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[edit | edit source]

The diagnosis of mediastinitis is based on the CDC criteria, which includes histopathologic evidence, imagining findings, and other positive findings.

## Diagnostic Criteria[edit | edit source]

The diagnosis of mediastinitis is based on the CDC criteria, which include:[1]

1. Patient has organisms cultured from mediastinal tissue or fluid obtained during a surgical operation or needle aspiration.
2. Patient has evidence of mediastinitis seen during a surgical operation or histopathologic examination.
3. 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
4. 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[edit | edit source]

1. ↑ 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

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