1. The Infections of Cardiac Implantable Electronic Devices: Four Year Experience of the Center
- Author
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Asligul Cureoglu, Hakan Gelincik, Muhammet Bugra Karaaslan, Mehmet Kanadaşı, Ali Deniz, Mesut Demir, Ayhan Usal, and Aziz Inan Celik
- Subjects
medicine.medical_specialty ,medicine.drug_class ,medicine.medical_treatment ,Antibiotics ,Renal function ,030204 cardiovascular system & hematology ,03 medical and health sciences ,0302 clinical medicine ,Health Care Sciences and Services ,Internal medicine ,Diabetes mellitus ,medicine ,030212 general & internal medicine ,Sağlık Bilimleri ve Hizmetleri ,Staphylococcus Epidermidis ,medicine.diagnostic_test ,business.industry ,Incidence (epidemiology) ,Complete blood count ,Odds ratio ,medicine.disease ,Implantable cardioverter-defibrillator ,Cardiac Implantable Electronic Devices,Staphylococcus Epidermidis,Infection ,Erythrocyte sedimentation rate ,Medicine ,Cardiac Implantable Electronic Devices ,Infection ,business - Abstract
Objective: Cardiac implantable electronic devices (CIED) have been increasingly used in recent years. The incidence of infection has ranged from 0.5 % to 12% in the literature. The purposes of this study was to investigate the frequency of CIED infection and to find the causes of infection. Patients and methods: Totally, 211 patients with CIED infection were retrospectively evaluated. For each patient, all the following data were recorded; age, sex, CIED type, accompanying diseases, complete blood count, serum biochemistry, echocardiographic findings and whether first implantation or replacement. In addition, wound culture, antibiotic regime, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), glomerular filtration rate (GFR) and anticoagulation test results were recorded in infected patients. Results: CIED infection was detected in 18 of the 211 patients (8.5%). 15 cases developed infection following the first implantation (10%), and 3 cases after replacement (5%). Infection was detected within 60 days in 5 patients. CIED pocket cultures were positive in 12 patients (66.7%). 13 of 18 infected devices were removed (72.2%). Diabetes mellitus [Odds Ratio, OR: 4.56 (1.449-14.408)] (p=0.010), male sex [OR: 3.84 (1.034-14.232)] (p=0.045) and increasing age [OR: 0.96 (0.932-0.998)] (p=0.038) were found as significant independent variables on development of CIED; but, pacemaker, implantable cardioverter defibrillator and cardiac resynchronization were not independent variables [OR: 1.66 (0.469-5.929)] (p=0.43). Conclusions: Increasing age, male sex, diabetes mellitus were related to increased frequency of CIED infections. Identification of comorbid conditions prior to CIED implantations may be important in reducing risk of CIED infections.
- Published
- 2018
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