کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3405478 | 1223388 | 2015 | 9 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Infection du site opératoire après chirurgie cardiaque
دانلود مقاله + سفارش ترجمه
دانلود مقاله ISI انگلیسی
رایگان برای ایرانیان
کلمات کلیدی
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
بیماری های عفونی
پیش نمایش صفحه اول مقاله
چکیده انگلیسی
Sternal infection (SI) is a severe complication of cardiac surgery. Definitions are multiple explaining changes of incidence, (up to 5% of patients). The pathophysiology is complex and several modes of contamination are considered (pre-, per- and postoperative). Treatment is based on a medico-surgical management. Several surgical techniques are currently performed among which primary closure and drainage with Redon drain (RD). A bacteriological analysis of RD liquid is made twice a week and RD are mobilized after at least 3 consecutives negatives cultures and two weeks of drainage. This practice allows a simple postoperative course with low risk of infection. Antibiotic therapy should be multiple and bactericide. Duration (2 to 6 weeks) depends on the type of SI. In case of endocarditis, antibiotic duration is dictated by the latter. SI prevention includes assessing peroperative anesthetic risk, diabetes equilibration, chronic staphylococcal carriage decontamination and choice of surgical technique in case of bypass surgery.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal des Anti-infectieux - Volume 17, Issue 2, June 2015, Pages 38-46
Journal: Journal des Anti-infectieux - Volume 17, Issue 2, June 2015, Pages 38-46
نویسندگان
A. Pourbaix, M. Dubert, F.-X. Lescure, J.-C. Lucet,