Mediastinitis diagnostic criteria
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Anthony Gallo, B.S. [2]
Overview
The diagnosis of mediastinitis is based on the CDC criteria, which include histopathologic evidence, presence upon imaging, or other positive tests.
Diagnostic Criteria
Mediastinitis must meet at least one of the following criteria:[1]
- Patient has organisms cultured from mediastinal tissue or fluid obtained during a surgical operation or needle aspiration.
- Patient has evidence of mediastinitis seen during a surgical operation or histopathologic examination.
- Patient has at least one of the following signs or symptoms with no other recognized cause:
- Fever : (>38° C), chest pain, or sternal instability AND at least one of the following:
- purulent discharge from mediastinal area
- mediastinal widening on imaging test
- Patient <1 year of age has at least one of the following signs or symptoms with no other recognized cause:
- Fever (>38°C), hypothermia (<36.0°C), apnea, bradycardia, or sternal instability AND at least one of the following:
- purulent discharge from mediastinal area
- mediastinal widening on imaging test
References
- ↑ CDC/NHSN Surveillance Definitions for Specific Types of Infections. CDC (2015). http://www.cdc.gov/nhsn/PDFs/pscManual/17pscNosInfDef_current.pdf Accessed on September 21, 2015