预防心脏植入式电子设备替换或升级感染的措施
Carolina Hoyos1, Xiaoxiao Qian1, Carlos D Matos1
1Cardiac Arrhythmia Service, Division of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115, USA.
Reviews in cardiovascular medicine
|July 30, 2024
概括
心脏植入式电子设备 (CIED) 感染是一个严重的风险,特别是在重复手术期间. 本综述评估了在需要CIED修订或升级的患者中减少感染风险的策略.
科学领域:
- 心脏病学 心脏病学
- 传染性疾病 传染性疾病
- 生物医学工程 生物医学工程
背景情况:
- 心脏植入式电子设备 (CIED) 感染带来了重大风险,增加了发病率,死亡率和医疗保健成本.
- 与初始植入相比,重复的程序,如发电机更换或修改,会使感染风险增加一倍.
研究的目的:
- 在接受重复手术的患者中全面审查CIED感染.
- 评估在这个患者群体中减少感染风险的策略.
主要方法:
- 审查关于CIED感染和预防策略的现有文献.
- 对风险评分系统 (如PADIT,RI-AIAC,Shariff) 和预测模型的分析.
- 评估各种预防干预措施,包括手术技术,抗微生物预防和设备修改.
主要成果:
- 存在多种风险分层工具来识别CIED感染的高风险患者.
- 研究了一系列预防措施,从改进的外科手术实践到抗微生物策略和新型设备方法.
- 皮下ICD和抗菌包装是被探索的替代策略之一.
结论:
- 管理CIED感染,特别是重复手术的患者,需要仔细评估风险并实施预防策略.
- 持续的研究和对干预措施的评估对于尽量减少CIED感染并发症至关重要.
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