title: [The diagnostics and treatment of the postoperative mediastinitis].
abstract: Treatment results of 48 patients with mediastinitis after the open cardiac surgery were analyzed. The main mediastinitis risk factors were: the chronic obstructive lung desease, diabetes mekkitus, severe cardiac insufficiency, prolonged operation, the use of artificial blood circulation and sterna instsbility. Major infective agents of mediastinitis were the Gram-positive cocci. The treatment options varied from the prolonged antibiotic therapy to plastic reconstructive surgery, which were determined by the severity of mediastinitis.
authors.forename: E P
authors.initials: EP
authors.lastname: Kokhan
authors.forename: A S
authors.initials: AS
authors.lastname: Aleksandrov
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D006348:Cardiac Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D015897:Comorbidity; D004452:Echocardiography; D005112:Extracorporeal Circulation / Q000009:adverse effects; D005260:Female; D006095:Gram-Positive Cocci / Q000187:drug effects / Q000302:isolation & purification; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology; D008297:Male; D008480:Mediastinitis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy; D019651:Plastic Surgery Procedures / Q000379:methods*; D012307:Risk Factors; D012720:Severity of Illness Index; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents