Mediastinitis diagnostic criteria
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Mediastinitis is defined by certain diagnostic criteria, including observation in patients or fulfillment of signs and symptoms.
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