)01025-7_BIB5 article-title: The risk factors of median sternotomy infection publication-title: J Card Surg doi: 10.1111/j.1540-8191.1991.tb00322.x contributor: fullname: Ulicny – volume: 21 start-page: 917 year: 2002 ident: 10.1016/S0003-4975(03)01025-7_BIB28 article-title: Prevalence of methicillin-resistant Staphylococcus aureus nasal carriage in the community pediatric population publication-title: Pediatr Infect Dis J doi: 10.1097/00006454-200210000-00006 contributor: fullname: Nakamura – volume: 44 start-page: 173 year: 1987 ident: 10.1016/S0003-4975(03)01025-7_BIB11 article-title: Major sternal wound infection after open heart surgery publication-title: Ann Thorac Surg doi: 10.1016/S0003-4975(10)62035-8 contributor: fullname: Ottino |
SSID | ssj0002155 |
Score | 2.0460517 |
Snippet | The spectrum of sternal wound infections after cardiac surgery ranges from superficial infections to a deep sternal infection known as mediastinitis.... BACKGROUNDThe spectrum of sternal wound infections after cardiac surgery ranges from superficial infections to a deep sternal infection known as mediastinitis.... |
SourceID | proquest crossref pubmed pascalfrancis elsevier |
SourceType | Aggregation Database Index Database Publisher |
StartPage | 1655 |
SubjectTerms | Adolescent Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anti-Bacterial Agents Biological and medical sciences Cardiac Surgical Procedures - adverse effects Cardiac Surgical Procedures - methods Cardiology. Vascular system Child Child, Preschool Cohort Studies Combined Modality Therapy Debridement - methods Drug Therapy, Combination - administration & dosage Female Follow-Up Studies Heart Defects, Congenital - diagnosis Heart Defects, Congenital - surgery Humans Infant Infant, Newborn Male Mediastinitis - diagnosis Mediastinitis - etiology Mediastinitis - therapy Medical sciences Pneumology Retrospective Studies Risk Assessment Severity of Illness Index Surgical Flaps Surgical Wound Infection - diagnosis Surgical Wound Infection - therapy Treatment Outcome Wound Healing - physiology |
Title | Mediastinitis after pediatric cardiac surgery: a 15-year experience at a single institution |
URI | https://dx.doi.org/10.1016/S0003-4975(03)01025-7 https://www.ncbi.nlm.nih.gov/pubmed/14602304 https://search.proquest.com/docview/71351811 |
Volume | 76 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lb9QwELaWckFCCMRreRQfqASqssTr2HG4IWipkMqFrbQSh8ixHbUIbVdN9kB_DL-VmdiJU6BAuWQjS55NMp_H43kS8jx1OWZusUTkhiewQ8tEVapOeCFMlRprWYWJwocf5cFR9mEplpPJ91HU0qatZub8t3kl_8NVGAO-YpbsFTg7EIUBuAf-whU4DNd_4jF6WTSsUQwAakK773XfewOLTsOt2W185rNPa2Yi-Ya1e9xQ4hjTGfUumgy-YgERHzvQc-tLBFMstdweA27MyUA5WqrPsORI785ZnOhoKd2HcRusrSF7LAYbHxqQ9-feU7I3e-ciYkGvbkKqoo8LCJN6OwUPCXtj2cuxn50Yy17f-yVgTIwEKZO-em_YlJn0XQd-Efje9vBpIL6D3bZ20Dnc9emNu1zv2f9p8xtCEmO0G5AqkVQJvx2ZMr9GrmOhRezN8H4ZQ4hAXRJ9R0acETPEXsUnepHyl-FpLtN9bq51Ayuy9q1ULj_rdDrP4ja5FQ4r9I1H3h0ycau75PMF1NEOdXRAHQ2oowEbr6mmAXM0Yo7qFsY95ugIc_fI0f7e4u1BElp0JAZU_TapiiLjks9TrqVShVC2yqR1cKZNjcs11kdUurbOCcvmqU6NkqDgu7mrjIWDh-T3ydbqdOUeEupqTIjJa3REY8yHsrxwGBhhmJZO5FMy6z9eufaVWMo_Mm1KVP-Jy6BOejWxBPD8ber2BZbEPxRYYXOeTcmznkclyGN0sumVO900ZdfyUjE2JQ886-LcTOKBP3t01Rd5TG7EBfWEbLVnG_cUVOG22u7w-AMg0qqV |
link.rule.ids | 314,780,784,27924,27925 |
linkProvider | Geneva Foundation for Medical Education and Research |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Mediastinitis+after+pediatric+cardiac+surgery%3A+a+15-year+experience+at+a+single+institution&rft.jtitle=The+Annals+of+thoracic+surgery&rft.au=Tortoriello%2C+Tia+A&rft.au=Friedman%2C+Jeffrey+D&rft.au=McKenzie%2C+E.Dean&rft.au=Fraser%2C+Charles+D&rft.date=2003-11-01&rft.issn=0003-4975&rft.volume=76&rft.issue=5&rft.spage=1655&rft.epage=1660&rft_id=info:doi/10.1016%2FS0003-4975%2803%2901025-7&rft.externalDBID=n%2Fa&rft.externalDocID=10_1016_S0003_4975_03_01025_7 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0003-4975&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0003-4975&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0003-4975&client=summon |