Pay attention to the prevention and treatment of deep sternal wound infection after sternotomy
10.3760/cma.j.cn501225-20231212-00235
- VernacularTitle:重视胸骨切开术后胸骨深部伤口感染的预防和处理
- Author:
Hao GUAN
1
;
Yang CHEN
Author Information
1. 空军军医大学第一附属医院全军烧伤中心，烧伤与皮肤外科，西安 710032
- Keywords:
Sternotomy;
Surgical wound infection;
Mediastinitis;
Postoperative complications;
Deep sternal wound infection;
Prevention and treatment;
Wound repair
- From:
Chinese Journal of Burns
2024;40(2):125-130
- CountryChina
- Language:Chinese
-
Abstract:
Deep sternal wound infection (DSWI) is one of the potential and catastrophic complications after cardiac surgery. Despite the use of smaller incisions, routine application of prophylactic antibiotic and optimized blood glucose management, the incidence rate of DSWI still fluctuates between 1% and 5%. The early symptoms and signs of DSWI are not often obvious, making it too late for the clinicians to intervene in the process. Once left untreated, DSWI carries a very high mortality rate. Therefore, early prevention, diagnosis, and appropriate management of DSWI are crucial in preventing its progression to life-threatening outcomes. Considering the clinical severity and treatment complexity of DSWI, this article focuses on preventive experiences in each stage of DSWI, and reconstructive strategies after DSWI happens, raising attention among the medical community regarding DSWI.
