Mediastinitis risk factors: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Mediastinitis}} | {{Mediastinitis}} | ||
{{CMG}} | {{CMG}} {{AE}} {{AG}} | ||
==Overview== | ==Overview== | ||
The most potent risk factor for mediastinitis is | The most potent risk factor for mediastinitis is recent chest surgery. Other risk factors include recent [[endoscopy]], [[smoking]], and [[obesity]]. | ||
==Risk Factors== | ==Risk Factors== | ||
Common risk factors in the development of mediastinitis include:<ref name="pmid14759458">{{cite journal| author=Abboud CS, Wey SB, Baltar VT| title=Risk factors for mediastinitis after cardiac surgery. | journal=Ann Thorac Surg | year= 2004 | volume= 77 | issue= 2 | pages= 676-83 | pmid=14759458 | doi=10.1016/S0003-4975(03)01523-6 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14759458 }} </ref><ref> Risk factors for mediastinitis after cardiac surgery – a retrospective analysis of 1700 patients. Journal of Cardiothoracic Surgery (2007). http://www.cardiothoracicsurgery.org/content/2/1/23 Accessed on September 21, 2015</ref><ref name="pmid18091375">{{cite journal| author=Lin YY, Hsu CW, Chu SJ, Chen SC, Tsai SH| title=Rapidly propagating descending necrotizing mediastinitis as a consequence of intravenous drug use. | journal=Am J Med Sci | year= 2007 | volume= 334 | issue= 6 | pages= 499-502 | pmid=18091375 | doi=10.1097/MAJ.0b013e3180a5e911 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18091375 }} </ref><ref name="pmid17719388">{{cite journal| author=Roccia F, Pecorari GC, Oliaro A, Passet E, Rossi P, Nadalin J et al.| title=Ten years of descending necrotizing mediastinitis: management of 23 cases. | journal=J Oral Maxillofac Surg | year= 2007 | volume= 65 | issue= 9 | pages= 1716-24 | pmid=17719388 | doi=10.1016/j.joms.2006.10.060 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17719388 }} </ref><ref> Guide for the Prevention of Mediastinitis Surgical Site Infections Following Cardiac Surgery. APIC.org (2008) http://apic.org/Resource_/EliminationGuideForm/a994706c-8e6c-4807-b89a-6a7e6fb863dd/File/APIC-Mediastinitis-Elimination-Guide.pdf Accessed on September 21, 2015 </ref> | |||
*Recent chest surgery | |||
*Recent chest surgery | *[[Endoscopy]] | ||
*[[Obesity]] | |||
*[[Smoking]] | |||
*Problems in the [[upper gastrointestinal tract]] | *Problems in the [[upper gastrointestinal tract]] | ||
*[[Immunodeficiency]] | *[[Immunodeficiency]] | ||
*Intensive care unit stay > 2 days | *[[Intensive care unit]] stay > 2 days | ||
*Infection at another site | *Infection at another site | ||
*[[COPD]] | *[[COPD]] | ||
*Drug users | *Drug users | ||
*[[Diabetes]] | *[[Diabetes]] | ||
*[[Renal insufficiency|Kidney failure]] | |||
*[[Peripheral arterial disease|Peripheral vascular disease]] | |||
*[[Osteoporosis]] | |||
*Male gender | |||
*Large [[breast]] size | |||
==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
The most potent risk factor for mediastinitis is recent chest surgery. Other risk factors include recent endoscopy, smoking, and obesity.
Risk Factors
Common risk factors in the development of mediastinitis include:[1][2][3][4][5]
- Recent chest surgery
- Endoscopy
- Obesity
- Smoking
- Problems in the upper gastrointestinal tract
- Immunodeficiency
- Intensive care unit stay > 2 days
- Infection at another site
- COPD
- Drug users
- Diabetes
- Kidney failure
- Peripheral vascular disease
- Osteoporosis
- Male gender
- Large breast size
References
- ↑ Abboud CS, Wey SB, Baltar VT (2004). "Risk factors for mediastinitis after cardiac surgery". Ann Thorac Surg. 77 (2): 676–83. doi:10.1016/S0003-4975(03)01523-6. PMID 14759458.
- ↑ Risk factors for mediastinitis after cardiac surgery – a retrospective analysis of 1700 patients. Journal of Cardiothoracic Surgery (2007). http://www.cardiothoracicsurgery.org/content/2/1/23 Accessed on September 21, 2015
- ↑ Lin YY, Hsu CW, Chu SJ, Chen SC, Tsai SH (2007). "Rapidly propagating descending necrotizing mediastinitis as a consequence of intravenous drug use". Am J Med Sci. 334 (6): 499–502. doi:10.1097/MAJ.0b013e3180a5e911. PMID 18091375.
- ↑ Roccia F, Pecorari GC, Oliaro A, Passet E, Rossi P, Nadalin J; et al. (2007). "Ten years of descending necrotizing mediastinitis: management of 23 cases". J Oral Maxillofac Surg. 65 (9): 1716–24. doi:10.1016/j.joms.2006.10.060. PMID 17719388.
- ↑ Guide for the Prevention of Mediastinitis Surgical Site Infections Following Cardiac Surgery. APIC.org (2008) http://apic.org/Resource_/EliminationGuideForm/a994706c-8e6c-4807-b89a-6a7e6fb863dd/File/APIC-Mediastinitis-Elimination-Guide.pdf Accessed on September 21, 2015