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How European centres diagnose, treat, and prevent CIED infections : Results of an European Heart Rhythm Association survey
- Bongiorni, Maria Grazia (author)
- Marinskis, Germanas (author)
- Lip, Gregory Y H (author)
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- Svendsen, Jesper Hastrup (author)
- Dobreanu, Dan (author)
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- (creator_code:org_t)
- 2012-10-28
- 2012
- English.
- In: Europace. - : Oxford University Press (OUP). - 1099-5129 .- 1532-2092. ; 14:11, s. 1666-1669
- Journal article (peer-reviewed)
Abstract
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- The purpose of our survey is to analyse the clinical approach used to prevent and treat cardiovascular implantable electronic device (CIED) infections in Europe. The survey involves high-volume implanting centres. According to the survey the incidence of CIED infections shows a slight decrease in most centres and is substantially under 2% in the majority of centres interviewed. However, there are still differences in terms of prophylactic antibiotic therapy: 8.9% of the centres administer oxacillin as preoperative treatment, 4.4% of them do not give any antibiotic therapy, all centres use some kind of skin antisepsis, but only 42.2% use chlorhexidine. In case of local infection, 43.5% of centres perform lead extraction as first approach. In the case of systemic infection or evidence of lead or valvular endocarditis, 95% of centres treat these conditions by extracting the leads, which indicates that the adherence to the lead extraction guidelines is quite good.
Keyword
- Kardiologi
- Cardiology
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- ref (subject category)
- art (subject category)
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