Although rare, #post-sternotomy #mediastinitis is still a major concern
after open heart surgery. Contamination with multi-resistant
pathogens is a serious problem, as they fall outside the spectrum of the
generally applied antimicrobial prophylaxis. Along with radical
surgery,
#incisional negative-pressure wound therapy may be useful in preventing
reinfection. We present a case of a 68-year old woman who underwent
open heart surgery and developed post-sternotomy mediastinitis due to
#methicillin-resistant Staphylococcus aureus. Intravenous antibiotic
therapy with multiple sternum-preserving surgical debridement was
insufficient to decontaminate the wound and achieve proper healing.
After radical surgical debridement and reconstruction in combination
with incisional negative-pressure wound therapy, final wound healing
occurred with no sign of reinfection in the follow-up period. Combining
#incisional negative-pressure wound therapy with radical surgical
debridement and reconstruction may be the most appropriate way to
decontaminate wounds infected by #multiresistant organisms.
For more Biomedical open access journals please click on
Effective Combination of #Incisional Negative Pressure Wound Therapy and Radical Reconstructive Surgery in the Treatment of #Post-Sternotomy #Mediastinitis Caused by #Methicillin Resistant Staphylococcus aureus by Aref Rashed in BJSTR
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