Infections in Patients with Mechanical Circulatory Support.

Autor: Eichenberger EM; Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine, 101 Woodruff Circle, WMB, Suite 5125, Atlanta, GA 30322, USA. Electronic address: Emily.m.eichenberger@emory.edu., Phadke V; Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine, 101 Woodruff Circle, WMB, Suite 2101, Atlanta, GA 30322, USA. Electronic address: https://twitter.com/VarunPhadke2., Busch LM; Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine, WMB, Suite 5127, Atlanta, GA 30322, USA; Emory Critical Care Center, Emory Healthcare, Atlanta, GA 30322, USA., Pouch SM; Department of Medicine, Division of Infectious Diseases, Emory University School of Medicine, 101 Woodruff Circle, WMB, Suite 2305, Atlanta, GA 30322, USA. Electronic address: https://twitter.com/StephaniePouch.
Jazyk: angličtina
Zdroj: Infectious disease clinics of North America [Infect Dis Clin North Am] 2024 Dec; Vol. 38 (4), pp. 693-712. Date of Electronic Publication: 2024 Sep 10.
DOI: 10.1016/j.idc.2024.07.005
Abstrakt: Patients on mechanical circulatory support are at heightened risk for infection given the invasive nature of the devices with internal and external components, the surgical implantation of the devices, and the presence of foreign material susceptible to biofilm formation. This review discusses the new International Society for Heart and Lung Transplantation mechanical circulatory support device infection definitions, inclusive of durable and acute mechanical circulatory support infections, and describes their epidemiology, diagnosis, and management. A multidisciplinary approach is essential for optimal management. Timing of transplantation in the context of active infection is addressed, and areas of future research are highlighted.
Competing Interests: Disclosure The authors have nothing to disclose.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE