| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
J Thorac Cardiovasc Surg 1996;111:1200-1207
© 1996 Mosby, Inc.
SURGERY FOR ACQUIRED HEART DISEASE |
From The Parisian Mediastinitis Study Group.
Received for publication June 13, 1995; Accepted for publication August 1, 1995. Address for reprints: Jean-Christophe Lucet, MD, MPH, Unité d'Hygiène et de Lutte contre l'Infection Nosocomiale, Hôpital Bichat-Claude Bernard, 46, Rue Henri Huchard, 75018 Paris, France.
Abstract
Several risk factors for deep sternal wound infection after sternotomy remain unclear. To assess and compare risk factors among units, a prospective study included 1830 patients in 10 units during a 4-month period: 960 underwent coronary artery bypass grafting and 870 underwent other procedures. According to the Centers for Disease Control and Prevention definitions, 2.3% of patients (42/1830) acquired a deep sternal wound infection. Independent risk factors for deep sternal wound infection were obesity, coronary artery bypass grafting, reoperation, and postoperative inotropic support. Independent risk factors after coronary artery bypass grafting were obesity, bilateral internal thoracic artery grafting, reoperation, and postoperative inotropic support. In all five of the units usually performing bilateral internal thoracic artery graftings, this procedure was associated with high risk of deep sternal wound infection. Duration of operation was a major risk factor in comparison of the unit with the highest risk of deep sternal wound infection with the other nine units; this suggests that parameters related to the perioperative period were involved. Multicenter surveillance is useful to determine reliable risk factors for deep sternal wound infection, to define a high-risk population before operation, and to assess unit-specific risk factors. (J THORACCARDIOVASCSURG1996;111:1200-7)
This article has been cited by other articles:
|
|
 |
|
  G. Nasso, R. Coppola, R. Bonifazi, F. Piancone, G. Bozzetti, and G. Speziale Arterial revascularization in primary coronary artery bypass grafting: Direct comparison of 4 strategies--results of the Stand-in-Y Mammary Study. J. Thorac. Cardiovasc. Surg., May 1, 2009; 137(5): 1093 - 1100. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. B. Rahmanian, D. H. Adams, J. G. Castillo, J. Vassalotti, and F. Filsoufi Early and late outcome of cardiac surgery in dialysis-dependent patients: Single-center experience with 245 consecutive patients. J. Thorac. Cardiovasc. Surg., April 1, 2008; 135(4): 915 - 922. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Nakano, H. Okabayashi, M. Hanyu, Y. Soga, T. Nomoto, Y. Arai, T. Matsuo, M. Kai, and M. Kawatou Risk factors for wound infection after off-pump coronary artery bypass grafting: Should bilateral internal thoracic arteries be harvested in patients with diabetes? J. Thorac. Cardiovasc. Surg., March 1, 2008; 135(3): 540 - 545. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. Zeitani, A. Penta de Peppo, A. Bianco, F. Nanni, A. Scafuri, F. Bertoldo, A. Salvati, S. Nardella, and L. Chiariello Performance of a Novel Sternal Synthesis Device After Median and Faulty Sternotomy: Mechanical Test and Early Clinical Experience Ann. Thorac. Surg., January 1, 2008; 85(1): 287 - 293. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 E. Gongora and T. M. Sundt III Myocardial Revascularization with Cardiopulmonary Bypass Card. Surg. Adult, January 1, 2008; 3(2008): 599 - 632. [Full Text]
|
|
|
|
|
|
P. B. Rahmanian, D. H. Adams, J. G. Castillo, J. Chikwe, and F. Filsoufi Tracheostomy is Not a Risk Factor for Deep Sternal Wound Infection After Cardiac Surgery Ann. Thorac. Surg., December 1, 2007; 84(6): 1984 - 1991. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 I. K. Toumpoulis, N. Theakos, and J. Dunning Does bilateral internal thoracic artery harvest increase the risk of mediastinitis? Interactive CardioVascular and Thoracic Surgery, December 1, 2007; 6(6): 787 - 791. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. B. Savage, J. D. Grab, S. M. O'Brien, A. Ali, E. J. Okum, R. A. Perez-Tamayo, D. S. Eiferman, E. D. Peterson, F. H. Edwards, and R. S.D. Higgins Use of Both Internal Thoracic Arteries in Diabetic Patients Increases Deep Sternal Wound Infection Ann. Thorac. Surg., March 1, 2007; 83(3): 1002 - 1006. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Price, F. Rubens, and M. Bell Elastic Device Facilitating Delayed Primary Closure of Sternal Wound Infection Ann. Thorac. Surg., March 1, 2007; 83(3): 1162 - 1165. