Page last updated: 2024-10-27

gentamicin and Mediastinitis

gentamicin has been researched along with Mediastinitis in 18 studies

Gentamicins: A complex of closely related aminoglycosides obtained from MICROMONOSPORA purpurea and related species. They are broad-spectrum antibiotics, but may cause ear and kidney damage. They act to inhibit PROTEIN BIOSYNTHESIS.

Mediastinitis: Inflammation of the mediastinum, the area between the pleural sacs.

Research Excerpts

ExcerptRelevanceReference
" The addition of a retrosternal gentamicin-releasing sponge further reduces the rate of mediastinitis."7.88Effect of chlorhexidine skin disinfection and retrosternal gentamicin sponge on post-sternotomy mediastinitis: results from a prospective controlled registry of 2340 patients. ( Birkner, C; Ghazy, T; Madej, T; Mahlmann, A; Matschke, K; Plötze, K; Waldow, T, 2018)
"We report a case of mediastinitis successfully treated with autovaccine therapy, once conventional surgical and medical therapies had failed."1.34Efficacy of autovaccination therapy on post-coronary artery bypass grafting methicillin-resistant Staphylococcus aureus mediastinitis. ( Brancaccio, G; De Vito, D; Rizzo, C; Rizzo, G, 2007)
"Descending necrotizing mediastinitis which may occur as a complication of neglected oropharynx infection is an uncommon disease, although it is lethal in most cases."1.30[Descending necrotizing mediastinitis. A case report]. ( al Aziz, S; Benosman, A; el Meslout, A; Kabiri, H; Manesouri, M; Smahi, M, 1999)
"Experience with closed mediastinitis management was also analysed."1.28[Prevention and treatment of infectious complications in myocardial revascularization]. ( Akchurin, RS; Dolgov, IM; Galiautdinov, DM; Shiriaev, AA, 1992)
" We sought to determine the degree of absorption and risk of either inadequate or toxic blood levels that might follow gentamicin absorption."1.28Gentamicin solution for mediastinal irrigation: systemic absorption, bactericidal activity, and toxicity. ( Finlayson, DC; Hall, RI; Jones, EL; Kopel, ME; Lampasona, V; Mullins, R; Riemersma, L; Tobia, V, 1989)
"100 suffered from mediastinitis, and 4 p."1.26[Prevention of post-operative infection in heart surgery with extracorporeal circulation (apropos of 295 cases)]. ( Coulombe, G; Hubscher, C; Laborde, F; Oksenhendler, G; Soyer, R; Winckler, C, 1979)
"Twenty-three cases of mediastinitis after cardiac surgery in children were treated by us between 1973 and 1976."1.26Treatment of mediastinitis in children after cardiac surgery. A study of 20 cases. ( Barois, A; Bourda, JL; Chapuis, C; Combes, A; Goulon, M; Grosbuis, S; Simon, N, 1978)
"A case of mediastinitis occurred following perforation of the pharynx by a pencil."1.25Mediastinitis in a child caused by perforation of pharynx. ( Emanuel, B; North, J, 1975)

Research

Studies (18)

