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]

Secondary prevention

The following methods are effective in the secondary prevention of mediastinitis following sternotomy:

• 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.