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Review
. 2017 Jan;51(1):10-29.
doi: 10.1093/ejcts/ezw326.

European Association for Cardio-Thoracic Surgery expert consensus statement on the prevention and management of mediastinitis

Yasir Abu-Omar  1 , Gregor J Kocher  2 , Paolo Bosco  3 , Cristina Barbero  4 , David Waller  5 , Tomas Gudbjartsson  6 , Miguel Sousa-Uva  7 , Peter B Licht  8 , Joel Dunning  9 , Ralph A Schmid  3 , Giuseppe Cardillo  10
Affiliations
Free article
Review

European Association for Cardio-Thoracic Surgery expert consensus statement on the prevention and management of mediastinitis

Yasir Abu-Omar et al. Eur J Cardiothorac Surg. 2017 Jan.
Free article

Abstract

Mediastinitis continues to be an important and life-threatening complication after median sternotomy despite advances in prevention and treatment strategies, with an incidence of 0.25-5%. It can also occur as extension of infection from adjacent structures such as the oesophagus, airways and lungs, or as descending necrotizing infection from the head and neck. In addition, there is a chronic form of 'chronic fibrosing mediastinitis' usually caused by granulomatous infections. In this expert consensus, the evidence for strategies for treatment and prevention of mediatinitis is reviewed in detail aiming at reducing the incidence and optimizing the management of this serious condition.

Keywords: Cardiac surgery; General thoracic surgery; Guideline; Mediastinitis; Prevention; Treatment.

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