A 52-year-old woman on ICU develops a deep sternal wound infection following cardiac surgery. The wound is dehiscent with exposed sternum and purulent...

Question

A 52-year-old woman on ICU develops a deep sternal wound infection following cardiac surgery. The wound is dehiscent with exposed sternum and purulent discharge. Wound swab grows MRSA. She has no signs of mediastinitis on CT. What is the most appropriate antibiotic and surgical management?

Accepted Answer

IV vancomycin (or daptomycin) with surgical debridement and vacuum-assisted closure (VAC) therapy

Answer

Oral flucloxacillin and daily dressing changes

Answer

IV vancomycin alone without surgical intervention

Answer

Topical mupirocin only

Answer

IV linezolid with no wound management

uk-fficm MCQ (SBA): Deep Sternal Wound Infection

A 52-year-old woman on ICU develops a deep sternal wound infection following cardiac surgery. The wound is dehiscent with exposed sternum and purulent discharge. Wound swab grows MRSA. She has no signs of mediastinitis on CT. What is the most appropriate antibiotic and surgical management?