A summary of the update on cardiovascular implantable electronic device infections and their management A scientific statement from the American Heart Association

被引：26

作者：

Baddour, Larry M. ^{[1
,2
]}

Epstein, Andrew E. ^{[3
,4
]}

Erickson, Christopher C. ^{[5
,6
,7
,8
]}

Knight, Bradley P. ^{[9
]}

Levison, Matthew E. ^{[10
,11
]}

Lockhart, Peter B.

Masoudi, Frederick A. ^{[12
]}

Okum, Eric J. ^{[13
]}

Wilson, Walter R. ^{[2
]}

Beerman, Lee B. ^{[14
]}

Bolger, Ann F. ^{[15
,16
]}

Estes, N. A. Mark, III ^{[17
]}

Gewitz, Michael ^{[18
,19
]}

Newburger, Jane W. ^{[20
]}

Schron, Eleanor B. ^{[21
]}

Taubert, Kathryn A. ^{[22
]}

机构：

[1] Carolinas Med Ctr, Dept Oral Med, Charlotte, NC 28232 USA

[2] Mayo Clin, Div Infect Dis, Coll Med, Rochester, MN USA

[3] Univ Penn, Philadelphia VA Med Ctr, Philadelphia, PA 19104 USA

[4] Univ Penn, Div Cardiovasc, Philadelphia, PA 19104 USA

[5] Univ Nebraska, Med Ctr, Dept Pediat, Omaha, NE USA

[6] Univ Nebraska, Med Ctr, Dept Internal Med, Omaha, NE USA

[7] Creighton Univ, Sch Med, Dept Pediat, Omaha, NE 68178 USA

[8] Childrens Hosp & Med Ctr, Omaha, NE USA

[9] NW Med Ctr, Div Cardiol, Chicago, IL USA

[10] Drexel Univ, Sch Publ Hlth, Philadelphia, PA 19104 USA

[11] Drexel Univ, Coll Med, Philadelphia, PA 19104 USA

[12] Denver Hlth Med Ctr, Div Cardiol, Denver, CO USA

[13] Cardiac Vasc & Thorac Surg, Cincinnati, OH USA

[14] Univ Pittsburgh, Div Pediat Cardiol, Childrens Hosp Pittsburgh, Ctr Med, Pittsburgh, PA 15260 USA

[15] Univ Calif San Francisco, San Francisco, CA 94143 USA

[16] San Francisco Gen Hosp, Div Cardiol, San Francisco, CA USA

[17] Tufts Med Ctr, Cardiac Arrhythmia Serv, Boston, MA USA

[18] Maria Fareri Childrens Hosp, Westchester Med Ctr, Valhalla, NY USA

[19] New York Med Coll, Valhalla, NY 10595 USA

[20] Childrens Hosp, Dept Cardiol, Boston, MA 02115 USA

[21] NEI, Vis Res Program, Natl Inst Hlth, Rockville, MD USA

[22] World Heart Federat, Geneva, NY USA

来源：

JOURNAL OF THE AMERICAN DENTAL ASSOCIATION | 2011年 / 142卷 / 02期

关键词：

American Heart Association scientific statements; infection; device; cardiovascular implantable electronic device; pacemaker; defibrillator; endocarditis; bacteremia; antibiotic prophylaxis; COAGULASE-NEGATIVE STAPHYLOCOCCI; PERMANENT PACEMAKER IMPLANTATION; ANTIBIOTIC-PROPHYLAXIS; CARDIOVERTER-DEFIBRILLATORS; ANTIMICROBIAL PROPHYLAXIS; ENDOCARDIAL PACEMAKER; SUSTAINED BACTEREMIA; AUREUS BACTEREMIA; DENTAL PROCEDURES; LEAD EXTRACTION;

D O I：

10.14219/jada.archive.2011.0058

中图分类号：

R78 [口腔科学];

学科分类号：

1003 ;

摘要：

Background. The purpose of this statement is to update the recommendations by the American Heart Association (AHA) for cardiovascular implantable electronic device (CIED) infections and their management, which were last published in 2003. Methods and Results. The AHA commissioned this scientific statement to educate clinicians about CIED infections, provide explicit recommendations for the care of patients with suspected or established CIED infections and highlight areas of needed research. The recommendations in this statement reflect analyses of relevant literature, to include recent advances in our understanding of the epidemiology, risk factors, microbiology, management and prevention of CIED infections. Conclusion. There are no scientific data to support the use of antimicrobial prophylaxis for dental or other invasive procedures. Clinical Implications. The concerns about life-threatening drug reactions, the development of resistant strains of bacterial pathogens, medicolegal issues and cost to the health care system are, thus, avoided.

引用

页码：159 / 165

页数：7

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