Incidence of sternocutaneous fistulas following open heart surgery in a nationwide cohort
(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)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/3079994
- author
- Steingrimsson, Steinn ; Sjögren, Johan LU and Gudbjartsson, Tomas
- organization
- publishing date
- 2012
- 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
- pmid:22497424
- 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
- 2016-04-01 13:03:32
- date last changed
- 2022-01-27 17:01:07
@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}},
keywords = {{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}},
doi = {{10.3109/00365548.2012.669842}},
volume = {{44}},
year = {{2012}},
}