TY - JOUR
T1 - Acute Chest Wall Infections
T2 - Surgical Site Infections, Necrotizing Soft Tissue Infections, and Sternoclavicular Joint Infection
AU - Schipper, Paul
AU - Tieu, Brandon
N1 - Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2017/5/1
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.
KW - Necrotizing fasciitis
KW - Necrotizing soft tissue infection
KW - SSI
KW - Sternoclavicular joint infection
KW - Sternoclavicular pyoarthrosis
KW - Surgical site infections
KW - Wound infection
UR - http://www.scopus.com/inward/record.url?scp=85016728471&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85016728471&partnerID=8YFLogxK
U2 - 10.1016/j.thorsurg.2017.01.001
DO - 10.1016/j.thorsurg.2017.01.001
M3 - Review article
C2 - 28363376
AN - SCOPUS:85016728471
SN - 1547-4127
VL - 27
SP - 73
EP - 86
JO - Thoracic Surgery Clinics
JF - Thoracic Surgery Clinics
IS - 2
ER -