{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:07:01Z","timestamp":1777525621548,"version":"3.51.4"},"reference-count":12,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2012,4,1]],"date-time":"2012-04-01T00:00:00Z","timestamp":1333238400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2012,4]]},"abstract":"<jats:p>Atopic dermatitis is a skin condition often complicated by colonization with Staphylococcus aureus, which increases the risk of infective endocarditis, skin cellulitis and osteomyelitis. Positive cultures for Staphylococcus aureus are obtained from 70% to 80% of wounds in patients with mediastinitis. Thus sternotomy carries increased risk of mediastinitis in patients with atopic dermatitis. We retrospectively reviewed 25 patients with atopic dermatitis who underwent cardiac surgery via a median sternotomy or thoracotomy from January 1997 to September 2010 at our institution. Postoperative mediastinitis due to methicillin-resistant Staphylococcus aureus was found in 3 patients who had a median sternotomy. They were ultimately discharged in good condition. No mediastinitis occurred in patients undergoing thoracotomy. Mediastinitis may occur due to direct exposure of the bone marrow to methicillin-resistant Staphylococcus aureus in patients with atopic dermatitis whose skin is colonized with such bacteria. Thoracotomy may be a better surgical approach in patients with atopic dermatitis who require thoracic surgery.<\/jats:p>","DOI":"10.1177\/0218492311433311","type":"journal-article","created":{"date-parts":[[2013,5,6]],"date-time":"2013-05-06T09:37:22Z","timestamp":1367833042000},"page":"137-140","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Clinical outcomes of open heart surgery in patients with atopic dermatitis"],"prefix":"10.1177","volume":"20","author":[{"given":"Naoto","family":"Fukunaga","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Kobe, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsuru","family":"Yuzaki","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Kobe, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Shomura","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Kobe, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Fujiwara","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Kobe, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michihiro","family":"Nasu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Kobe, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukikatsu","family":"Okada","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kobe City Medical Center General Hospital, Kobe, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2012,4,1]]},"reference":[{"key":"bibr1-0218492311433311","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2005.03.040"},{"key":"bibr2-0218492311433311","first-page":"469","volume":"9","author":"Onoda K","year":"2000","journal-title":"J Heart Valve Dis"},{"key":"bibr3-0218492311433311","doi-asserted-by":"publisher","DOI":"10.1186\/1752-1947-2-143"},{"key":"bibr4-0218492311433311","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(98)01195-3"},{"key":"bibr5-0218492311433311","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa021481"},{"key":"bibr6-0218492311433311","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra010082"},{"key":"bibr7-0218492311433311","doi-asserted-by":"publisher","DOI":"10.1055\/s-2002-26691"},{"key":"bibr8-0218492311433311","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2008.08.071"},{"key":"bibr9-0218492311433311","doi-asserted-by":"publisher","DOI":"10.1186\/1749-8090-5-38"},{"key":"bibr10-0218492311433311","doi-asserted-by":"publisher","DOI":"10.1111\/j.1346-8138.2009.00706.x"},{"key":"bibr11-0218492311433311","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-6701(08)60018-3"},{"key":"bibr12-0218492311433311","doi-asserted-by":"publisher","DOI":"10.1016\/S0195-6701(08)60019-5"}],"container-title":["Asian Cardiovascular and Thoracic Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0218492311433311","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0218492311433311","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0218492311433311","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:26:45Z","timestamp":1777393605000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0218492311433311"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,4]]},"references-count":12,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2012,4]]}},"alternative-id":["10.1177\/0218492311433311"],"URL":"https:\/\/doi.org\/10.1177\/0218492311433311","relation":{},"ISSN":["0218-4923","1816-5370"],"issn-type":[{"value":"0218-4923","type":"print"},{"value":"1816-5370","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,4]]}}}