Mediastinitis After Congenital Heart Surgery: Epidemiology, Clinical Features and Outcomes

Author:

Villaverde Serena12,Carbonell-Sahuquillo Silvia3ORCID,López Fernández Eduardo4,Belda Hofheinz Sylvia4,Ramos Casado Victoria4,García-Torres Enrique5,Montañés Elena6,Prieto Luis Manuel12

Affiliation:

1. Department of Pediatrics, Pediatric Infectious Diseases Unit, Hospital Universitario 12 de Octubre, Universidad Complutense de Madrid, Madrid, Spain. RITIP (Traslational Research Network in Pediatric Infectious Diseases)

2. Pediatric Research and Clinical Trials Unit (UPIC), Instituto de Investigación Hospital 12 de Octubre (imas12), Madrid, Spain

3. Department of Pediatrics, Hospital Clínico Universitario de Valencia, Valencia, Spain

4. Department of Pediatrics, Pediatric Intensive Care Unit, Hospital Universitario 12 de Octubre, Universidad Complutense de Madrid, Madrid, Spain

5. Pediatric Cardiovascular Surgery Unit, Pediatric Institute of the Heart, Hospital Universitario 12 de Octubre, Madrid, Spain

6. Department of Pediatrics Division of Cardiology, Hospital Universitario 12 de Octubre, Madrid, Spain.

Abstract

Mediastinitis after surgery for congenital heart disease has a great impact on morbidity and mortality. However, there are scarce studies focused on the epidemiology of postsurgical mediastinitis in pediatric patients. In this 18-year period retrospective study, the cumulative incidence of mediastinitis was low: 0.64%, (95% confidence interval: 0.36–1.1). Gram-negative bacilli were common (35%). The mortality rate was 7.1%, associated with fungal infection.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Infectious Diseases,Microbiology (medical),Pediatrics, Perinatology and Child Health

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