Mediastinitis diagnostic criteria: Difference between revisions
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==Overview== | ==Overview== | ||
The diagnosis of mediastinitis is based on the CDC criteria, which include histopathologic evidence, presence upon imaging, or other positive tests. | |||
==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
Mediastinitis must meet at least one of the following criteria<ref> CDC/NHSN Surveillance Definitions for Specific Types of Infections. CDC (2015). http://www.cdc.gov/nhsn/PDFs/pscManual/17pscNosInfDef_current.pdf Accessed on September 21, 2015</ref> | Mediastinitis must meet at least one of the following criteria:<ref> CDC/NHSN Surveillance Definitions for Specific Types of Infections. CDC (2015). http://www.cdc.gov/nhsn/PDFs/pscManual/17pscNosInfDef_current.pdf Accessed on September 21, 2015</ref> | ||
#Patient has organisms cultured from mediastinal tissue or fluid obtained during a surgical operation or needle aspiration. | #Patient has organisms cultured from [[mediastinum|mediastinal]] tissue or fluid obtained during a [[surgery|surgical operation]] or [[needle aspiration biopsy|needle aspiration]]. | ||
#Patient has evidence of mediastinitis seen during a surgical operation or histopathologic examination. | #Patient has evidence of mediastinitis seen during a surgical operation or [[histopathology|histopathologic]] examination. | ||
#Patient has at least <u>one</u> of the following signs or symptoms with no other recognized cause: | #Patient has at least <u>one</u> of the following signs or symptoms with no other recognized cause: | ||
#* Fever : (>38° C), chest pain, or sternal instability '''AND''' at least one of the following: | #* [[Fever]] : (>38° C), [[chest pain]], or sternal instability '''AND''' at least one of the following: | ||
#:*purulent discharge from mediastinal area | #:*purulent discharge from mediastinal area | ||
#:*mediastinal widening on imaging test | #:*mediastinal widening on imaging test | ||
#Patient <1 year of age has at least one of the following signs or symptoms with no other recognized cause: | #Patient <1 year of age has at least one of the following signs or symptoms with no other recognized cause: | ||
#*Fever (>38°C), hypothermia (<36.0°C), apnea, bradycardia, or sternal instability '''AND''' at least one of the following: | #*Fever (>38°C), [[hypothermia]] (<36.0°C), [[apnea]], [[bradycardia]], or sternal instability '''AND''' at least one of the following: | ||
#:*purulent discharge from mediastinal area | #:*purulent discharge from mediastinal area | ||
#:*mediastinal widening on imaging test | #:*mediastinal widening on imaging test | ||
Revision as of 03:20, 9 October 2015
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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 diagnosis of mediastinitis is based on the CDC criteria, which include histopathologic evidence, presence upon imaging, or other positive tests.
Diagnostic Criteria
Mediastinitis must meet at least one of the following criteria:[1]
- Patient has organisms cultured from mediastinal tissue or fluid obtained during a surgical operation or needle aspiration.
- Patient has evidence of mediastinitis seen during a surgical operation or histopathologic examination.
- Patient has at least one of the following signs or symptoms with no other recognized cause:
- Fever : (>38° C), chest pain, or sternal instability AND at least one of the following:
- purulent discharge from mediastinal area
- mediastinal widening on imaging test
- Patient <1 year of age has at least one of the following signs or symptoms with no other recognized cause:
- Fever (>38°C), hypothermia (<36.0°C), apnea, bradycardia, or sternal instability AND at least one of the following:
- purulent discharge from mediastinal area
- mediastinal widening on imaging test
References
- ↑ CDC/NHSN Surveillance Definitions for Specific Types of Infections. CDC (2015). http://www.cdc.gov/nhsn/PDFs/pscManual/17pscNosInfDef_current.pdf Accessed on September 21, 2015