TimeframeStudies, this research(%)All Research%
pre-19906 (33.33)18.7374
1990's3 (16.67)18.2507
2000's4 (22.22)29.6817
2010's5 (27.78)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Waldow, T1
Ghazy, T1
Madej, T1
Plötze, K1
Birkner, C1
Mahlmann, A1
Matschke, K1
Kowalewski, M1
Pawliszak, W1
Zaborowska, K1
Navarese, EP1
Szwed, KA1
Kowalkowska, ME1
Kowalewski, J1
Borkowska, A1
Anisimowicz, L1
Lazar, HL1
Friberg, O2
Dahlin, LG1
Källman, J2
Kihlström, E1
Söderquist, B2
Svedjeholm, R1
Godbole, G1
Pai, V1
Kolvekar, S1
Wilson, AP1
Hajj-Chahine, J1
Jacques, T1
Hassan, H1
Emilie, B1
Jones, I1
Sjöberg, L1
Vikerfors, T1
Eklund, AM1
Valtonen, M1
Werkkala, KA1
Rizzo, C1
Brancaccio, G1
De Vito, D1
Rizzo, G1
Economopoulos, GC1
Scherzer, HH1
Gryboski, WA1
Nomori, H1
Horio, H1
Kobayashi, R1
Kabiri, H1
Manesouri, M1
Smahi, M1
al Aziz, S1
el Meslout, A1
Benosman, A1
Hubscher, C1
Coulombe, G1
Oksenhendler, G1
Laborde, F1
Soyer, R1
Winckler, C1
Barois, A1
Grosbuis, S1
Simon, N1
Combes, A1
Bourda, JL1
Chapuis, C1
Goulon, M1
North, J1
Emanuel, B1
Akchurin, RS1
Shiriaev, AA1
Galiautdinov, DM1
Dolgov, IM1
Kopel, ME1
Riemersma, L1
Finlayson, DC1
Tobia, V1
Jones, EL1
Hall, RI1
Mullins, R1
Lampasona, V1
Astrozhnikov, IuV1
Bogomolova, NS1
Vinogradova, LN1
Gorel'chenkova, VG1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Topical Gentamicin and Vancomycin for Surgical Site Infection Prophylaxis in Patients Undergoing High-Risk Vascular Surgery[NCT04238923]Phase 2/Phase 3356 participants (Anticipated)Interventional2020-05-01Not yet recruiting
Local Application of Collagen-Gentamicin in Addition to Fixation of the Sternum With Extra Sternal Wires for Prevention of Sternal Wound Infection in Cardiac Surgery[NCT00484055]1,358 participants (Actual)Interventional2007-01-31Completed
A Randomized, Controlled, Phase 4 Study of Sternal Plating (Rapid Sternal Closure System, KLS Martin L.P.) in Cardiac Surgical Subjects at Higher Risk for Sternal Wound Complications.[NCT00638014]Phase 451 participants (Actual)Interventional2008-03-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Participants With Sternal Wound Infection or Sternal Instability/Non-union

The Data and Safety Monitoring Board reviewed source documents for all cases with possible sternal wound infection and sternal instability or non-union and made a determination as to the presence of these complications. (NCT00638014)
Timeframe: Up to 180 days

InterventionParticipants (Number)
Conventional Wires Only1
Talon1

Percentage Change of Preoperative Incentive Spirometry (IS) Volume Achieved

Maximum incentive spirometry volume was measured at baseline (prior to surgery) and daily from postoperative day 1 through postoperative day 7 (or discharge if earlier) using a Coach 2 incentive spirometer with one way valve (Coach 2 model # 22-4000, Smiths Medical, Keene, NH). (NCT00638014)
Timeframe: Baseline, Maximum value during postoperatively days 1 thru 7

Interventionpercentage change (Mean)
Conventional Wires Only58
Talon67

Reviews

2 reviews available for gentamicin and Mediastinitis

ArticleYear
Gentamicin-collagen sponge reduces the risk of sternal wound infections after heart surgery: Meta-analysis.
    The Journal of thoracic and cardiovascular surgery, 2015, Volume: 149, Issue:6

    Topics: Anti-Bacterial Agents; Cardiac Surgical Procedures; Chi-Square Distribution; Drug Carriers; Gentamic

2015
Use of gentamicin-collagen sponges in closure of sternal wounds in cardiothoracic surgery to reduce wound infections.
    Interactive cardiovascular and thoracic surgery, 2012, Volume: 14, Issue:4

    Topics: Anti-Bacterial Agents; Benchmarking; Cardiac Surgical Procedures; Collagen; Drug Implants; Drug Resi

2012

Trials

2 trials available for gentamicin and Mediastinitis

ArticleYear
Collagen-gentamicin implant for prevention of sternal wound infection; long-term follow-up of effectiveness.
    Interactive cardiovascular and thoracic surgery, 2009, Volume: 9, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Anti-Bacterial Agents; Antibiotic Prophylaxis; Chemistry, Pharmaceut

2009
Prophylaxis of sternal wound infections with gentamicin-collagen implant: randomized controlled study in cardiac surgery.
    The Journal of hospital infection, 2005, Volume: 59, Issue:2

    Topics: Analysis of Variance; Antibiotic Prophylaxis; Coronary Artery Bypass; Drug Implants; Female; Gentami

2005

Other Studies

14 other studies available for gentamicin and Mediastinitis

ArticleYear
Effect of chlorhexidine skin disinfection and retrosternal gentamicin sponge on post-sternotomy mediastinitis: results from a prospective controlled registry of 2340 patients.
    The Journal of hospital infection, 2018, Volume: 100, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Animals; Anti-Bacterial Agents; Chemoprevention; Chlorhexidine; Fema

