Sternal Wound Infections, Risk Factors and Management - How Far Are We? A Literature Review.
Heart Lung Circ
; 28(6): 835-843, 2019 Jun.
Article
en En
| MEDLINE
| ID: mdl-30850215
ABSTRACT
Sternal wound infection (SWI) is one of the potential complications post cardiac surgery, and despite refined surgical techniques such as smaller incisions, antibiotic therapy, and optimised glycaemic control, the incidence rate is between <1% in elective cases with low risk factors and as high as 25% in patients with extensive risk factors. The presence of SWI will increase the perioperative morbidity and mortality rates and prolong the patient's hospital stay, therefore the prevention and diagnosis with appropriate management of such adverse outcomes at an early stage is important to prevent further progression as it can be fatal when the mediastinal structures are affected. Currently, the diagnosis typically consists of three main stages clinical, biochemical including microbiology studies and imaging studies. In the current health care system, the use of computed tomography (CT) and magnetic resonance imaging (MRI) is valuable to define mediastinal abnormalities and can also help find the source of a descending infection. Management is through methods such as antibiotic therapy, surgical debridement, reconstruction with soft tissue flap coverage, sternal plating, and sternectomy. In this literature review, we aim to summarise current literature evidence behind appropriately diagnosing such a catastrophe.
Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Infección de la Herida Quirúrgica
/
Imagen por Resonancia Magnética
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Tomografía Computarizada por Rayos X
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Mortalidad Hospitalaria
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Procedimientos Quirúrgicos Cardíacos
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Tiempo de Internación
Tipo de estudio:
Etiology_studies
/
Risk_factors_studies
Límite:
Humans
Idioma:
En
Revista:
Heart Lung Circ
Asunto de la revista:
ANGIOLOGIA
/
CARDIOLOGIA
Año:
2019
Tipo del documento:
Article
País de afiliación:
Reino Unido