Acute Chest Wall Infections: Surgical Site Infections, Necrotizing Soft Tissue Infections, and Sternoclavicular Joint Infection

Research output: Contribution to journalReview article

1 Citation (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)73-86
Number of pages14
JournalThoracic Surgery Clinics
Volume27
Issue number2
DOIs
StatePublished - May 1 2017

Fingerprint

Sternoclavicular Joint
Surgical Wound Infection
Soft Tissue Infections
Thoracic Wall
Debridement
Infection
Negative-Pressure Wound Therapy
Anti-Bacterial Agents
Smoking Cessation
Early Diagnosis
Drainage
Therapeutics
Mortality
Wounds and Injuries

Keywords

  • Necrotizing fasciitis
  • Necrotizing soft tissue infection
  • SSI
  • Sternoclavicular joint infection
  • Sternoclavicular pyoarthrosis
  • Surgical site infections
  • Wound infection

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine

Cite this

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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.",
keywords = "Necrotizing fasciitis, Necrotizing soft tissue infection, SSI, Sternoclavicular joint infection, Sternoclavicular pyoarthrosis, Surgical site infections, Wound infection",
author = "Paul Schipper and Brandon Tieu",
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AU - Tieu, Brandon

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Y1 - 2017/5/1

N2 - 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.

AB - 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.

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KW - Sternoclavicular pyoarthrosis

KW - Surgical site infections

KW - Wound infection

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