Title Infections in patients with implanted cardiac pacemakers and icds /
Translation of Title Infections in Patients with Implanted Cardiac Pacemakers and ICDs.
Authors Alper, Sumeyya
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Pages 23
Keywords [eng] SCD, CIED, ICD, Infection, Risk factors, Prevention, CIEDI, Extraction surgery, Antibiotic prophylaxis, Diagnostic criteria
Abstract [eng] Cardiac implantable electronic devices are well established treatment options for many heart conditions, by implanting such a device many deaths have been prevented. At the same time new challenges have appeared, one of the most severe complications is a device infection, leading to a higher mortality rate, as well as longer hospital stay accompanied with a burden for the health system and patient. To deal with this problem clinicians and researchers have investigate different treatment options but haven not yet found a better solution than removing the device and simultaneously treating the infection with antibiotics. Not only does this require repeated surgical intervention which puts the patient at risk for complications, but it also increases the likelihood for reinfections. Due to drawbacks of present treatment methods the primary focus is laid on the prevention of infections. An evaluation of the patient for comorbidities is crucial, as they are known to increase the infection rate, the use of antibiotic prophylaxis has been proven to be successful. Prevention is not solely based on the patient’s characteristic; it extends to the device and even the procedure itself. This literature review with a case report will be mainly focusing on determining the most significant risk factors and preventive measurements to decrease the infection rates that are reported post implantation, all this will be done while comparing the case to the found evidence from many different studies. The studies used include all types like meta-analysis, double-blinded studies, prospective and retrospective studies that are examining any type of cardiac device implantation.
Dissertation Institution Vilniaus universitetas.
Type Master thesis
Language English
Publication date 2022