Yüksel ATAY, Muhammet AKYÜZ, Engin KARAKUŞ, Onur IŞIK, Mehmet Fatih AYIK

Çocuklarda düşük virülanslı kronik sternal osteomiyelit

Sternal osteomiyelit, açık kalp cerrahisinin ölümcül ve ciddi bir komplikasyondur. Modern cerrahi tekniklerin uygulanması ve profilaktik antibiyotik kullanımı sternal yara yeri enfeksiyonu ve osteomiyelit gelişimini önemli oranda azaltmıştır. Tedavi olarak yara yeri pansumanından parsiyel sternal rezeksiyona kadar birçok yöntem tanımlanmış olmakla birlikte, akılcı ve uzun süreli antibiyoterapi yapılmadan tam iyileşme sağlanamamaktadır. Bu makalede düşük virülanslı kronik sternal osteomiyelit tanısı konulan üç pediatrik olguya klinik yaklaşım tartışıldı.

Low-virulent chronic sternal osteomyelitis in children

Sternal osteomyelitis is a fatal and serious complication of open heart surgery. Application of current surgical techniques and the use of prophylactic antibiotherapy have reduced the sternal wound infections and the development of osteomyelitis. As a treatment, many methods have been described, from wound dressing to partial sternal resection, although complete recovery cannot be achieved without rationale and long-term antibiotherapy. In this article, we discuss the clinical approach to three pediatric cases who were diagnosed with low-virulent chronic sternal osteomyelitis.

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