The characteristics and outcome of infective endocarditis involving implantable cardiac devices

Athan, Eugene 2014, The characteristics and outcome of infective endocarditis involving implantable cardiac devices, Current infectious disease reports, vol. 16, no. 12, pp. 1-5, doi: 10.1007/s11908-014-0446-5.

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Title The characteristics and outcome of infective endocarditis involving implantable cardiac devices
Author(s) Athan, EugeneORCID iD for Athan, Eugene
Journal name Current infectious disease reports
Volume number 16
Issue number 12
Start page 1
End page 5
Total pages 5
Publisher Springer
Place of publication Berlin, Germany
Publication date 2014-10
ISSN 1523-3847
Keyword(s) Implantable electronic cardiac device
Infective endocarditis
Lead endocarditis
Pacemaker infection
Science & Technology
Life Sciences & Biomedicine
Infectious Diseases
Summary Infection of implantable cardiac electronic devices in particular lead endocarditis (cardiac device infective endocarditis (CDIE)) is an emerging problem with significant morbidity, mortality and health care costs. The epidemiology is characterised with advanced age and health care association in cases presenting within 6 months of implantation. Risk factors include those of the patient, the procedure and the device. Staphylococcal species predominate as the causative organisms. Diagnosis is reliably made by blood cultures and transesophageal echocardiography. Complications include pulmonary and systemic emboli, persistent bacteremia and concomitant valvular involvement. Management includes complete device removal and prolonged antimicrobial therapy. With long-term follow-up to 1 year, the mortality of CDIE is as high as 23 %. It is associated with patient co-morbidities and concomitant valvular involvement and may be prevented by device removal during index admission.
Language eng
DOI 10.1007/s11908-014-0446-5
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2014, Springer Verlag
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Document type: Journal Article
Collection: School of Medicine
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