Clinical evolution of mediastinitis in patients undergoing adjuvant hyperbaric oxygen therapy after coronary artery bypass surgery
To evaluate the use of hyperbaric oxygen therapy as an adjunctive treatment in mediastinitis after coronary artery bypass surgery. This is a retrospective descriptive study, performed between October 2010 and February 2012. Hyperbaric oxygen therapy was indicated in difficult clinical management cas...
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| Veröffentlicht in: | Einstein (São Paulo, Brazil) Brazil), 2013-07, Vol.11 (3), p.345-349 |
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| creator | Egito, Julyana Galvão Tabosa do Abboud, Cely Saad Oliveira, Aline Pâmela Vieira de Máximo, Carlos Alberto Gonçalves Montenegro, Carolina Moreira Amato, Vivian Lerner Bammann, Roberto Farsky, Pedro Silvio |
| description | To evaluate the use of hyperbaric oxygen therapy as an adjunctive treatment in mediastinitis after coronary artery bypass surgery.
This is a retrospective descriptive study, performed between October 2010 and February 2012. Hyperbaric oxygen therapy was indicated in difficult clinical management cases despite antibiotic therapy.
We identified 18 patients with mediastinitis during the study period. Thirty three microorganisms were isolated, and polymicrobial infection was present in 11 cases. Enterobacteriaceae were the most prevalent pathogens and six were multi-resistant agents. There was only 1 hospital death, 7 months after the oxygen therapy caused by sepsis, unrelated to hyperbaric oxygen therapy. This treatment was well-tolerated.
The initial data showed favorable clinical outcomes. |
| doi_str_mv | 10.1590/S1679-45082013000300014 |
| format | Article |
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This is a retrospective descriptive study, performed between October 2010 and February 2012. Hyperbaric oxygen therapy was indicated in difficult clinical management cases despite antibiotic therapy.
We identified 18 patients with mediastinitis during the study period. Thirty three microorganisms were isolated, and polymicrobial infection was present in 11 cases. Enterobacteriaceae were the most prevalent pathogens and six were multi-resistant agents. There was only 1 hospital death, 7 months after the oxygen therapy caused by sepsis, unrelated to hyperbaric oxygen therapy. This treatment was well-tolerated.
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This is a retrospective descriptive study, performed between October 2010 and February 2012. Hyperbaric oxygen therapy was indicated in difficult clinical management cases despite antibiotic therapy.
We identified 18 patients with mediastinitis during the study period. Thirty three microorganisms were isolated, and polymicrobial infection was present in 11 cases. Enterobacteriaceae were the most prevalent pathogens and six were multi-resistant agents. There was only 1 hospital death, 7 months after the oxygen therapy caused by sepsis, unrelated to hyperbaric oxygen therapy. This treatment was well-tolerated.
The initial data showed favorable clinical outcomes.</description><subject>Aged</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Combined Modality Therapy - methods</subject><subject>Coronary Artery Bypass - adverse effects</subject><subject>Female</subject><subject>Humans</subject><subject>Hyperbaric Oxygenation</subject><subject>Male</subject><subject>Mediastinitis - etiology</subject><subject>Mediastinitis - therapy</subject><subject>Middle Aged</subject><subject>Original</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><issn>1679-4508</issn><issn>2317-6385</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUE1v1TAQtBCIPkr_AvWRS8COP-JcKlVPfEmVOADnaBNv8lzl2antPJErvxxXtFU5rFazs5rZWUIuOfvAVcs-_uC6aSupmKkZF4yx--LyBdnVgjeVFka9JLunpTPyJqVbxjTXpn1NzmrJhW50vSN_9rPzboCZ4inMa3bB0zDSI1oHKRcqu0Sdpwtkhz4nunqLcQrOTxTs7XoCn-lhWzD2EN1Aw-9tQk_zASMsG4UxY6RDiMFDLDAWuNF-WyAlmtY4FfiWvBphTnjx0M_Jr8-ffu6_Vjffv3zbX99US611rtDCONQo1QCNMY1gHG2ZiUFKq3UzKs60kIi9UKrvm1oKqTkqa6VWI1guzsnVP91l7Uu-ocSJMHdLdMdyWxfAdf8z3h26KZw6aRqjWlkE3j8IxHC3Ysrd0aUB5xk8hjV1XGppWim1Kavvnns9mTw-XvwFnrqM0A</recordid><startdate>20130701</startdate><enddate>20130701</enddate><creator>Egito, Julyana Galvão Tabosa do</creator><creator>Abboud, Cely Saad</creator><creator>Oliveira, Aline