DC Field | Value | Language |
dc.contributor.author | Crețu, Ștefan | - |
dc.contributor.author | Rotaru, Andrian | - |
dc.date.accessioned | 2022-06-22T12:10:38Z | - |
dc.date.available | 2022-06-22T12:10:38Z | - |
dc.date.issued | 2022 | - |
dc.identifier.citation | CREȚU, Ștefan, ROTARU, Andrian. The use of vancomycin as an effective element in mediastinitis prophylaxis. In: MedEspera: the 9th International Medical Congress for Students and Young Doctors: abstract book. Chișinău: S. n., 2022, p. 451. ISBN 978-9975-3544-2-4. | en_US |
dc.identifier.isbn | 978-9975-3544-2-4 | - |
dc.identifier.uri | https://medespera.asr.md/en/books | - |
dc.identifier.uri | http://repository.usmf.md/handle/20.500.12710/21305 | - |
dc.description.abstract | Introduction. Deep sternal wound infection remains a significant hazard for cardiosurgical patients
undergoing median sternotomy. Although the prophylactic use of topical vancomycin to reduce the
incidence of deep sternal wound complications (DSWC) has been repeatedly examined, the method remains
controversial.
Aim of study. Sternal mediastinitis is known as a complication of a postoperative infection especially after
cardiac surgery. Analyzing international data on this serious complication, its morbidity varies between
0.15% and 2.5%, with mortality varying between 5 and 45% in different patient groups. Using different
prevention methods is the objective.
Methods and materials. In the period of 2015– 2021 years in Medpark International Hospital more than
2000 patients had open-heart surgery. From 2015, for 98% of patients (in exception of patients with allergy)
was used the method of sternal interior surfaces impregnation (post-sternotomy) with Vancomycin 1,5 gr
powder, applied 2 times: before the pericardiotomy and upstream of sternal suturing, via the topical
techniques.
Results. The rate of postsurgical complications with deep sternal wound infection in our Hospital was about
2% (N18). After starting using Vancomycin in 2015 there were no postoperative infections, deep sternal
infections were not registered, reducing the cases up to 70% the number of superficial infections
Conclusion. The results are soothing, because after 2015 when this method is used Vancomycin 1.5 gr
powder forming a homogeneous paste with 1 ml NaCl solution, applied 2 times: before pericardiotomy and
upstream of sternal suturing The hazard of deep mediastinal complications is evidently reduced due to the
surgical management optimized in correlation with the impregnation of powder. It is necessary to continue
detailed study with the identification of the optimal formula of application. | en_US |
dc.language.iso | en | en_US |
dc.publisher | Nicolae Testemitanu State University of Medicine and Pharmacy of the Republic of Moldova, Association of Medical Students and Residents | en_US |
dc.relation.ispartof | MedEspera: The 9th International Medical Congress for Students and Young Doctors, May 12-14, 2022, Chisinau, Republic of Moldova | en_US |
dc.title | The use of vancomycin as an effective element in mediastinitis prophylaxis | en_US |
dc.type | Other | en_US |
Appears in Collections: | MedEspera 2022
|