WFRF:(Selmeryd Jonas)
Search: WFRF:(Selmeryd Jonas) > Staphylococcus aure...
- 1 of 9
- Previous record
- Next record
- To hitlist
- Pichtchoulin, SaraVastmanland Cty Hosp, Dept Clin Physiol, Västerås, Sweden. (author)
Staphylococcus aureus bacteremia and cardiac implantable electronic devices in a county hospital setting : a population-based retrospective cohort study
- Article/chapterEnglish2021
Publisher, publication year, extent ...
- 2021-03-05
- Upsala Medical Society,2021
- electronicrdacarrier
Numbers
- LIBRIS-ID:oai:DiVA.org:uu-455785
- https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-455785URI
- https://doi.org/10.48101/ujms.v126.5653DOI
Supplementary language notes
- Language:English
- Summary in:English
Part of subdatabase
- SwePubSwePub
Classification
Notes
- Background: Due to a high incidence of cardiac implantable electronic device-associated infective endocarditis (CIED-IE) in cases of Staphylococcus aureus bacteremia (SAB) and high mortality with conservative management, guidelines advocate device removal in all subjects with SAB. We aimed to investigate the clinical course of SAB in patients with a CIED (SAB+CIED) in a Swedish county hospital setting and relate it to guideline recommendations. Methods: All CIED carriers with SAB, excluding clinical pocket infections, in the County of Vastmanland during 2010-2017 were reviewed retrospectively. Results: There were 61 cases of SAB+CIED during the study period, and CIED-IE was diagnosed in 13/61 (21%) cases. In-hospital death occurred in 19/61 (31%) cases, 34/61 (56%) cases were discharged with CIED device retained, and 8/61 (13%) cases were discharged after device removal. Subjects dying during hospitalization were elderly and diseased. No events was seen if the CIED was removed. Among four discharged cases with conservatively managed CIED-IE one relapse occured. Among 30 cases discharged with retained CIED and no evidence of IE, 22/30 (73%) cases had an uneventful follow-up, whereas adverse events secondary to overlooked CIED-IE were likely in 1/30 (3%) cases and could not be definitely excluded in additionally 4/30 (13%) cases. Conclusions: During the study period, management became more active and prognosis improved. The heterogeneity within the population of SAB+CIED suggests that a management strategy based on an individual risk/benefit analysis could be an alternative to mandatory device removal.
Subject headings and genre
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kardiologi hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Cardiac and Cardiovascular Systems hsv//eng
- Staphylococcus aureus
- cardiac implantable electronic device
- endocarditis
- pacemaker
Added entries (persons, corporate bodies, meetings, titles ...)
- Selmeryd, IngridVastmanland Cty Hosp, Dept Infect Dis, Västerås, Sweden. (author)
- Freyhult, ElisabethVastmanland Cty Hosp, Dept Microbiol, Västerås, Sweden. (author)
- Hedberg, PärUppsala universitet,Centrum för klinisk forskning, Västerås,Vastmanland Cty Hosp, Dept Clin Physiol, Västerås, Sweden.(Swepub:uu)parhe939 (author)
- Selmeryd, JonasUppsala universitet,Centrum för klinisk forskning, Västerås,Vastmanland Cty Hosp, Dept Clin Physiol, Västerås, Sweden.(Swepub:uu)jonse661 (author)
- Vastmanland Cty Hosp, Dept Clin Physiol, Västerås, Sweden.Vastmanland Cty Hosp, Dept Infect Dis, Västerås, Sweden. (creator_code:org_t)
Related titles
- In:Upsala Journal of Medical Sciences: Upsala Medical Society126:10300-97342000-1967
Internet link
Find in a library
- Upsala Journal of Medical Sciences (Search for host publication in LIBRIS)
To the university's database
- 1 of 9
- Previous record
- Next record
- To hitlist
Find more in SwePub
- By the author/editor
- Pichtchoulin, Sa ...
- Selmeryd, Ingrid
- Freyhult, Elisab ...
- Hedberg, Pär
- Selmeryd, Jonas
- About the subject
-
- MEDICAL AND HEALTH SCIENCES
- MEDICAL AND HEAL ...
- and Clinical Medicin ...
- and Cardiac and Card ...
- Articles in the publication
- Upsala Journal o ...
- By the university
- Uppsala University
Search outside SwePub
- Extend your search to:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - National Library Systems
- LIBRIS.kb.se
