Book chapter
Infections of Intracardiac Devices
Disinfection and Decontamination, pp 387-408
2008
Abstract
CONTENTS
16.1 Introduction ... 373
16.2 Cardiac Pacemakers and Implantable Cardioverter Defibrillators .. 374
16.2.1 Epidemiology and Etiology... 374
16.2.2 Clinical Presentation and Diagnosis ... 375
16.2.3 Therapy... 377
16.3 Left Ventricular Assist Devices ... 380
16.3.1 Epidemiology and Etiology... 380
16.3.2 Clinical Presentation and Diagnosis ... 382
16.3.3 Therapy... 383
16.4 Prosthetic Cardiac Valves... 384
16.4.1 Epidemiology and Etiology... 384
16.4.2 Clinical Presentation and Diagnosis ... 385
16.4.3 Therapy and Outcomes... 387
16.5 Future Directions ... 388
References ... 389
In the past two decades, the number of implanted intracardiac devices has
increased markedly. The greatest area of growth has been with the use of
cardiac pacemakers and implantable cardioverter defibrillators (ICDs).
Between the years 1990 and 2002, approximately 2.25 million pacemakers
and 416,000 ICDs were implanted in the United States alone [1]. The use of
prosthetic heart valves, left ventricular assist devices (LVADs), and other
prosthetic intracardiac devices has likewise increased over time. There have
been widely varying reports of the rates of infection of these devices, ranging
from as low as 1% in some studies of ICDs [2] to as high as 85% in one study of
LVADs implanted for longer than 2 weeks [3]. Even with some estimates of
the decreasing incidence of infection of these devices, the total number
of infections may well continue to rise, in parallel with their increasing use.
In this chapter, we will review the current state of knowledge regarding
infections of intracardiac prosthetic devices, highlighting the epidemiology,
etiology, clinical features, and management of these infections, as well as the
changes that might be seen with these infections in the future.
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Details
- Title
- Infections of Intracardiac Devices
- Creators
- Steven P Kutalek - College of Medicine (2002-)
- Contributors
- Gurusamy Manivannan (Editor)
- Publication Details
- Disinfection and Decontamination, pp 387-408
- Publisher
- CRC Press
- Resource Type
- Book chapter
- Language
- English
- Academic Unit
- College of Medicine
- Other Identifier
- 991019339692404721