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Infection Management

Daniel C DeSimone1, Muhammad Rizwan Sohail1

  • 1Division of Infectious Diseases, Department of Medicine, Mayo Clinic College of Medicine and Science, 200 1st Street Southwest, Rochester, MN, USA; Department of Cardiovascular Diseases, Mayo Clinic College of Medicine and Science, 200 1st Street Southwest, Rochester, MN, USA.

Cardiac Electrophysiology Clinics
|November 7, 2018
PubMed

Insights

Cardiovascular implantable electronic devices (CIEDs) use has increased, leading to more CIED infections. Prompt management of these infections is crucial to reduce patient harm and healthcare costs.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Medical Device Technology

Background:

  • The utilization of cardiovascular implantable electronic devices (CIEDs) has surged, encompassing a growing population of elderly patients with multiple comorbidities.
  • Consequently, there has been a notable rise in the incidence of CIED infections.

Purpose of the Study:

  • To outline the appropriate management strategies for cardiovascular implantable electronic device infections.
  • To emphasize the importance of timely intervention in mitigating the adverse outcomes associated with CIED infections.

Main Methods:

  • This article reviews current literature and clinical guidelines pertaining to the diagnosis and treatment of CIED infections.
  • It synthesizes information on risk factors, diagnostic modalities, and therapeutic approaches.

Main Results:

  • CIED infections lead to significant patient morbidity, mortality, and substantial financial burdens on the healthcare system.
  • Effective management requires a comprehensive approach addressing the specific device and infecting organism.

Conclusions:

  • Appropriate and timely management of CIED infections is essential for improving patient outcomes.
  • Adherence to established guidelines can minimize complications, reduce mortality, and lower healthcare expenditures related to CIED infections.

Keywords:
AHA guidelinesDevice infectionLead extractionSonicationTEE

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