ArticleIndian journal of thoracic and cardiovascular surgery2018
A review of the AATS guidelines for the prevention and management of sternal wound infections.
Article in Indian journal of thoracic and cardiovascular surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 16 citations in OpenAlex.
- A prospective randomized study that compares three different dressings for the prevention of surgical site infections following major heart surgery.Scientific reports · 2025Trial
- Adjunctive hyperbaric oxygen therapy for poststernotomy deep sternal wound infection, mediastinitis, and sternal osteomyelitis after cardiac surgery: a scoping review.Journal of cardiothoracic surgery · 2026Article
- First-in-Human Intramediastinal Taurolidine Irrigation forJournal of cardiovascular development and disease · 2026Article
- Mediastinitis after cardiac surgery, from microbes to management: a systematic review.Mediastinum (Hong Kong, China) · 2026Review
- Immunonutritional Markers and the Protective Role of Sternal Irrigation and Antibiotic-Impregnated Membranes in Sternal Wound Infection: A Retrospective Cohort Study.Life (Basel, Switzerland) · 2025Article
- Thorax support vest to prevent sternal wound infections in cardiac surgery patients-a systematic review and meta-analysis.Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- Surgical Site Infection in Cardiac Surgery.Journal of clinical medicine · 2022Review
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Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo summarize the AATS guidelines for the prevention and treatment of sternal wound infections.
methodsThe current AATS guidelines for the prevention of sternal wound infections during the preoperative, intraoperative, and postoperative periods, and the most effective methods and techniques to treat sternal wound infections were reviewed.
resultsThe guidelines identified multiple interventions that can be instituted during the preoperative, intraoperative, and postoperative periods to reduce sternal wound infections during cardiac surgery. These include the use of perioperative antibiotics, glycemic control to maintain serum glucose < 180 mg/dl, avoidance of bone wax and the use of vancomycin paste to the sternal edges, and figure of eight suture techniques to re-approximate the sternum. Wound Vac therapy should be instituted whenever possible to treat and enhance recovery from mediastinitis.
conclusionsThe prevention of sternal wound infections and mediastinitis can be achieved by adherence to the AATS guidelines. The institution of these interventions requires a multi-disciplinary team effort among surgeons, anesthesiologists, referring physicians, nurses, and OR and ICU personnel.
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