Mediastinitis risk factors: Difference between revisions
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==Risk Factors== | ==Risk Factors== | ||
Risk factors include:<ref name="pmid14759458">{{cite journal| author=Abboud CS, Wey SB, Baltar VT| title=Risk factors for mediastinitis after cardiac surgery. | journal=Ann Thorac Surg | year= 2004 | volume= 77 | issue= 2 | pages= 676-83 | pmid=14759458 | doi=10.1016/S0003-4975(03)01523-6 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14759458 }} </ref><ref> Risk factors for mediastinitis after cardiac surgery – a retrospective analysis of 1700 patients. Journal of Cardiothoracic Surgery (2007). http://www.cardiothoracicsurgery.org/content/2/1/23 Accessed on September 21, 2015</ref><ref name="pmid18091375">{{cite journal| author=Lin YY, Hsu CW, Chu SJ, Chen SC, Tsai SH| title=Rapidly propagating descending necrotizing mediastinitis as a consequence of intravenous drug use. | journal=Am J Med Sci | year= 2007 | volume= 334 | issue= 6 | pages= 499-502 | pmid=18091375 | doi=10.1097/MAJ.0b013e3180a5e911 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18091375 }} </ref><ref name="pmid17719388">{{cite journal| author=Roccia F, Pecorari GC, Oliaro A, Passet E, Rossi P, Nadalin J et al.| title=Ten years of descending necrotizing mediastinitis: management of 23 cases. | journal=J Oral Maxillofac Surg | year= 2007 | volume= 65 | issue= 9 | pages= 1716-24 | pmid=17719388 | doi=10.1016/j.joms.2006.10.060 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17719388 }} </ref> | Risk factors include:<ref name="pmid14759458">{{cite journal| author=Abboud CS, Wey SB, Baltar VT| title=Risk factors for mediastinitis after cardiac surgery. | journal=Ann Thorac Surg | year= 2004 | volume= 77 | issue= 2 | pages= 676-83 | pmid=14759458 | doi=10.1016/S0003-4975(03)01523-6 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=14759458 }} </ref><ref> Risk factors for mediastinitis after cardiac surgery – a retrospective analysis of 1700 patients. Journal of Cardiothoracic Surgery (2007). http://www.cardiothoracicsurgery.org/content/2/1/23 Accessed on September 21, 2015</ref><ref name="pmid18091375">{{cite journal| author=Lin YY, Hsu CW, Chu SJ, Chen SC, Tsai SH| title=Rapidly propagating descending necrotizing mediastinitis as a consequence of intravenous drug use. | journal=Am J Med Sci | year= 2007 | volume= 334 | issue= 6 | pages= 499-502 | pmid=18091375 | doi=10.1097/MAJ.0b013e3180a5e911 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=18091375 }} </ref><ref name="pmid17719388">{{cite journal| author=Roccia F, Pecorari GC, Oliaro A, Passet E, Rossi P, Nadalin J et al.| title=Ten years of descending necrotizing mediastinitis: management of 23 cases. | journal=J Oral Maxillofac Surg | year= 2007 | volume= 65 | issue= 9 | pages= 1716-24 | pmid=17719388 | doi=10.1016/j.joms.2006.10.060 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17719388 }} </ref><ref> Guide for the Prevention of Mediastinitis Surgical Site Infections Following Cardiac Surgery. APIC.org (2008) http://apic.org/Resource_/EliminationGuideForm/a994706c-8e6c-4807-b89a-6a7e6fb863dd/File/APIC-Mediastinitis-Elimination-Guide.pdf Accessed on September 21, 2015 </ref> | ||
*Smoking | *[[Obesity]] | ||
*[[Smoking]] | |||
*Recent chest surgery or [[endoscopy]] | *Recent chest surgery or [[endoscopy]] | ||
*Problems in the [[upper gastrointestinal tract]] | *Problems in the [[upper gastrointestinal tract]] | ||
| Line 18: | Line 19: | ||
*Drug users | *Drug users | ||
*[[Diabetes]] | *[[Diabetes]] | ||
*[[Renal insufficiency|Kidney failure]] | |||
*[[Peripheral arterial disease|Peripheral vascular disease]] | |||
*[[Osteoporosis]] | |||
*Male Gender | |||
*Large [[Breast]] Size | |||
==References== | ==References== | ||
Revision as of 20:45, 21 September 2015
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
The most potent risk factor for mediastinitis is obesity. Other risk factors include smoking, recent endoscopy, and recent chest surgery.
Risk Factors
Risk factors include:[1][2][3][4][5]
- Obesity
- Smoking
- Recent chest surgery or endoscopy
- Problems in the upper gastrointestinal tract
- Immunodeficiency
- Intensive care unit stay > 2 days
- Infection at another site
- COPD
- Drug users
- Diabetes
- Kidney failure
- Peripheral vascular disease
- Osteoporosis
- Male Gender
- Large Breast Size
References
- ↑ Abboud CS, Wey SB, Baltar VT (2004). "Risk factors for mediastinitis after cardiac surgery". Ann Thorac Surg. 77 (2): 676–83. doi:10.1016/S0003-4975(03)01523-6. PMID 14759458.
- ↑ Risk factors for mediastinitis after cardiac surgery – a retrospective analysis of 1700 patients. Journal of Cardiothoracic Surgery (2007). http://www.cardiothoracicsurgery.org/content/2/1/23 Accessed on September 21, 2015
- ↑ Lin YY, Hsu CW, Chu SJ, Chen SC, Tsai SH (2007). "Rapidly propagating descending necrotizing mediastinitis as a consequence of intravenous drug use". Am J Med Sci. 334 (6): 499–502. doi:10.1097/MAJ.0b013e3180a5e911. PMID 18091375.
- ↑ Roccia F, Pecorari GC, Oliaro A, Passet E, Rossi P, Nadalin J; et al. (2007). "Ten years of descending necrotizing mediastinitis: management of 23 cases". J Oral Maxillofac Surg. 65 (9): 1716–24. doi:10.1016/j.joms.2006.10.060. PMID 17719388.
- ↑ Guide for the Prevention of Mediastinitis Surgical Site Infections Following Cardiac Surgery. APIC.org (2008) http://apic.org/Resource_/EliminationGuideForm/a994706c-8e6c-4807-b89a-6a7e6fb863dd/File/APIC-Mediastinitis-Elimination-Guide.pdf Accessed on September 21, 2015