Mediastinitis risk factors
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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
Risk factors 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