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心脏植入式电子设备的感染:流行病学,机制和预防措施

Vassil Traykov¹, Krasimir Dzhinsov^2,3, Paweł T Matusik^4,5

¹Department of Invasive Electrophysiology, Clinic of Cardiology, Acibadem City Clinic University Hospital Tokuda, Sofia, Bulgaria. vtraykov@yahoo.com.

Kardiologia polska

|September 3, 2023

概括

由于心脏植入式电子设备 (CIED) 感染率不断上升,预防心脏植入式电子设备 (CIED) 感染至关重要. 本综述总结了当前的指导方针和新的策略,用于程序前,程序内和程序后的护理,以减少CIED感染风险.

科学领域:

心脏病学心脏病学
传染性疾病传染性疾病
医疗器械技术医疗器械技术

背景情况:

心脏植入式电子设备 (CIED) 感染是患者发病率和死亡率的重要原因.
尽管采取了预防措施,但CIED感染率与设备植入率不成比例地增加.
现有的指导方针和共识文件提供了战略,但进步需要更新的建议.

研究的目的:

根据欧洲心律协会和欧洲心脏病学会的指导方针,总结目前针对CIED感染的预防策略.
介绍最近在CIED感染预防方面的进展,包括手术场所管理和抗血栓药物使用.
提供CIED感染流行病学,风险因素和分层的全面概述,重点关注可行的程序前,程序内和程序后措施.

主要方法:

对现有文献和指导方针进行叙述性审查.
综合了欧洲主要心脏病学会的建议.
包括最近在CIED感染预防方面的技术和程序进步.

主要成果:

确定了CIED感染的关键风险因素和分层方法.
详细的程序前,程序内和程序后行动,以减轻感染风险.
突出优化手术场所管理和适当的周围手术用抗血栓药物作为关键干预措施.

结论:

遵守最新的指导方针和实施新战略对于降低CIED感染率至关重要.
为了有效预防CIED感染,需要采用包括手术前,手术内和手术后护理在内的多方面的方法.
对未来方向的持续研究对于进一步降低CIED感染负担至关重要.

关键词:

一个心脏植入式电子设备.一个除器.流行病学节拍器感染的感染感染.预防预防预防危险的风险危险的风险

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