caa a22 4500 388115459 CHVBK 20180307125405.0 cr unu---uuuuu 161130e199905 xx s 000 0 eng 10.1017/S1047951100004947 doi S1047951100004947 pii (NATIONALLICENCE)cambridge-10.1017/S1047951100004947 Sternal wound and mediastinal infections in infants with congenital heart disease [Elektronische Daten] The objective was to describe the epidemiologic, clinical, bacteriologic and therapeutic features of seven infants who developed sternal wound and mediastinal infections following palliation and/or repair procedures for congenital heart disease. A retrospective chart review was used. All infants with sternal wound and mediastinal infections were < 30 days of age at the initial operative procedure. Six of the infants had hypoplastic left heart syndrome, and one had complete transposition. Two infants required delayed closure of their chest wound. Three infants had superficial sternal infections and presented at a mean of 12 days postoperatively. Four infants had infection of the deep mediastinal structures: they were all asymptomatic and had purulent collections in their mediastinum at their second palliative operation, which was performed at a mean of 120 days after the initial surgery. Staphylococcus aureus, or coagulase-negative Staphylococcus, was isolated from the wound and/or blood of six infants. All infants with mediastinal infections were managed with operative debridement. Infants with superficial infections underwent local debridement. All infants received long-term intravenous antibiotics. Mediastinal infections in infants undergoing palliative staged procedures for congenital heart lesions may be chronic and indolent, resulting in delayed repair of congenital heart lesions. Copyright © Cambridge University Press 1999 Mediastinitis nationallicence congenital heart disease nationallicence sternal wound infection nationallicence Kearns Barbara Division of Pediatrics, The Cleveland Clinic Children's Hospital, Cleveland, OH, USA Sabella Camille Division of Pediatrics, The Cleveland Clinic Children's Hospital, Cleveland, OH, USA Mee Roger B. B. Division of Pediatrics, The Cleveland Clinic Children's Hospital, Cleveland, OH, USA Moodie Douglas S. Division of Pediatrics, The Cleveland Clinic Children's Hospital, Cleveland, OH, USA Goldfarb Johanna Division of Pediatrics, The Cleveland Clinic Children's Hospital, Cleveland, OH, USA Cardiology in the Young Cambridge University Press 9/3(1999-05), 280-284 1047-9511 9:3<280 1999 9 CTY https://doi.org/10.1017/S1047951100004947 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1017/S1047951100004947 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kearns Barbara Division of Pediatrics, The Cleveland Clinic Children's Hospital, Cleveland, OH, USA NATIONALLICENCE 700 1- Sabella Camille Division of Pediatrics, The Cleveland Clinic Children's Hospital, Cleveland, OH, USA NATIONALLICENCE 700 1- Mee Roger B. B. Division of Pediatrics, The Cleveland Clinic Children's Hospital, Cleveland, OH, USA NATIONALLICENCE 700 1- Moodie Douglas S. Division of Pediatrics, The Cleveland Clinic Children's Hospital, Cleveland, OH, USA NATIONALLICENCE 700 1- Goldfarb Johanna Division of Pediatrics, The Cleveland Clinic Children's Hospital, Cleveland, OH, USA NATIONALLICENCE 773 0- Cardiology in the Young Cambridge University Press 9/3(1999-05), 280-284 1047-9511 9:3<280 1999 9 CTY CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-cambridge