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Bhattacharya, I. Sau, M. Mohan, K. Hazari, R. Basu, and A. Kaul Sternal Bands for Closure of Midline Sternotomy Leads to Better Wound Healing Asian Cardiovasc Thorac Ann, February 1, 2007; 15(1): 59 - 63. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. M. Eklund, O. Lyytikainen, P. Klemets, K. Huotari, V.-J. Anttila, K. A. Werkkala, and M. Valtonen Mediastinitis After More Than 10,000 Cardiac Surgical Procedures Ann. Thorac. Surg., November 1, 2006; 82(5): 1784 - 1789. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. E. Molina, E. C. Nelson, and R. R.A. Smith Treatment of postoperative sternal dehiscence with mediastinitis: Twenty-four year use of a single method J. Thorac. Cardiovasc. Surg., October 1, 2006; 132(4): 782 - 787. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Zeitani, A. P. de Peppo, M. Moscarelli, L. G. Wolf, A. Scafuri, P. Nardi, F. Nanni, E. Di Marzio, P. De Vico, and L. Chiariello Influence of sternal size and inadvertent paramedian sternotomy on stability of the closure site: A clinical and mechanical study J. Thorac. Cardiovasc. Surg., July 1, 2006; 132(1): 38 - 42. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Mills and P. Bryson The role of hyperbaric oxygen therapy in the treatment of sternal wound infection. Eur. J. Cardiothorac. Surg., July 1, 2006; 30(1): 153 - 159. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K.-M. Chiu, T.-Y. Lin, S.-H. Chu, and C.-W. Lu Managing Sternal Osteomyelitis with Antibiotic Bead Implantation Asian Cardiovasc Thorac Ann, April 1, 2006; 14(2): e41 - e42. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Does use of a right internal thoracic artery increase deep wound infection and risk after previous use of a left internal thoracic artery? J. Thorac. Cardiovasc. Surg., March 1, 2006; 131(3): 609 - 613.
|
|
|
|
|
|
I. K. Toumpoulis, C. E. Anagnostopoulos, S. Balaram, D. G. Swistel, R. C. Ashton Jr, and J. J. DeRose Jr Does Bilateral Internal Thoracic Artery Grafting Increase Long-Term Survival of Diabetic Patients? Ann. Thorac. Surg., February 1, 2006; 81(2): 599 - 607. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. U. Momin, R. Deshpande, J. Potts, A. El-Gamel, M. T. Marrinan, J. Omigie, and J. B. Desai Incidence of Sternal Infection in Diabetic Patients Undergoing Bilateral Internal Thoracic Artery Grafting Ann. Thorac. Surg., November 1, 2005; 80(5): 1765 - 1772. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. Sjogren, J. Nilsson, R. Gustafsson, M. Malmsjo, and R. Ingemansson The Impact of Vacuum-Assisted Closure on Long-Term Survival After Post-Sternotomy Mediastinitis Ann. Thorac. Surg., October 1, 2005; 80(4): 1270 - 1275. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
F. F. Immer, M. Durrer, K. S. Muhlemann, D. Erni, B. Gahl, and T. P. Carrel Deep Sternal Wound Infection After Cardiac Surgery: Modality of Treatment and Outcome Ann. Thorac. Surg., September 1, 2005; 80(3): 957 - 961. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V. G. Fowler Jr, S. M. O'Brien, L. H. Muhlbaier, G. R. Corey, T. B. Ferguson, and E. D. Peterson Clinical Predictors of Major Infections After Cardiac Surgery Circulation, August 30, 2005; 112(9_suppl): I-358 - I-365. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. D. Force, D. L. Miller, R. Petersen, K. A. Mansour, J. Craver, R. A. Guyton, and J. I. Miller Jr Incidence of Deep Sternal Wound Infections After Tracheostomy in Cardiac Surgery Patients Ann. Thorac. Surg., August 1, 2005; 80(2): 618 - 622. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Bruhin, U. A. Stock, J.-P. Drucker, T. Azhari, J. Wippermann, J. M. Albes, D. Hintze, S. Eckardt, C. Konke, and T. Wahlers Numerical Simulation Techniques to Study the Structural Response of the Human Chest Following Median Sternotomy Ann. Thorac. Surg., August 1, 2005; 80(2): 623 - 630. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. S. Abboud, S. B. Wey, and V. T. Baltar Reply Ann. Thorac. Surg., July 1, 2005; 80(1): 384 - 384. [Full Text] [PDF]
|
|
|
|
|
|
