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[Pay attention to the prevention and treatment of deep sternal wound infection after sternotomy]. | LitMetric

[Pay attention to the prevention and treatment of deep sternal wound infection after sternotomy].

Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi

Department of Burns and Cutaneous Surgery, Burn Center of PLA, the First Affiliated Hospital of Air Force Medical University, Xi'an 710032, China.

Published: February 2024

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.

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Source
http://dx.doi.org/10.3760/cma.j.cn501225-20231212-00235DOI Listing

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