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Enterococcus faecal...
Enterococcus faecalis bacteremia, cardiac implantable electronic device, extraction, and the risk of recurrence
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- Berge, Andreas (author)
- Karolinska Institutet,Karolinska Institute,Karolinska University Hospital
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- Arkel, Ludvig (author)
- Lund University
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- Nilson, Bo (author)
- Lund University,Lunds universitet,SEBRA Sepsis and Bacterial Resistance Alliance,Forskargrupper vid Lunds universitet,Lund University Research Groups,Region Skåne
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- Rasmussen, Magnus (author)
- Lund University,Lunds universitet,Translationell infektionsmedicin,Forskargrupper vid Lunds universitet,Translational infection medicine,Lund University Research Groups,Skåne University Hospital
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(creator_code:org_t)
- 2022-05-10
- 2022
- English 7 s.
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In: Infection. - : Springer Science and Business Media LLC. - 0300-8126 .- 1439-0973. ; 50:6, s. 1517-1523
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Abstract
Subject headings
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- Purpose: In all patients with cardiac implantable electronic devices (CIED) and Enterococcus faecalis bacteremia (EfsB), endocarditis (IE) and CIED infection should be suspected. Guidelines recommend extraction of the CIED when CIED infection or IE is diagnosed. Whether extraction of the CIED should be done in other situations with EfsB is not known. We aimed to describe the management and outcome of patients with CIED and monomicrobial EfsB, in relation to extraction and recurrent EfsB. Methods: A population-based cohort of patients with monomicrobial EfsB from January 2014 to November 2020 was identified through microbiology registers in the Region Skåne, Sweden. Data on CIED and other clinical features were collected from medical records. Results: Among 1087 episodes of EfsB, 72 patients with CIED and monomicrobial EfsB were identified. Five of these patients were diagnosed with IE (7%), three of whom had echocardiographic changes on the CIED. Four CIED were extracted (6%). Recurrences were found in seven of 68 patients (10%) not subjected to extraction and in none of the extracted. In the group of patients without extraction, community acquisition and predisposition for IE were significantly associated with recurrent infection in univariate analyses. No infections involving the CIED were diagnosed during the recurrences. Conclusions: In patient with monomicrobial EfsB, it seems safe to omit extraction if no structural changes are found on the CIED.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- Bacteremia
- CIED extraction
- Endocarditis
- Enterococcus faecalis
- Recurrent infection
Publication and Content Type
- art (subject category)
- ref (subject category)
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