Mediastinitis secondary 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
Secondary prevention
The following methods are effective in the secondary prevention of mediastinitis following sternotomy:[1][2]
- proper cleaning and drying of surgical site
- nasal decolonization
- restrict lifting movements
- report wound discharge
- aggressive treatment of hyperglycemia
- wearing a support bra for large breasted female/obese male patients
- not using creams, lotions, or ointments near surgical site without physician permission
- hand hygiene
- antibiotic prophalyaxis
- pre-operative hair removal
- surgical skin antisepsis
Additionally, treatment of tuberculosis, sarcoidosis, sepsis andother conditions associated with mediastinitis may prevent the occurrence of the disease.
References
- ↑ Mediastinitis: a potentially lethal infection. Thoracic Surgery - Thoracics.org (2012). http://thoracics.org/2012/03/03/mediastinitis-noncardiac-surgery/ Accessed on October 2, 2015
- ↑ 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