title: Acute Chest Wall Infections: Surgical Site Infections, Necrotizing Soft Tissue Infections, and Sternoclavicular Joint Infection.
abstract: Acute chest wall infections are uncommon and share similar risk factors for infection at other surgical sites. Smoking cessation has been shown to decrease the risk of surgical site infection. Depending on the depth of infection and/or involvement of the organ space, adequate therapy involves antibiotics and drainage. Early diagnosis and debridement of necrotizing soft tissue infections is essential to reduce mortality. Sternoclavicular joint infections require surgical debridement, en bloc resection, and antibiotic therapy. A standard approach to wound closure after resection has yet to be established. Vacuum-assisted closure is a valuable adjunct to standard therapy.
authors.affiliation: Section of General Thoracic Surgery, Division of Cardiothoracic Surgery, Department of Surgery, Oregon Health and Sciences University, 3181 SW Sam Jackson Park Road L353, Portland, OR 97239, USA. Electronic address: schippep@ohsu.edu.
authors.forename: Paul
authors.initials: P
authors.lastname: Schipper
authors.affiliation: Section of General Thoracic Surgery, Division of Cardiothoracic Surgery, Department of Surgery, Oregon Health and Sciences University, 3181 SW Sam Jackson Park Road L353, Portland, OR 97239, USA.
authors.forename: Brandon H
authors.initials: BH
authors.lastname: Tieu
mesh_terms: D000208:Acute Disease; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001170:Arthritis, Infectious / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D003131:Combined Modality Therapy; D003646:Debridement; D004322:Drainage; D019115:Fasciitis, Necrotizing / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D006801:Humans; D054843:Negative-Pressure Wound Therapy; D012307:Risk Factors; D018461:Soft Tissue Infections / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D013247:Sternoclavicular Joint / Q000382:microbiology / Q000601:surgery; D013530:Surgical Wound Infection / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D035441:Thoracic Wall / Q000382:microbiology / Q000601:surgery; D013908:Thoracotomy
chemical_list: D000900:Anti-Bacterial Agents
keywords: Necrotizing fasciitis; Necrotizing soft tissue infection; SSI; Sternoclavicular joint infection; Sternoclavicular pyoarthrosis; Surgical site infections; Wound infection