New strategy for treatment of MRSA mediastinitis: one-stage procedure for omental transposition and closed irrigation.
case_report · Level V
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Abstract
Mediastinitis due to methicillin-resistant Staphylococcus aureus is a devastating potential complication of cardiac surgery. We treated 4 patients with this condition using a new technique. First we performed an early radical removal of infected tissue and omental transposition with direct primary closure of the sternum and closed continuous irrigation with saline/vancomycin hydrochloride; that was followed by an administration of intravenous antibiotics. We obtained good clinical results, which are reported herein along with the clinical courses.
Medical subject headings
- Drug Therapy, Combination
- Mediastinitis
- Methicillin Resistance
- Omentum
- Staphylococcal Infections
- Surgical Wound Infection