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Incidence of sternocutaneous fistulas following open heart surgery in a nationwide cohort

Steingrimsson, Steinn; Sjögren, Johan LU and Gudbjartsson, Tomas (2012) In Scandinavian Journal of Infectious Diseases 44(8). p.623-625
Abstract
We studied the incidence and characteristics of surgically treated sternocutaneous fistulas in a nationwide cohort of patients undergoing open heart surgery in Iceland. Between 2000 and 2010, sternocutaneous fistulas were treated surgically in 6 out of 2446 patients undergoing open heart surgery (incidence 0.25%, 95% confidence interval 0.11-0.53%). All patients were male, with a mean age of 71 +/- 9 y. In addition to antibiotic treatment, debridement of the wound was performed in all cases. Staphylococcus aureus and/or coagulase-negative staphylococci were identified as pathogens in 5 cases and Candida albicans in 1. Chronic infections developed in 3 patients who were treated repeatedly, 1 of them unsuccessfully. Inhospital stay ranged... (More)
We studied the incidence and characteristics of surgically treated sternocutaneous fistulas in a nationwide cohort of patients undergoing open heart surgery in Iceland. Between 2000 and 2010, sternocutaneous fistulas were treated surgically in 6 out of 2446 patients undergoing open heart surgery (incidence 0.25%, 95% confidence interval 0.11-0.53%). All patients were male, with a mean age of 71 +/- 9 y. In addition to antibiotic treatment, debridement of the wound was performed in all cases. Staphylococcus aureus and/or coagulase-negative staphylococci were identified as pathogens in 5 cases and Candida albicans in 1. Chronic infections developed in 3 patients who were treated repeatedly, 1 of them unsuccessfully. Inhospital stay ranged from 0 to 50 days (mean 19 days). Sternocutaneous fistulas are rare, but since they may have a devastating course, increased awareness of this infectious complication of open heart surgery is important. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Sternal wound infection, cardiac surgery, complication, sternocutaneous, fistula
in
Scandinavian Journal of Infectious Diseases
volume
44
issue
8
pages
623 - 625
publisher
Informa Healthcare
external identifiers
  • wos:000306563500012
  • scopus:84864039977
ISSN
1651-1980
DOI
10.3109/00365548.2012.669842
language
English
LU publication?
yes
id
e486af26-8a8d-48f3-9924-09b2a05aadc0 (old id 3079994)
date added to LUP
2012-10-05 07:17:56
date last changed
2017-01-01 05:26:46
@misc{e486af26-8a8d-48f3-9924-09b2a05aadc0,
  abstract     = {We studied the incidence and characteristics of surgically treated sternocutaneous fistulas in a nationwide cohort of patients undergoing open heart surgery in Iceland. Between 2000 and 2010, sternocutaneous fistulas were treated surgically in 6 out of 2446 patients undergoing open heart surgery (incidence 0.25%, 95% confidence interval 0.11-0.53%). All patients were male, with a mean age of 71 +/- 9 y. In addition to antibiotic treatment, debridement of the wound was performed in all cases. Staphylococcus aureus and/or coagulase-negative staphylococci were identified as pathogens in 5 cases and Candida albicans in 1. Chronic infections developed in 3 patients who were treated repeatedly, 1 of them unsuccessfully. Inhospital stay ranged from 0 to 50 days (mean 19 days). Sternocutaneous fistulas are rare, but since they may have a devastating course, increased awareness of this infectious complication of open heart surgery is important.},
  author       = {Steingrimsson, Steinn and Sjögren, Johan and Gudbjartsson, Tomas},
  issn         = {1651-1980},
  keyword      = {Sternal wound infection,cardiac surgery,complication,sternocutaneous,fistula},
  language     = {eng},
  number       = {8},
  pages        = {623--625},
  publisher    = {Informa Healthcare},
  series       = {Scandinavian Journal of Infectious Diseases},
  title        = {Incidence of sternocutaneous fistulas following open heart surgery in a nationwide cohort},
  url          = {http://dx.doi.org/10.3109/00365548.2012.669842},
  volume       = {44},
  year         = {2012},
}