Clinical Characteristics and Outcome of Cardiovascular Implantable Electronic Device Infections in Turkey

被引:6
|
作者
Aydin, Mesut [1 ]
Yildiz, Abdulkadir [1 ]
Kaya, Zeynettin [2 ]
Kaya, Zekeriya [3 ]
Basarir, Ahmet Ozgur [4 ]
Cakmak, Nazmiye [5 ]
Donmez, Ibrahim [6 ]
Morrad, Baktash [7 ]
Avci, Ahmet [8 ]
Demir, Kenan [8 ]
Cagliyan, Emre Caglar [9 ]
Yuksel, Murat [1 ]
Elbey, Mehmet Ali [1 ]
Kayan, Fethullah [1 ]
Ozaydogdu, Necdet [1 ]
Islamoglu, Yahya [1 ]
Cayli, Murat [10 ]
Alan, Said [1 ]
Ulgen, Mehmet Siddik [2 ]
Ozhan, Hakan [11 ]
机构
[1] Dicle Univ, Dept Cardiol, Sch Med, TR-21080 Diyarbakir, Turkey
[2] Mevlana Univ, Sch Med, Dept Cardiol, Konya, Turkey
[3] Harran Univ, Sch Med, Dept Cardiol, Sanliurfa, Turkey
[4] Necmettin Erbakan Univ, Meram Med Sch, Dept Cardiol, Konya, Turkey
[5] Siyami Ersek Educ & Res Hosp, Clin Cardiol, Istanbul, Turkey
[6] Abant Izzet Baysal Univ, Sch Med, Dept Cardiol, Bolu, Turkey
[7] Osmangazi Univ, Sch Med, Dept Cardiol, Eskisehir, Turkey
[8] Selcuk Univ, Sch Med, Dept Cardiol, Konya, Turkey
[9] Cukurova Univ, Sch Med, Dept Cardiol, Adana, Turkey
[10] Adana Educ & Res Hosp, Clin Cardiol, Adana, Turkey
[11] Duzce Univ, Sch Med, Dept Cardiol, Duzce, Turkey
关键词
pacemaker; implantable defibrillator; cardiac resynchronization therapy; infection; postoperative complications; CARDIOVERTER-DEFIBRILLATOR INFECTION; PERMANENT PACEMAKER IMPLANTATION; TEMPORAL TRENDS; UNITED-STATES; ENDOCARDITIS; MANAGEMENT; RATES; BACTEREMIA; DIAGNOSIS; UPDATE;
D O I
10.1177/1076029614567310
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Infection is one of the most devastating outcomes of cardiovascular implantable electronic device (CIED) implantation and is related to significant morbidity and mortality. In our country, there is no evaluation about CIED infection. Therefore, our aim was to investigate clinical characteristics and outcome of patients who had infection related to CIED implantation or replacement. The study included 144 consecutive patients with CIED infection treated at 11 major hospitals in Turkey from 2005 to 2014 retrospectively. We analyzed the medical files of all patients hospitalized with the diagnosis of CIED infection. Inclusion criteria were definite infection related to CIED implantation, replacement, or revision. Generator pocket infection, with or without bacteremia, was the most common clinical presentation, followed by CIED-related endocarditis. Coagulase-negative staphylococci and Staphylococcus aureus were the leading causative agents of CIED infection. Multivariate analysis showed that infective endocarditis and ejection fraction were the strongest predictors of in-hospital mortality.
引用
收藏
页码:459 / 464
页数:6
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