Pâmela Vieira de</creator><creator>Máximo, Carlos Alberto Gonçalves</creator><creator>Montenegro, Carolina Moreira</creator><creator>Amato, Vivian Lerner</creator><creator>Bammann, Roberto</creator><creator>Farsky, Pedro Silvio</creator><general>Instituto Israelita de Ensino e Pesquisa Albert Einstein</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20130701</creationdate><title>Clinical evolution of mediastinitis in patients undergoing adjuvant hyperbaric oxygen therapy after coronary artery bypass surgery</title><author>Egito, Julyana Galvão Tabosa do ; Abboud, Cely Saad ; Oliveira, Aline Pâmela Vieira de ; Máximo, Carlos Alberto Gonçalves ; Montenegro, Carolina Moreira ; Amato, Vivian Lerner ; Bammann, Roberto ; Farsky, Pedro Silvio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p266t-edafc2e45ca7887301ededa3c44d667f510634eeb355bb7243461e5dd465fad13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Anti-Bacterial Agents - therapeutic use</topic><topic>Combined Modality Therapy - methods</topic><topic>Coronary Artery Bypass - adverse effects</topic><topic>Female</topic><topic>Humans</topic><topic>Hyperbaric Oxygenation</topic><topic>Male</topic><topic>Mediastinitis - etiology</topic><topic>Mediastinitis - therapy</topic><topic>Middle Aged</topic><topic>Original</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><toplevel>online_resources</toplevel><creatorcontrib>Egito, Julyana Galvão Tabosa do</creatorcontrib><creatorcontrib>Abboud, Cely Saad</creatorcontrib><creatorcontrib>Oliveira, Aline Pâmela Vieira de</creatorcontrib><creatorcontrib>Máximo, Carlos Alberto Gonçalves</creatorcontrib><creatorcontrib>Montenegro, Carolina Moreira</creatorcontrib><creatorcontrib>Amato, Vivian Lerner</creatorcontrib><creatorcontrib>Bammann, Roberto</creatorcontrib><creatorcontrib>Farsky, Pedro Silvio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Einstein (São Paulo, Brazil)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Egito, Julyana Galvão Tabosa do</au><au>Abboud, Cely Saad</au><au>Oliveira, Aline Pâmela Vieira de</au><au>Máximo, Carlos Alberto Gonçalves</au><au>Montenegro, Carolina Moreira</au><au>Amato, Vivian Lerner</au><au>Bammann, Roberto</au><au>Farsky, Pedro Silvio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical evolution of mediastinitis in patients undergoing adjuvant hyperbaric oxygen therapy after coronary artery bypass surgery</atitle><jtitle>Einstein (São Paulo, Brazil)</jtitle><addtitle>Einstein (Sao Paulo)</addtitle><date>2013-07-01</date><risdate>2013</risdate><volume>11</volume><issue>3</issue><spage>345</spage><epage>349</epage><pages>345-349</pages><issn>1679-4508</issn><eissn>2317-6385</eissn><abstract>To evaluate the use of hyperbaric oxygen therapy as an adjunctive treatment in mediastinitis after coronary artery bypass surgery.
This is a retrospective descriptive study, performed between October 2010 and February 2012. Hyperbaric oxygen therapy was indicated in difficult clinical management cases despite antibiotic therapy.
We identified 18 patients with mediastinitis during the study period. Thirty three microorganisms were isolated, and polymicrobial infection was present in 11 cases. Enterobacteriaceae were the most prevalent pathogens and six were multi-resistant agents. There was only 1 hospital death, 7 months after the oxygen therapy caused by sepsis, unrelated to hyperbaric oxygen therapy. This treatment was well-tolerated.
The initial data showed favorable clinical outcomes.</abstract><cop>Brazil</cop><pub>Instituto Israelita de Ensino e Pesquisa Albert Einstein</pub><pmid>24136762</pmid><doi>10.1590/S1679-45082013000300014</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; EZB Free E-Journals; PubMed Central; Directory of Open Access Journals; Alma/SFX Local Collection; PubMed Central Open Access |
| subjects | Aged Anti-Bacterial Agents - therapeutic use Combined Modality Therapy - methods Coronary Artery Bypass - adverse effects Female Humans Hyperbaric Oxygenation Male Mediastinitis - etiology Mediastinitis - therapy Middle Aged Original Retrospective Studies Treatment Outcome |
| title | Clinical evolution of mediastinitis in patients undergoing adjuvant hyperbaric oxygen therapy after coronary artery bypass surgery |
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