Warning: Undefined variable $zfal in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Deprecated: str_replace(): Passing null to parameter #3 ($subject) of type array|string is deprecated in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 525
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 530
Warning: Undefined variable $sterm in C:\Inetpub\vhosts\kidney.de\httpdocs\mlpefetch.php on line 531
 
English Wikipedia
Nephropedia Template TP (
Twit Text
DeepDyve
Pubget Overpricing |  
lüll
Infections of implantable cardioverter-defibrillators: frequency, predisposing factors and clinical significance Gil P; Fernandez Guerrero ML; Bayona JF; Rubio JM; de Gorgolas M; Granizo JJ; Farre JClin Microbiol Infect 2006[Jun]; 12 (6): 533-7The prognosis for patients with ventricular arrhythmias has improved dramatically with the aid of implantable cardioverter-defibrillators (ICDs). Although infection is a serious complication that frequently causes dysfunction and loss of ICDs, the frequency, predisposing risk-factors, and clinical and microbiological features are only partially understood. This study describes a retrospective review of 423 procedures in 278 patients with ICD primary implants and replacements performed at a tertiary-care hospital. Generators were placed in either a pectoral (68%) or abdominal (32%) site, and electrodes were placed transvenously in 97% of the patients. Most (95%) interventions were performed in a one-stage procedure. Infection developed with ten (2.4%) implanted devices. Four cases occurred within 30 days of surgery ('early infections') and six occurred > 1 month after surgery ('late infections'). In univariate analysis, factors associated with the development of an early infection were: two-stage surgery, a sub-costal approach, and abdominal generator placement. In patients with late infections, a significant association was found with trauma or decubitus ulcer in the generator area. Infection presented with local signs without systemic complications. Seven of the ten patients required complete removal of the system.|Abdominal Wall[MESH]|Aged[MESH]|Bacteria/*isolation & purification[MESH]|Bacterial Infections/epidemiology/*microbiology/therapy[MESH]|Cohort Studies[MESH]|Defibrillators, Implantable/*adverse effects/microbiology[MESH]|Female[MESH]|Humans[MESH]|Incidence[MESH]|Male[MESH]|Middle Aged[MESH]|Postoperative Complications/epidemiology/*microbiology/therapy[MESH]|Prosthesis-Related Infections/epidemiology/*microbiology/therapy[MESH]|Retrospective Studies[MESH]|Risk Factors[MESH]|Spain/epidemiology[MESH]|Thoracic Wall[MESH]|Time Factors[MESH] |
