[Treatment of mediastinal infection by continuous closed irrigation with an antibiotic solution in a new bone baby].
The patient was a three-week-old girl. Four days after thoracic surgery, mild fever developed, and turbid fluid was drained from the incision. Culture of the discharge showed Pseudomonas aeruginosa and Serratia marcescens. Débridement was immediately performed and continuous closed irrigation with an antibiotic solution started and maintained for 17 days. During this period, the upper half of the body was elevated. Ten days after irrigation started culture of the drainage fluid became negative. We emphasize early diagnosis, and the usefulness of continuous closed irrigation with an antibiotic solution in neonates.
Department of Thoracic Surgery, Ishikawa Prefectual Central Hospital, Kanazawa, Japan.
M
M
Tamura
M
M
Seki
Y
Y
Tsunezuka
M
M
Tsubota
H
H
Sato
D004359:Drug Therapy, Combination / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D007223:Infant; D008477:Mediastinal Diseases / Q000382:microbiology* / Q000628:therapy*; D011183:Postoperative Complications / Q000628:therapy*; D011552:Pseudomonas Infections / Q000628:therapy*; D012462:Saline Solution, Hypertonic; D016868:Serratia Infections / Q000628:therapy*; D012706:Serratia marcescens / Q000302:isolation & purification*; D007507:Therapeutic Irrigation / Q000379:methods; D013845:Thienamycins / Q000008:administration & dosage; D014188:Transposition of Great Vessels / Q000601:surgery; D015091:beta-Alanine / Q000008:administration & dosage / Q000031:analogs & derivatives
D012462:Saline Solution, Hypertonic; D013845:Thienamycins; D015091:beta-Alanine; C075316:panipenem-betamipron