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 strategies in the secondary prevention of mediastinitis following sternotomy include proper cleaning and drying of the surgical site, nasal decolonization, and restrictions of lifting movements.[1]
Secondary prevention
The following strategies are effective in the secondary prevention of mediastinitis following sternotomy:[2][1]
- 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
Additionally, treatment of tuberculosis, sarcoidosis, sepsis andother conditions associated with mediastinitis may prevent the occurrence of the disease.
References
- ↑ 1.0 1.1 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
- ↑ Mediastinitis: a potentially lethal infection. Thoracic Surgery - Thoracics.org (2012). http://thoracics.org/2012/03/03/mediastinitis-noncardiac-surgery/ Accessed on October 2, 2015