Perioperative management for the prevention of bacterial infection in cardiac implantable electronic device placement

Cardiac implantable electronic devices (CIEDs) have become important in the treatment of cardiac disease and placement rates increased significantly in the last decade. However, despite the use of appropriate antimicrobial prophylaxis, CIED infection rates are increasing disproportionately to the im...

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Main Author: Katsuhiko Imai
Format: Article
Language:English
Published: Wiley 2016-08-01
Series:Journal of Arrhythmia
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1880427615000897
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author Katsuhiko Imai
author_facet Katsuhiko Imai
author_sort Katsuhiko Imai
collection DOAJ
description Cardiac implantable electronic devices (CIEDs) have become important in the treatment of cardiac disease and placement rates increased significantly in the last decade. However, despite the use of appropriate antimicrobial prophylaxis, CIED infection rates are increasing disproportionately to the implantation rate. CIED infection often requires explantation of all hardware, and at times results in death. Surgical site infection (SSI) is the most common cause of CIED infection as a pocket infection. The best method of combating CIED infection is prevention. Prevention of CIED infections comprises three phases: before, during, and after device implantation. The most critical factors in the prevention of SSIs are detailed operative techniques including the practice of proper technique by the surgeon and surgical team.
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spelling doaj.art-ccfd99decf9e43eb8149f8743fd6b3492022-12-22T03:19:33ZengWileyJournal of Arrhythmia1880-42762016-08-0132428328610.1016/j.joa.2015.06.007Perioperative management for the prevention of bacterial infection in cardiac implantable electronic device placementKatsuhiko ImaiCardiac implantable electronic devices (CIEDs) have become important in the treatment of cardiac disease and placement rates increased significantly in the last decade. However, despite the use of appropriate antimicrobial prophylaxis, CIED infection rates are increasing disproportionately to the implantation rate. CIED infection often requires explantation of all hardware, and at times results in death. Surgical site infection (SSI) is the most common cause of CIED infection as a pocket infection. The best method of combating CIED infection is prevention. Prevention of CIED infections comprises three phases: before, during, and after device implantation. The most critical factors in the prevention of SSIs are detailed operative techniques including the practice of proper technique by the surgeon and surgical team.http://www.sciencedirect.com/science/article/pii/S1880427615000897Implantation techniqueCIED complicationCIED infection
spellingShingle Katsuhiko Imai
Perioperative management for the prevention of bacterial infection in cardiac implantable electronic device placement
Journal of Arrhythmia
Implantation technique
CIED complication
CIED infection
title Perioperative management for the prevention of bacterial infection in cardiac implantable electronic device placement
title_full Perioperative management for the prevention of bacterial infection in cardiac implantable electronic device placement
title_fullStr Perioperative management for the prevention of bacterial infection in cardiac implantable electronic device placement
title_full_unstemmed Perioperative management for the prevention of bacterial infection in cardiac implantable electronic device placement
title_short Perioperative management for the prevention of bacterial infection in cardiac implantable electronic device placement
title_sort perioperative management for the prevention of bacterial infection in cardiac implantable electronic device placement
topic Implantation technique
CIED complication
CIED infection
url http://www.sciencedirect.com/science/article/pii/S1880427615000897
work_keys_str_mv AT katsuhikoimai perioperativemanagementforthepreventionofbacterialinfectionincardiacimplantableelectronicdeviceplacement