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

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,...

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Bibliographic Details
Published in:European journal of cardio-thoracic surgery 2017-01, Vol.51 (1), p.10-29
Main Authors: Abu-Omar, Yasir, Kocher, Gregor J, Bosco, Paolo, Barbero, Cristina, Waller, David, Gudbjartsson, Tomas, Sousa-Uva, Miguel, Licht, Peter B, Dunning, Joel, Schmid, Ralph A, Cardillo, Giuseppe
Format: Article
Language:English
Subjects:
Consensus
Disease Management
Europe
Humans
Mediastinitis - prevention & control
Societies, Medical
Surgical Wound Infection - prevention & control
Thoracic Surgery
Thoracic Surgical Procedures - adverse effects
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Summary: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.
ISSN:1010-7940
1873-734X
DOI:10.1093/ejcts/ezw326