Mediastinitis after cardiac transplantation

Na, Stolf; Fiorelli, Alfredo Inácio; Bacal, Fernando; Camargo, Luís Fernando Aranha; Bocchi, Edimar Alcides; Freitas, Andréa Cristina Oliveira; Nicoletti, André Gustavo Bombana; Meira, Daniela Barros de Souza

doi:10.1590/s0066-782x2000000500003

Cited by 9 publications

(9 citation statements)

References 12 publications

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“…Most ISSIs occurred during the first 2–3 weeks (Fig. 1), as noted in previous reports on conventional and transplant heart surgery, and usually had a good prognosis (3–5, 13, 14). However, cases complicated with mediastinitis have a relevant mortality (3, 13).…”

Section: Discussionsupporting

confidence: 73%

Incisional surgical infection in heart transplantation

Ramos

Asensio

Múñez

et al. 2008

Transplant Infectious Dis

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Section: Discussionsupporting

confidence: 73%

Incisional surgical infection in heart transplantation

Ramos

Asensio

Múñez

et al. 2008

Transplant Infectious Dis

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“…The excessive handling of inpatient, as prolonged use of central venous catheters and hemodialysis, venous and arterial punctures for collection of repeated examinations in immunocompromised patients or in a poor state of nutrition, favors the entry and action of pathogens. Cardiac transplantation is presented as additional risk factor for the development of mediastinitis, by the presence of immunosuppression [15,16]. Furthermore, the involvement of sternal irrigation after dissection of left internal thoracic artery, right or both, in patients with low tissue perfusion consequent to a state of low cardiac output, also facilitate the action of bacteria [17].…”

Section: Discussionmentioning

confidence: 99%

Preoperative risk factors for mediastinitis after cardiac surgery: analysis of 2768 patients

Tiveron¹,

Fiorelli²,

Mota³

et al. 2012

Rev Bras Cir Cardiovasc

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“…In Brazil, only an article published in 2000, dealt specifically with SSIs among patients submitted to heart transplantation, however it only addressed mediastinitis 11 .…”

Section: Introductionmentioning

confidence: 99%

Surgical site infection in patients submitted to heart transplantation

Rodrigues

Ferretti-Rebustini

Poveda

2016

Rev. Latino-Am. Enfermagem

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Objectives: to analyze the occurrence and predisposing factors for surgical site infection in patients submitted to heart transplantation, evaluating the relationship between cases of infections and the variables related to the patient and the surgical procedure. Method: retrospective cohort study, with review of the medical records of patients older than 18 years submitted to heart transplantation. The correlation between variables was evaluated by using Fisher's exact test and Mann-Whitney-Wilcoxon test. Results: the sample consisted of 86 patients, predominantly men, with severe systemic disease, submitted to extensive preoperative hospitalizations. Signs of surgical site infection were observed in 9.3% of transplanted patients, with five (62.5%) superficial incisional, two (25%) deep and one (12.5%) case of organ/space infection. There was no statistically significant association between the variables related to the patient and the surgery. Conclusion: there was no association between the studied variables and the cases of surgical site infection, possibly due to the small number of cases of infection observed in the sample investigated.

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Mediastinitis after cardiac transplantation

Abstract: Objective -Assessment of incidence and behavior of mediastinitis after cardiac transplantation.Methods -From 1985-From to 1999

Cited by 9 publications

References 12 publications

Incisional surgical infection in heart transplantation

Incisional surgical infection in heart transplantation

Preoperative risk factors for mediastinitis after cardiac surgery: analysis of 2768 patients

Surgical site infection in patients submitted to heart transplantation

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