Transposition of Greater Omentum in Deep Sternal Wound Infection Caused by Methicillin-Resistant Staphylococci, with Differing Clinical Course for MRSA and MRSE
| العنوان: | Transposition of Greater Omentum in Deep Sternal Wound Infection Caused by Methicillin-Resistant Staphylococci, with Differing Clinical Course for MRSA and MRSE |
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| المؤلفون: | B.C. Danner, M. Grossmann, T Tirilomis, Tomislav Stojanovic, Vassilios Didilis, R Seipelt, D Zenker, Friedrich A. Schöndube |
| المصدر: | The Thoracic and Cardiovascular Surgeon. 59:21-24 |
| بيانات النشر: | Georg Thieme Verlag KG, 2011. |
| سنة النشر: | 2011 |
| مصطلحات موضوعية: | Male, Methicillin-Resistant Staphylococcus aureus, Pulmonary and Respiratory Medicine, medicine.medical_specialty, Microbiological culture, Microbial Sensitivity Tests, 030204 cardiovascular system & hematology, medicine.disease_cause, 03 medical and health sciences, 0302 clinical medicine, Staphylococcus epidermidis, 0502 economics and business, medicine, Humans, Surgical Wound Infection, Cardiac Surgical Procedures, Aged, Retrospective Studies, biology, business.industry, Mortality rate, 05 social sciences, Length of Stay, Middle Aged, Plastic Surgery Procedures, Staphylococcal Infections, Thoracic Surgical Procedures, Greater omentum, biology.organism_classification, Sternotomy, Survival Analysis, 3. Good health, Cardiac surgery, Surgery, Treatment Outcome, medicine.anatomical_structure, Cardiothoracic surgery, Staphylococcus aureus, Female, Methicillin Resistance, 050211 marketing, Cardiology and Cardiovascular Medicine, business, Omentum, Staphylococcus |
| الوصف: | BACKGROUND: Methicillin-resistant STAPHYLOCOCCUS AUREUS (MRSA) and STAPHYLOCOCCUS EPIDERMIDIS (MRSE) are an increasing problem in deep sternal wound infections (DSWI) after cardiac surgery. METHODS: Between 2005 and 2009, recalcitrant methicillin-resistant STAPHYLOCOCCUS was found in 21 patients with complicated DSWI, and a transposition of the greater omentum (TGO) was finally performed. A positive microbial culture at the time of procedure was present in all patients. The hospital course was reviewed discretely for MRSA and MRSE. RESULTS: Median patient age was 72.3 years (range 60.8-79.7); 76 % of patients were male. Time from the first sternal revision until consecutive open wound therapy due to re-infection and total hospital stay was longer for MRSA compared to MRSE (38 vs. 14 days, P = 0.003, and 141 vs. 91 days, P = 0.007, respectively). The period from cardiac surgery to TGO was likewise prolonged for MRSA (78 vs. 55 days, P = 0.045), whereas in-hospital mortality and one-year mortality rate did not differ. CONCLUSION: TGO remains a good treatment option for DSWI type IV. Microbial findings determine the clinical course; nevertheless in-hospital mortality remains low for both MRSA and MRSE infection. |
| تدمد: | 1439-1902 0171-6425 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::966230d0cb8711f49a042b0ccb073ea8 https://doi.org/10.1055/s-0030-1250373 |
| رقم الأكسشن: | edsair.doi.dedup.....966230d0cb8711f49a042b0ccb073ea8 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14391902 01716425 |
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