K. R. Pai, I. R. Ramnarine, A. D. Grayson, and N. K. Mediratta The effect of chronic steroid therapy on outcomes following cardiac surgery: a propensity-matched analysis Eur. J. Cardiothorac. Surg., July 1, 2005; 28(1): 138 - 142. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C.-H. Ku, S.-L. Ku, J.-C. Yin, and A.-J. Lee Risk Factors for Sternal and Leg Surgical Site Infections after Cardiac Surgery in Taiwan Am. J. Epidemiol., April 1, 2005; 161(7): 661 - 671. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J.-L. Trouillet, A. Vuagnat, A. Combes, V. Bors, J. Chastre, I. Gandjbakhch, and C. Gibert Acute poststernotomy mediastinitis managed with debridement and closed-drainage aspiration: Factors associated with death in the intensive care unit J. Thorac. Cardiovasc. Surg., March 1, 2005; 129(3): 518 - 524. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 I. K. Toumpoulis, C. E. Anagnostopoulos, J. J. DeRose Jr, and D. G. Swistel The Impact of Deep Sternal Wound Infection on Long-term Survival After Coronary Artery Bypass Grafting Chest, February 1, 2005; 127(2): 464 - 471. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. Friberg, R. Svedjeholm, B. Soderquist, H. Granfeldt, T. Vikerfors, and J. Kallman Local Gentamicin Reduces Sternal Wound Infections After Cardiac Surgery: A Randomized Controlled Trial Ann. Thorac. Surg., January 1, 2005; 79(1): 153 - 161. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
E. C. Douville, J. W. Asaph, R. J. Dworkin, J. R. Handy Jr, C. S. Canepa, G. L. Grunkemeier, and Y. Wu Sternal Preservation: A Better Way to Treat Most Sternal Wound Complications After Cardiac Surgery Ann. Thorac. Surg., November 1, 2004; 78(5): 1659 - 1664. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. E. Molina, R. S.-L. Lew, and K. J. Hyland Postoperative sternal dehiscence in obese patients: Incidence and prevention Ann. Thorac. Surg., September 1, 2004; 78(3): 912 - 917. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L.M. Stevens, M. Carrier, L.P. Perrault, Y. Hebert, R. Cartier, D. Bouchard, A. Fortier, I. El-Hamamsy, and M. Pellerin Single versus bilateral internal thoracic artery grafts with concomitant saphenous vein grafts for multivessel coronary artery bypass grafting: Effects on mortality and event-free survival J. Thorac. Cardiovasc. Surg., May 1, 2004; 127(5): 1408 - 1415. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. S. Abboud, S. B. Wey, and V. T. Baltar Risk factors for mediastinitis after cardiac surgery Ann. Thorac. Surg., February 1, 2004; 77(2): 676 - 683. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Negri, J. Manfredi, A. Terrini, G. Rodella, G. Bisleri, S. El Quarra, and C. Muneretto Prospective evaluation of a new sternal closure method with thermoreactive clips Eur. J. Cardiothorac. Surg., October 1, 2002; 22(4): 571 - 575. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. R. Trumble, W. E. McGregor, and J. A. Magovern Validation of a bone analog model for studies of sternal closure Ann. Thorac. Surg., September 1, 2002; 74(3): 739 - 744. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. A. Olsen, P. Lock-Buckley, D. Hopkins, L. B. Polish, T. M. Sundt, and V. J. Fraser The risk factors for deep and superficial chest surgical-site infections after coronary artery bypass graft surgery are different J. Thorac. Cardiovasc. Surg., July 1, 2002; 124(1): 136 - 145. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Ura, R. Sakata, Y. Nakayama, and Y. Arai Bilateral pedicled internal thoracic artery grafting Eur. J. Cardiothorac. Surg., June 1, 2002; 21(6): 1015 - 1019. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Wettstein, D. Erni, P. Berdat, D. Rothenfluh, and A. Banic Radical sternectomy and primary musculocutaneous flap reconstruction to control sternal osteitis J. Thorac. Cardiovasc. Surg., June 1, 2002; 123(6): 1185 - 1190. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. J. Cohen and L. V. Griffin A biomechanical comparison of three sternotomy closure techniques Ann. Thorac. Surg., February 1, 2002; 73(2): 563 - 568. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Ridderstolpe, H. Gill, H. Granfeldt, H. Ahlfeldt, and H. Rutberg Superficial and deep sternal wound complications: incidence, risk factors and mortality Eur. J. Cardiothorac. Surg., December 1, 2001; 20(6): 1168 - 1175. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Combes, J.-L. Trouillet, J. Baudot, M. Mokhtari, J. Chastre, and C. Gibert Is it possible to cure mediastinitis in patients with major postcardiac surgery complications? Ann. Thorac. Surg., November 1, 2001; 72(5): 1592 - 1597. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Iwakura, Y. Tabata, N. Tamura, K. Doi, K. Nishimura, T. Nakamura, Y. Shimizu, M. Fujita, and M. Komeda Gelatin Sheet Incorporating Basic Fibroblast Growth Factor Enhances Healing of Devascularized Sternum in Diabetic Rats Circulation, September 18, 2001; 104 (2009): I-325 - I-329. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. J. Curtis, N. C. Clark, C. A. McKenney, J. T. Walls, R. A. Schmaltz, T. L. Demmy, J. W. Jones, W. R. Wilson Jr, and C. C. Wagner-Mann Tracheostomy: a risk factor for mediastinitis after cardiac operation Ann. Thorac. Surg., September 1, 2001; 72(3): 731 - 734. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Borer, J. Gilad, N. Meydan, K. Riesenberg, F. Schlaeffer, M. Alkan, and P. Schlaeffer Impact of active monitoring of infection control practices on deep sternal infection after open-heart surgery Ann. Thorac. Surg., August 1, 2001; 72(2): 515 - 520. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
