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

Yasir Abu-Omar, Gregor J. Kocher, Paolo Bosco, Cristina Barbero, David Waller, Tomas Gudbjartsson, Miguel Sousa-Uva, Peter B. Licht, Joel Dunning, Ralph A. Schmid, Giuseppe Cardillo

Research output: Contribution to journalArticlepeer-review

Abstract

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.

Original languageEnglish
Pages (from-to)10-29
Number of pages20
JournalEuropean Journal of Cardio-thoracic Surgery
Volume51
Issue number1
DOIs
Publication statusPublished - Jan 1 2017

Keywords

  • Cardiac surgery
  • General thoracic surgery
  • Guideline
  • Mediastinitis
  • Prevention
  • Treatment

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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