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Review Article Open Access
Volume 1 | Issue 2 | DOI: https://doi.org/10.46439/cardiology.1.008

Review of delayed sternal closure after congenital heart surgery

  • 1Division of Critical Care, Department of Pediatrics, UMC Children’s Hospital, Las Vegas, NV, United States
  • 2Department of Pediatrics, University of Nevada at Las Vegas School of Medicine, Las Vegas, NV, United States
  • 3Department of Pediatrics, University of South Alabama, Mobile, AL, United States
  • 4Children’s of Mississippi, University of Mississippi Medical Center, Jackson, MS, United States
  • 5Pediatric Services, University Health System, San Antonio, TX, United States
  • 6Division of Pediatric Critical Care, Department of Pediatrics, The University of Texas Health Science Center at San Antonio, TX, United States
+ Affiliations - Affiliations

Corresponding Author

Prashant Jha, Prashant.Jha@umcsn.com

Received Date: January 22, 2021

Accepted Date: April 07, 2021

Abstract

Surgical site infections are a significant economic healthcare burden and lead to increased morbidity for patients. Delayed sternal closure after congenital heart surgeries remains an area of major concern with higher postoperative wound infection rates than those surgeries where the sternum is initially closed. There is no national guideline that is available for use by congenital heart surgery programs. Perioperative infection prevention policy, including choice of antibiotics, is quite variable among different programs and the rate of surgical site infections varies from 3 to 18%. In this article, we will be discussing current practices and surgical site infections rate from recent literature review.

Keywords

Delayed Sternal Closure, Sternal Wound Infection, Surgical Site Infection, Mediastinitis, Bundled approach, Patient Safety

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