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==Overview==
==Overview==
Effective measures for the secondary prevention of mediastinitis following [[sternotomy]] include reporting wound discharge to physician and aggressive treatment of [[hyperglycemia]].<ref name=BBB> Guide for the Prevention of Mediastinitis Surgical Site Infection Following Cardiac Surgery. APIC (2008). http://apic.org/Resource_/EliminationGuideForm/a994706c-8e6c-4807-b89a-6a7e6fb863dd/File/APIC-Mediastinitis-Elimination-Guide.pdf Accessed on October 2, 2015</ref>


==Secondary prevention==
==Secondary prevention==
The following methods are effective in the secondary prevention of mediastinitis following [[sternotomy]]:<ref name=AAC> Mediastinitis: a potentially lethal infection. Thoracic Surgery - Thoracics.org (2012). http://thoracics.org/2012/03/03/mediastinitis-noncardiac-surgery/ Accessed on October 2, 2015</ref><ref name=BBB> Guide for the Prevention of Mediastinitis Surgical Site Infection Following Cardiac Surgery. APIC (2008). http://apic.org/Resource_/EliminationGuideForm/a994706c-8e6c-4807-b89a-6a7e6fb863dd/File/APIC-Mediastinitis-Elimination-Guide.pdf Accessed on October 2, 2015</ref>
Effective measures for the secondary prevention of mediastinitis following [[sternotomy]] include:<ref name=BBB> Guide for the Prevention of Mediastinitis Surgical Site Infection Following Cardiac Surgery. APIC (2008). http://apic.org/Resource_/EliminationGuideForm/a994706c-8e6c-4807-b89a-6a7e6fb863dd/File/APIC-Mediastinitis-Elimination-Guide.pdf Accessed on October 2, 2015</ref><ref name=AAC> Mediastinitis: a potentially lethal infection. Thoracic Surgery - Thoracics.org (2012). http://thoracics.org/2012/03/03/mediastinitis-noncardiac-surgery/ Accessed on October 2, 2015</ref>


*proper cleaning and drying of surgical site
*Reporting wound discharge
*nasal decolonization
*Aggressive treatment of [[hyperglycemia]]
*restrict lifting movements
*Treatment of:
*report wound discharge
**[[Tuberculosis]]
*aggressive treatment of [[hyperglycemia]]
**[[Sarcoidosis]]
*wearing a support bra for large breasted female/obese male patients
**[[Sepsis]]
*not using creams, lotions, or ointments near surgical site without physician permission
*hand hygiene
*antibiotic prophalyaxis
*pre-operative hair removal
*surgical skin antisepsis


==References==
{{Reflist|2}}




Additionally, treatment of [[tuberculosis]], [[sarcoidosis]], [[sepsis]] andother conditions associated with mediastinitis may prevent the occurrence of the disease.
[[Category:Pulmonology]]
 
==References==
{{Reflist|2}}




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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

Effective measures for the secondary prevention of mediastinitis following sternotomy include reporting wound discharge to physician and aggressive treatment of hyperglycemia.[1]

Secondary prevention

Effective measures for the secondary prevention of mediastinitis following sternotomy include:[1][2]

References

  1. 1.0 1.1 Guide for the Prevention of Mediastinitis Surgical Site Infection Following Cardiac Surgery. APIC (2008). http://apic.org/Resource_/EliminationGuideForm/a994706c-8e6c-4807-b89a-6a7e6fb863dd/File/APIC-Mediastinitis-Elimination-Guide.pdf Accessed on October 2, 2015
  2. Mediastinitis: a potentially lethal infection. Thoracic Surgery - Thoracics.org (2012). http://thoracics.org/2012/03/03/mediastinitis-noncardiac-surgery/ Accessed on October 2, 2015


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