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Use of intermittent high negative pressure vacuum-assisted closure for pediatric poststernotomy mediastinitis.
MedLine Citation:
PMID:  21045715     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
We present a case of neonatal poststernotomy mediastinitis treated by a vacuum-assisted closure (VAC). A newborn with hypoplastic left heart syndrome underwent a Norwood first-stage procedure and developed infection on the fourteenth postoperative day. Repeated cultures detected Staphylococcus epidermidis in two samples and Staphylococcus aureus in one. A VAC was applied at -125 mmHg for 25 days, with intermittent mode. The wound was closed after 4 weeks of VAC therapy. The intermittent high negative pressure VAC is a useful and well-tolerated procedure for the management of pediatric poststernotomy mediastinitis, even in neonates.
Authors:
Gianluca Brancaccio; Sergio Filippelli; Vincenzo Affinito; Roberto M Di Donato
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2010-10-30
Journal Detail:
Title:  Journal of cardiovascular medicine (Hagerstown, Md.)     Volume:  -     ISSN:  1558-2035     ISO Abbreviation:  -     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-11-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101259752     Medline TA:  J Cardiovasc Med (Hagerstown)     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Cardiac Surgery, Ospedale Pediatrico Bambino Gesù, Rome, Italy.
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