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The Neurostimulation Appropriateness Consensus Committee (NACC) Recommendations for Infection Prevention and

Timothy R Deer1, David A Provenzano2, Michael Hanes3

  • 1Center for Pain Relief, Charleston, WV, USA.

Neuromodulation : Journal of the International Neuromodulation Society
|January 3, 2017
PubMed
Summary

Neurostimulation is a proven pain therapy, but carries risks. New guidelines from the Neurostimulation Appropriateness Consensus Committee (NACC) offer best practices for infection prevention and management in patients receiving neurostimulation devices.

Keywords:
Complicationsneuromodulationperioperative medicinerecommendationsrisk reductionspinal cord stimulationsurgical site infection

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Area of Science:

  • Neurology
  • Pain Management
  • Medical Devices

Background:

  • Neurostimulation is a long-established therapy for neuropathic pain.
  • High-level evidence supports its efficacy, but risks of complications exist.
  • Infection is a significant concern in interventional pain procedures.

Purpose of the Study:

  • To establish best practices for infection mitigation and management in neurostimulation.
  • To provide evidence-based recommendations for clinicians.
  • To reduce the incidence and impact of infectious complications.

Main Methods:

  • Convened an international expert panel (Neurostimulation Appropriateness Consensus Committee - NACC).
  • Reviewed peer-reviewed literature and evidence scoring.
  • Incorporated expert opinion where evidence was limited.

Main Results:

  • Developed recommendations to enhance patient care.
  • Focused on reducing infection rates associated with neurostimulation.
  • Provided guidance for managing infections if they occur.

Conclusions:

  • Adherence to established standards improves patient outcomes.
  • Implementing these recommendations can decrease morbidity and mortality from infections.
  • These guidelines represent best practices for neurostimulation device implantation.