IMPLANTABLE CARDIAC DEVICE INFECTION - A CLINICAL AUDIT

Objective: Cardiac Implantable Electronic Devices are being implanted more commonly now compared to the past. Due to the rise in implantation rate complication have also considered to increase. One of the dreadful complications is devices infection. This study was conducted to assess retrospectively...

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Autores principales:	Muhammad Asad, Qurban Hussain Khan, Mir Waqas Baloch, Kumail Abbas Khan, Muhammad Amer Naseem, Azmat Hayat, Noor Shah
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2020
Materias:	cardiac implantable devices infection incidence Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/06352712093640d8b46cc72bb2bbfee1
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spelling	oai:doaj.org-article:06352712093640d8b46cc72bb2bbfee12021-12-02T17:18:56ZIMPLANTABLE CARDIAC DEVICE INFECTION - A CLINICAL AUDITdoi.org/10.51253/pafmj.v70iSuppl-4.60460030-96482411-8842https://doaj.org/article/06352712093640d8b46cc72bb2bbfee12020-12-01T00:00:00Zhttps://pafmj.org/index.php/PAFMJ/article/view/6046https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: Cardiac Implantable Electronic Devices are being implanted more commonly now compared to the past. Due to the rise in implantation rate complication have also considered to increase. One of the dreadful complications is devices infection. This study was conducted to assess retrospectively the rate of device infection and risk factors associated with it. Study Design: Observational study. Place and Duration of Study: AFIC/NIHD, Rawalpindi, from Jan 2018 to Jan 2019. Methodology: A total of 356 patients who underwent cardiac devices implantation. Their records were studied and all the patients who developed device infections were further reviewed in detail. Demographic details, clinical, laboratory data and imaging records were evaluated. Patients were classified into different categories of infections based on predefined criteria according to the guidelines. Risk factors were also taken into account. Results: Out of 356 devices 14 got infected and infection rate was 3.9%. Generator site infection was seen in 6 followed by generator erosion in 5 while 2 had pocket site infection with bacteremia and 1 developed pocket site infection with lead/valvular endocarditis. Dual chamber permanent pacemakers were infected the most. Denovo devices had high infection rate compared to replacement. Microbes were identified in 3 patients. Conclusions: Our findings suggest that the increasing incidence of Cardiac Implantable electronic devices infection in current clinical settings was multifactorial. Care should be taken at every step starting from preoperative, intraoperative to postoperative stage for prevention of device infection.Muhammad AsadQurban Hussain KhanMir Waqas BalochKumail Abbas KhanMuhammad Amer NaseemAzmat HayatNoor ShahArmy Medical College Rawalpindiarticlecardiac implantable devicesinfectionincidenceMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 70, Iss 4, Pp 871-875 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	cardiac implantable devices infection incidence Medicine R Medicine (General) R5-920
spellingShingle	cardiac implantable devices infection incidence Medicine R Medicine (General) R5-920 Muhammad Asad Qurban Hussain Khan Mir Waqas Baloch Kumail Abbas Khan Muhammad Amer Naseem Azmat Hayat Noor Shah IMPLANTABLE CARDIAC DEVICE INFECTION - A CLINICAL AUDIT
description	Objective: Cardiac Implantable Electronic Devices are being implanted more commonly now compared to the past. Due to the rise in implantation rate complication have also considered to increase. One of the dreadful complications is devices infection. This study was conducted to assess retrospectively the rate of device infection and risk factors associated with it. Study Design: Observational study. Place and Duration of Study: AFIC/NIHD, Rawalpindi, from Jan 2018 to Jan 2019. Methodology: A total of 356 patients who underwent cardiac devices implantation. Their records were studied and all the patients who developed device infections were further reviewed in detail. Demographic details, clinical, laboratory data and imaging records were evaluated. Patients were classified into different categories of infections based on predefined criteria according to the guidelines. Risk factors were also taken into account. Results: Out of 356 devices 14 got infected and infection rate was 3.9%. Generator site infection was seen in 6 followed by generator erosion in 5 while 2 had pocket site infection with bacteremia and 1 developed pocket site infection with lead/valvular endocarditis. Dual chamber permanent pacemakers were infected the most. Denovo devices had high infection rate compared to replacement. Microbes were identified in 3 patients. Conclusions: Our findings suggest that the increasing incidence of Cardiac Implantable electronic devices infection in current clinical settings was multifactorial. Care should be taken at every step starting from preoperative, intraoperative to postoperative stage for prevention of device infection.
format	article
author	Muhammad Asad Qurban Hussain Khan Mir Waqas Baloch Kumail Abbas Khan Muhammad Amer Naseem Azmat Hayat Noor Shah
author_facet	Muhammad Asad Qurban Hussain Khan Mir Waqas Baloch Kumail Abbas Khan Muhammad Amer Naseem Azmat Hayat Noor Shah
author_sort	Muhammad Asad
title	IMPLANTABLE CARDIAC DEVICE INFECTION - A CLINICAL AUDIT
title_short	IMPLANTABLE CARDIAC DEVICE INFECTION - A CLINICAL AUDIT
title_full	IMPLANTABLE CARDIAC DEVICE INFECTION - A CLINICAL AUDIT
title_fullStr	IMPLANTABLE CARDIAC DEVICE INFECTION - A CLINICAL AUDIT
title_full_unstemmed	IMPLANTABLE CARDIAC DEVICE INFECTION - A CLINICAL AUDIT
title_sort	implantable cardiac device infection - a clinical audit
publisher	Army Medical College Rawalpindi
publishDate	2020
url	https://doaj.org/article/06352712093640d8b46cc72bb2bbfee1
work_keys_str_mv	AT muhammadasad implantablecardiacdeviceinfectionaclinicalaudit AT qurbanhussainkhan implantablecardiacdeviceinfectionaclinicalaudit AT mirwaqasbaloch implantablecardiacdeviceinfectionaclinicalaudit AT kumailabbaskhan implantablecardiacdeviceinfectionaclinicalaudit AT muhammadamernaseem implantablecardiacdeviceinfectionaclinicalaudit AT azmathayat implantablecardiacdeviceinfectionaclinicalaudit AT noorshah implantablecardiacdeviceinfectionaclinicalaudit
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IMPLANTABLE CARDIAC DEVICE INFECTION - A CLINICAL AUDIT

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