2018
Topical antibiotics help to reduce sternal infections.
    The Journal of thoracic and cardiovascular surgery, 2015, Volume: 149, Issue:6

    Topics: Anti-Bacterial Agents; Cardiac Surgical Procedures; Drug Carriers; Gentamicins; Humans; Mediastiniti

2015
eComment: do gentamicin-collagen sponges decrease the risk of mediastinitis?
    Interactive cardiovascular and thoracic surgery, 2012, Volume: 14, Issue:4

    Topics: Anti-Bacterial Agents; Cardiac Surgical Procedures; Collagen; Gentamicins; Humans; Mediastinitis; St

2012
Antibiotic concentrations in serum and wound fluid after local gentamicin or intravenous dicloxacillin prophylaxis in cardiac surgery.
    Scandinavian journal of infectious diseases, 2003, Volume: 35, Issue:4

    Topics: Adult; Aged; Aged, 80 and over; Antibiotic Prophylaxis; Biological Availability; Cardiac Surgical Pr

2003
Efficacy of autovaccination therapy on post-coronary artery bypass grafting methicillin-resistant Staphylococcus aureus mediastinitis.
    Interactive cardiovascular and thoracic surgery, 2007, Volume: 6, Issue:2

    Topics: Aged; Anti-Bacterial Agents; Anti-Infective Agents, Local; Coronary Artery Bypass; Coronary Stenosis

2007
Successful management of mediastinitis, pleural empyema, and aortopulmonary fistula from odontogenic infection.
    The Annals of thoracic surgery, 1983, Volume: 35, Issue:2

    Topics: Adult; Aortic Diseases; Drainage; Empyema; Fistula; Focal Infection, Dental; Gentamicins; Hematoma;

1983
Descending necrotizing mediastinitis secondary to pharyngitis. A case report.
    Scandinavian cardiovascular journal : SCJ, 1997, Volume: 31, Issue:4

    Topics: Adult; Clindamycin; Combined Modality Therapy; Drainage; Drug Therapy, Combination; Female; Gentamic

1997
[Descending necrotizing mediastinitis. A case report].
    Chirurgie; memoires de l'Academie de chirurgie, 1999, Volume: 124, Issue:3

    Topics: Adult; Amoxicillin; Anti-Bacterial Agents; Clavulanic Acid; Drainage; Drug Therapy, Combination; Fem

1999
[Prevention of post-operative infection in heart surgery with extracorporeal circulation (apropos of 295 cases)].
    Annales de l'anesthesiologie francaise, 1979, Volume: 20, Issue:6-7

    Topics: Adolescent; Adult; Aged; Asepsis; Bacterial Infections; Cardiac Surgical Procedures; Cephradine; Cro

1979
Treatment of mediastinitis in children after cardiac surgery. A study of 20 cases.
    Intensive care medicine, 1978, Volume: 4, Issue:1

    Topics: Child; Child, Preschool; Gentamicins; Heart Defects, Congenital; Humans; Infant; Infusions, Parenter

1978
Mediastinitis in a child caused by perforation of pharynx.
    American journal of diseases of children (1960), 1975, Volume: 129, Issue:8

    Topics: Abscess; Ampicillin; Child, Preschool; Citrobacter; Emphysema; Enterobacter; Gentamicins; Humans; Kl

1975
[Prevention and treatment of infectious complications in myocardial revascularization].
    Grudnaia i serdechno-sosudistaia khirurgiia, 1992, Issue:5-6

    Topics: Cefazolin; Cefotaxime; Combined Modality Therapy; Drainage; Drug Therapy, Combination; Gentamicins;

1992
Gentamicin solution for mediastinal irrigation: systemic absorption, bactericidal activity, and toxicity.
    The Annals of thoracic surgery, 1989, Volume: 48, Issue:2

    Topics: Absorption; Adult; Aged; Aged, 80 and over; Body Surface Area; Body Weight; Creatinine; Female; Gent

1989
[Use of getamicin in reconstructive surgery].
    Antibiotiki, 1974, Volume: 19, Issue:7

    Topics: Abscess; Adult; Bacterial Infections; Child; Cholangitis; Empyema; Escherichia coli; Gentamicins; Hu

1974