Mediastinitis primary prevention

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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 primary prevention of mediastinitis include nasal decolonization, hand hygiene, and antibiotic prophylaxis.

Primary Prevention

Prior to sternotomy, the following primary prevention techniques may aid in the primary prevention of mediastinitis:

• Nasal decolonization
• Hand hygiene
• Antibiotic prophylaxis
• Pre-operative hair removal
• Surgical skin antisepsis
• Proper cleaning and drying of surgical site
• Not using creams, lotions, or ointments near surgical site without physician permission
• Wearing a support bra for large breasted female/obese male patients
• Restrict lifting movements