ArticleEuropean journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie2026
Bar-Related Infections After Minimally Invasive Repair of Pectus Excavatum: A 25-Year Single-Center Retrospective Cohort Study.
Article in European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: This study aims to evaluate the incidence and characteristics of Nuss bar infections, identify factors associated with infection, and present our institutional management considerations. Methods: We conducted a single-center retrospective cohort study of patients undergoing the Nuss procedure between 1999 and 2024 at Amsterdam Pectus Center. All patients had a minimum follow-up of 6 months. Primary outcomes included incidence and management of infections. Secondary outcomes included infection characteristics (early- [<30 days] vs. late-onset [>30 days], superficial vs. deep), diagnostics, microbiology, factors associated with infection (sex, age, type of anesthesia, number of bars, bar dislocation, stabilizer position, use of sutures), impact on bar removal, incidence of allergies and terra firma-forme dermatosis. Results: Of 695 patients, 4.0% ( Conclusion: Bar dislocation and stabilizer plate loosening are associated with Nuss bar infections. We present our institutional management considerations based on retrospective data and experience, requiring prospective validation. Accurate diagnostics, tailored antibiotic therapy, and consideration of alternative diagnoses remain essential.
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