2008
DOI: 10.1016/j.athoracsur.2008.08.071
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Prevention of Sternal Dehiscence and Infection in High-Risk Patients: A Prospective Randomized Multicenter Trial

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Cited by 167 publications
(142 citation statements)
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“…This difference is very important in the context of AD, because the skin of such patients is colonized with S. aureus that can invade the bloodstream via exposed bone marrow during sternotomy, leading to postoperative mediastinitis. 12 We previously reported the clinical outcomes of patients with AD who underwent openheart surgery. 8 In that study, 3 patients who underwent openheart surgery via conventional median sternotomy developed postoperative mediastinitis caused by MRSA.…”
Section: Resultsmentioning
confidence: 99%
“…This difference is very important in the context of AD, because the skin of such patients is colonized with S. aureus that can invade the bloodstream via exposed bone marrow during sternotomy, leading to postoperative mediastinitis. 12 We previously reported the clinical outcomes of patients with AD who underwent openheart surgery. 8 In that study, 3 patients who underwent openheart surgery via conventional median sternotomy developed postoperative mediastinitis caused by MRSA.…”
Section: Resultsmentioning
confidence: 99%
“…That is our choice for 90 days follow up. This long time interval suggests that the late onset of sternal infection is not surgeon or operation related but linked to postoperative wound care [28][29][30]. The special attention to wound management leads to the need for an adequate stabilization of the sternum after sternotomy: the key factor in preventing sternal dehiscence and infection is a stable sternal approximation.…”
Section: Discussionmentioning
confidence: 99%
“…Aðrar rannsóknir á hjartaskurðsjúklingum hafa einnig sýnt fram á aukna sýkingarhaettu hjá þeim sem fá óráð eftir hjartaaðgerð, meðal annars sýkingu í bringuskurði og aukna haettu á sýklasótt. 57,63,64 Forvarnir gegn óráði beinast að því að draga úr þekktum áhaettuþáttum, en marga þeirra er haegt að hafa áhrif á, svo sem að koma almennu líkamlegu ástandi í betra horf. Á þann hátt má faekka óráðstilfellum, draga úr einkennum og stytta tímann sem ástandið varir.…”
Section: Y F I R L I T S G R E I Nunclassified