1. Sternal wound infection after Cardiac surgery Dr Aliasghar moinipoor Dr Hamid Hoseinikhah Department of Cardiac surgery of Imamreza Hospital

2. Incidencae
Incidence of sternal wound infection in Cardiac surgery patient is estimated about 1 to 4%
Sternal wound infection have potentially life threatening comobidity

3. Predisposing Risk factor
advanced Age DM
Massive Transfusion
Obesity
Long duration of operation time
Need for Reexploration due bleeding

4. Treatment Options Antibiotic Theraphy Only (IV_ Oral)
Opening the Wound and Dressing
Surgical debridment
Hemovac Dranage system

5. Case Series: We evaluate 3 Patients after CABG
Sign of Wound infection in 5-7 days
They have superficial and deep infection without Mediastinitis
After wound Specimen and B/C was taken
IV Ab (Meropnem+Vanocomycin)

6. ReExplore was done in Operating Room
Debridment and Irrigation of Infected Tissue was done
2 Hemovac Drain was insetrted in Subcutaneous tissue and skin was closed
I.V Ab was continued until 1 week and Oral Ab for 2 Weeks

7. The result of Culture Specimen was Staphilococous Epidermis
Patients Have Drain for 1 weeks

8. Result:
After 2 weeks these Patients havenot any Sign and Symptom of Wound Infection

9. Conclusion:
We recommend Hemovac Dranage system as a safe and effective options for Treatment of Sternal Wound Infection after Cardiac surgery.