Cardiovascular Implantable Electronic Device Infections: Risk Scoring and Role of Antibiotic Envelope in Prevention
| Autor: | David Schwartzman, Nasir Shariff, Nathan Segerson, Eathar Razak, Tauseef Akthar |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Heart Failure
medicine.medical_specialty Pediatrics Prosthesis-Related Infections Heart Diseases Cardiovascular Infections medicine.drug_class business.industry Antibiotics MEDLINE Bacterial Infections medicine.disease Multiple risk factors Anti-Bacterial Agents Defibrillators Implantable Risk Factors Heart failure Drug Discovery medicine Humans Pharmacology (medical) In patient Cardiology and Cardiovascular Medicine Intensive care medicine business |
| Zdroj: | Scopus-Elsevier |
| ISSN: | 1574-8901 |
| DOI: | 10.2174/1574890110666151104120207 |
| Popis: | Cardiac implantable electronic device (CIED) has been increasingly used with expanding indications in patients with cardiac diseases. There is substantial evidence to suggest of their role in improving outcomes in patients with and without heart failure. Complications of the device implantation including infections are associated with increased morbidity and mortality and also substantial financial burden to the society. Several clinical characteristics have been recognized as risk factors for the occurrence of the infections. Considering that infections occur in the presence of multiple risk factors acting together, scoring systems have been developed in identifying patients at risk. Despite preventive measures, the rates of infections associated with CIEDs have increased over the last decade. Recent studies have documented the role of implantable antibiotic eluting pouches in reducing infections in patients undergoing CIED implantation. The present review will address the risk scoring systems studied and also address the role of antibiotic pouch and the recent patents in developing this technology. |
| Databáze: | OpenAIRE |
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