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

Kocher, Gregor; Abu-Omar, Yasir; Bosco, Paolo; Barbero, Cristina; Waller, David; Gudbjartsson, Tomas; Sousa-Uva, Miguel; Licht, Peter B; Dunning, Joel; Schmid, Ralph; Cardillo, Giuseppe (2017). European Association for Cardio-Thoracic Surgery expert consensus statement on the prevention and management of mediastinitis. European journal of cardio-thoracic surgery, 51(1), pp. 10-29. Oxford University Press 10.1093/ejcts/ezw326

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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.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > BioMedical Research (DBMR) > Forschungsbereich Mu50 > Forschungsgruppe Thoraxchirurgie
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Thoracic Surgery
04 Faculty of Medicine > Other Institutions > Teaching Staff, Faculty of Medicine

UniBE Contributor:

Kocher, Gregor and Schmid, Ralph

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1010-7940

Publisher:

Oxford University Press

Language:

English

Submitter:

Thomas Michael Marti

Date Deposited:

31 Jan 2017 08:17

Last Modified:

23 Jan 2018 16:06

Publisher DOI:

10.1093/ejcts/ezw326

PubMed ID:

28077503

Uncontrolled Keywords:

Cardiac surgery; General thoracic surgery; Guideline; Mediastinitis; Prevention; Treatment

BORIS DOI:

10.7892/boris.93817

URI:

https://boris.unibe.ch/id/eprint/93817

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