Mediastinitis epidemiology and demographics: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Mediastinitis}} | {{Mediastinitis}} | ||
{{CMG}} | {{CMG}} {{AE}} {{AG}} | ||
==Overview== | ==Overview== | ||
Generally, mediastinitis possesses a low incidence.<ref name="pmid23351519">{{cite journal| author=Martínez Vallina P, Espinosa Jiménez D, Hernández Pérez L, Triviño Ramírez A| title= | Generally, mediastinitis possesses a low incidence.<ref name="pmid23351519">{{cite journal| author=Martínez Vallina P, Espinosa Jiménez D, Hernández Pérez L, Triviño Ramírez A| title=Mediastinitis. | journal=Arch Bronconeumol | year= 2011 | volume= 47 Suppl 8 | issue= | pages= 32-6 | pmid=23351519 | doi=10.1016/S0300-2896(11)70065-5 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23351519 }} </ref> Less than 5% of patients develop mediastinitis following chest surgery. | ||
==Epidemiology and demographics== | ==Epidemiology and demographics== | ||
Generally, mediastinitis possesses a low incidence. <ref name="pmid23351519">{{cite journal| author=Martínez Vallina P, Espinosa Jiménez D, Hernández Pérez L, Triviño Ramírez A| title= | Generally, mediastinitis possesses a low incidence.<ref name="pmid23351519">{{cite journal| author=Martínez Vallina P, Espinosa Jiménez D, Hernández Pérez L, Triviño Ramírez A| title=Mediastinitis. | journal=Arch Bronconeumol | year= 2011 | volume= 47 Suppl 8 | issue= | pages= 32-6 | pmid=23351519 | doi=10.1016/S0300-2896(11)70065-5 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23351519 }} </ref> However, mediastinitis is observed at a greater incidence in recent heart transplant patients than the general population.<ref name="pmid2962136">{{cite journal |vauthors=Piperno D, Gaussorgues P, Léger P, Gérard M, Boyer F, Tigaud S, Pignat JC, Robert D |title=[Mediastinitis caused by anaerobic bacteria. 4 cases] |language=French |journal=Presse Med |volume=16 |issue=38 |pages=1889–90 |year=1987 |pmid=2962136 |doi= |url=}}</ref><ref name="pmid11247711">{{cite journal |vauthors=Mekontso-Dessap A, Kirsch M, Brun-Buisson C, Loisance D |title=Poststernotomy mediastinitis due to Staphylococcus aureus: comparison of methicillin-resistant and methicillin-susceptible cases |journal=Clin. Infect. Dis. |volume=32 |issue=6 |pages=877–83 |year=2001 |pmid=11247711 |doi=10.1086/319355 |url=}}</ref><ref name=APIC> Jrc, Jcr. The APIC/JCR Infection Prevention and Control Workbook. JRC Publications; 2010.</ref> | ||
{| class="wikitable" | {| class="wikitable" width="800px" | ||
! Cause | ! Cause | ||
! Incidence | ! Incidence | ||
! Mortality | ! Mortality | ||
! Main | ! Main Organism | ||
|- | |- | ||
| [[ | | [[Pharyngitis]] | ||
| 71% | | 71% | ||
| unknown | | unknown | ||
| [[Streptococcus]] bacteria | | [[Streptococcus]] bacteria | ||
|- | |- | ||
| | | Dental Infection | ||
| 60% | | 60% | ||
| unknown | | unknown | ||
| Odontogenic bacteria | | [[Odontogenic]] bacteria | ||
|- | |- | ||
| Esophageal | | Esophageal perforation ([[Boerhaave syndrome]]) | ||
| 5% | | 5% | ||
| 20-60% | | 20-60% | ||
| Oropharyngeal flora | | [[Oropharyngeal]] flora | ||
|- | |- | ||
| | | Heart post-sternotomy | ||
| 0.4-5% | | 0.4-5% | ||
| 16-47% | | 16-47% | ||
| Line 38: | Line 38: | ||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
[[Category:Pulmonology]] | |||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
Latest revision as of 18:02, 18 September 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anthony Gallo, B.S. [2]
Overview
Generally, mediastinitis possesses a low incidence.[1] Less than 5% of patients develop mediastinitis following chest surgery.
Epidemiology and demographics
Generally, mediastinitis possesses a low incidence.[1] However, mediastinitis is observed at a greater incidence in recent heart transplant patients than the general population.[2][3][4]
| Cause | Incidence | Mortality | Main Organism |
|---|---|---|---|
| Pharyngitis | 71% | unknown | Streptococcus bacteria |
| Dental Infection | 60% | unknown | Odontogenic bacteria |
| Esophageal perforation (Boerhaave syndrome) | 5% | 20-60% | Oropharyngeal flora |
| Heart post-sternotomy | 0.4-5% | 16-47% | Staphylococcus aureus |
References
- ↑ 1.0 1.1 Martínez Vallina P, Espinosa Jiménez D, Hernández Pérez L, Triviño Ramírez A (2011). "Mediastinitis". Arch Bronconeumol. 47 Suppl 8: 32–6. doi:10.1016/S0300-2896(11)70065-5. PMID 23351519.
- ↑ Piperno D, Gaussorgues P, Léger P, Gérard M, Boyer F, Tigaud S, Pignat JC, Robert D (1987). "[Mediastinitis caused by anaerobic bacteria. 4 cases]". Presse Med (in French). 16 (38): 1889–90. PMID 2962136.
- ↑ Mekontso-Dessap A, Kirsch M, Brun-Buisson C, Loisance D (2001). "Poststernotomy mediastinitis due to Staphylococcus aureus: comparison of methicillin-resistant and methicillin-susceptible cases". Clin. Infect. Dis. 32 (6): 877–83. doi:10.1086/319355. PMID 11247711.
- ↑ Jrc, Jcr. The APIC/JCR Infection Prevention and Control Workbook. JRC Publications; 2010.