O. Wendler, P. Landwehr, D. Bandner-Risch, T. Georg, and H.-J. Schafers Vasoreactivity of arterial grafts in the patient with diabetes mellitus: investigations on internal thoracic artery and radial artery conduits Eur. J. Cardiothorac. Surg., August 1, 2001; 20(2): 305 - 311. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. De Feo, R. Gregorio, A. Della Corte, C. Marra, C. Amarelli, A. Renzulli, R. Utili, and M. Cotrufo Deep sternal wound infection: the role of early debridement surgery Eur. J. Cardiothorac. Surg., June 1, 2001; 19(6): 811 - 816. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Kirsch, A. Mekontso-Dessap, R. Houel, E. Giroud, M.-L. Hillion, and D. Y. Loisance Closed drainage using Redon catheters for poststernotomy mediastinitis: results and risk factors for adverse outcome Ann. Thorac. Surg., May 1, 2001; 71(5): 1580 - 1586. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. Noyez, J. A.M. van Druten, J. Mulder, A. M.A. Schroen, S. H. Skotnicki, and R. M.H.J. Brouwer Sternal wound complications after primary isolated myocardial revascularization: the importance of the post-operative variables Eur. J. Cardiothorac. Surg., April 1, 2001; 19(4): 471 - 476. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. De Feo, A. Renzulli, G. Ismeno, R. Gregorio, A. Della Corte, R. Utili, and M. Cotrufo Variables predicting adverse outcome in patients with deep sternal wound infection Ann. Thorac. Surg., January 1, 2001; 71(1): 324 - 331. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. H. Braxton, C. A.S. Marrin, P. D. McGrath, C. S. Ross, J. R. Morton, M. Norotsky, D. C. Charlesworth, S. J. Lahey, R. A. Clough, and G. T. O'Connor Mediastinitis and long-term survival after coronary artery bypass graft surgery Ann. Thorac. Surg., December 1, 2000; 70(6): 2004 - 2007. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. Saginur, D. Croteau, and M. G. Bergeron Comparative efficacy of teicoplanin and cefazolin for cardiac operation prophylaxis in 3027 patients J. Thorac. Cardiovasc. Surg., December 1, 2000; 120(6): 1120 - 1130. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
A. Iwakura, Y. Tabata, K. Nishimura, T. Nakamura, Y. Shimizu, M. Fujita, and M. Komeda Basic fibroblast growth factor may improve devascularized sternal healing Ann. Thorac. Surg., September 1, 2000; 70(3): 824 - 828. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. Korbmacher, H.H. Schmitt, G. Bauer, M. Hoffmann, H. Vosberg, O. Simic, and E. Gams Change of sternal perfusion following preparation of the internal thoracic artery - a scintigraphical study Eur. J. Cardiothorac. Surg., January 1, 2000; 17(1): 58 - 62. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. E. Trick, W. E. Scheckler, J. I. Tokars, K. C. Jones, M. L. Reppen, E. M. Smith, and W. R. Jarvis MODIFIABLE RISK FACTORS ASSOCIATED WITH DEEP STERNAL SITE INFECTION AFTER CORONARY ARTERY BYPASS GRAFTING J. Thorac. Cardiovasc. Surg., January 1, 2000; 119(1): 108 - 114. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
R. J.F. Baskett, C. E. MacDougall, and D. B. Ross Is mediastinitis a preventable complication? A 10-year review Ann. Thorac. Surg., February 1, 1999; 67(2): 462 - 465. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Sousa Uva, E. Braunberger, M. Fisher, Y. Fromes, P. H. Deleuze, J. A. Celestin, and O. M. Bical Does bilateral internal thoracic artery grafting increase surgical risk in diabetic patients? Ann. Thorac. Surg., December 1, 1998; 66(6): 2051 - 2055. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. Rescigno, M. Sousa Uva, R. Raffoul, M. Scorsin, and A. Lessana Advancement flaps to treat superficial wound infections after cardiac operations Ann. Thorac. Surg., September 1, 1998; 66(3): 959 - 960. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. A. Borger, V. Rao, R. D. Weisel, J. Ivanov, G. Cohen, H. E. Scully, and T. E. David Deep Sternal Wound Infection: Risk Factors and Outcomes Ann. Thorac. Surg., April 1, 1998; 65(4): 1050 - 1056. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
