Læknablaðið - apr. 2019, Blaðsíða 30

182 LÆKNAblaðið 2019/105
Tómas Guðbjartsson1,3
Anders Jeppsson2
Wound infections are common complications after open heart sur-
gery, both in the sternotomy and vein harvest wound. Fortunately,
most of these infections are superficial and respond to minor wound
debridement and antibiotics, however, 1-3% of patients develop
deep sternal wound infection with mediastinis; an infection that can
be fatal. Late infections with sternocutaneous fistulas are encoun-
tered less often, but also represent a complex surgical
problem. The vein harvest site is the most common site for wound
infections after cardiac surgery and these infections result in signifi-
cant patient morbidity and increases health-care costs.
This evidence-based review covers etiology, risk factors, preven-
tion and treatment of wound infections following open heart surgery
with special focus on advances in treatment, especially negative-
pressure wound therapy.
Wound infections following open heart surgery - review
ENGLISH SUMMARY
1Department of Cardiothoracic Surgery, Landspitali University Hospital, 2Department of Cardiothoracic Surgery, Sahlgrenska University Hospital, 3Faculty of Medicine, Uni-
versity of Iceland.
Key words: Wound infections, Cardiac surgery, Deep sternal wound infection, treatment, negative pressure wound therapy.
Correspondence: Tómas Guðbjartsson, tomasgudbjartsson@hotmail.com
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Heimildir 61-80 eru á heimasíðu blaðsins.
Barst til blaðsins 29. desember 2018,
samþykkt til birtingar 12. mars 2019.
Y F I R L I T S G R E I N