European Heart Rhythm Association (EHRA) international consensus document on how to prevent, diagnose, and treat cardiac implantable electronic device infections-endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), the Latin American Heart Rhythm Society (LAHRS), International Society for Cardiovascular Infectious Diseases (ISCVID) and the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS)

被引：36

作者：

Blomstrom-Lundqvist, Carina ^{[1
]}

Traykov, Vassil ^{[2
]}

Erba, Paola Anna ^{[3
,4
]}

Burri, Haran ^{[5
]}

Nielsen, Jens Cosedis ^{[6
]}

Bongiorni, Maria Grazia ^{[7
]}

Poole, Jeanne ^{[8
]}

Boriani, Giuseppe ^{[9
]}

Costa, Roberto ^{[10
]}

Deharo, Jean-Claude ^{[11
]}

Epstein, Laurence M. ^{[12
]}

Saghy, Laszlo ^{[13
,14
]}

Snygg-Martin, Ulrika ^{[15
]}

Starck, Christoph ^{[16
]}

Tascini, Carlo ^{[17
]}

Strathmore, Neil ^{[18
]}

机构：

[1] Uppsala Univ, Dept Med Sci & Cardiol, Uppsala, Sweden

[2] Acibadem City Clin Tokuda Hosp, Dept Invas Electrophysiol & Cardiac Pacing, Sofia, Bulgaria

[3] Univ Pisa, Dept Translat Res & New Technol Med, Nucl Med, Pisa, Italy

[4] Univ Groningen, Univ Med Ctr Groningen, Med Imaging Ctr, Groningen, Netherlands

[5] Univ Hosp Geneva, Dept Cardiol, Geneva, Switzerland

[6] Aarhus Univ Hosp, Dept Cardiol, Aarhus, Denmark

[7] Univ Hosp Pisa, CardioThorac & Vasc Dept, Div Cardiol & Arrhythmol, Pisa, Italy

[8] Univ Washington, Div Cardiol, Seattle, WA 98195 USA

[9] Univ Modena & Reggio Emilia, Policlin Modena, Dept Biomed Metab & Neural Sci, Div Cardiol, Modena, Italy

[10] Univ Sao Paulo, Dept Cardiovasc Surg, Heart Inst InCor, Sao Paulo, Brazil

[11] Aix Marseille Univ, Dept Cardiol, CHU Timone, Marseille, France

[12] Northwell Hlth, Hofstra Northwell Sch Med, Electrophysiol, Manhasset, NY USA

[13] Univ Szeged, Dept Med 2, Div Electrophysiol, Szeged, Hungary

[14] Univ Szeged, Cardiol Ctr, Szeged, Hungary

[15] Univ Gothenburg, Sahlgrenska Acad, Inst Biomed, Dept Infect Dis, Gothenburg, Sweden

[16] German Heart Ctr Berlin, Dept Cardiothorac & Vasc Surg, Berlin, Germany

[17] Azienda Osped Colli, Div Infect Dis 1, Cotugno Hosp, Naples, Italy

[18] Royal Melbourne Hosp, Dept Cardiol, Melbourne, Vic, Australia

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 2020年 / 57卷 / 01期

关键词：

Infection; Endocarditis; Microbiology; Cardiac implantable electronic devices; Implantable cardioverter-defibrillators; Pacemakers; Cardiac resynchronization therapy; Leads; Extraction; Re-implantation; EHRA consensus document; STAPHYLOCOCCUS-AUREUS BACTEREMIA; PERMANENT PACEMAKER IMPLANTATION; TRANSVENOUS LEAD EXTRACTION; CARDIOVERTER-DEFIBRILLATOR IMPLANTATION; SINGLE-CENTER EXPERIENCE; LONG-TERM COMPLICATIONS; RISK-FACTORS; SURGICAL-SITE; ANTIBIOTIC-PROPHYLAXIS; F-18-FDG PET/CT;

D O I：

10.1093/ejcts/ezz296

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Pacemakers, implantable cardiac defibrillators, and cardiac resynchronization therapy devices are potentially life-saving treatments for a number of cardiac conditions, but are not without risk. Most concerning is the risk of a cardiac implantable electronic device (CIED) infection, which is associated with significant morbidity, increased hospitalizations, reduced survival, and increased healthcare costs. Recommended preventive strategies such as administration of intravenous antibiotics before implantation are well recognized. Uncertainties have remained about the role of various preventive, diagnostic, and treatment measures such as skin antiseptics, pocket antibiotic solutions, anti-bacterial envelopes, prolonged antibiotics post-implantation, and others. Guidance on whether to use novel device alternatives expected to be less prone to infections and novel oral anticoagulants is also limited, as are definitions on minimum quality requirements for centres and operators and volumes. Moreover, an international consensus document on management of CIED infections is lacking. The recognition of these issues, the dissemination of results from important randomized trials focusing on prevention of CIED infections, and observed divergences in managing device-related infections as found in an European Heart Rhythm Association worldwide survey, provided a strong incentive for a 2019 International State-of-the-art Consensus document on risk assessment, prevention, diagnosis, and treatment of CIED infections.

引用

页码：E1 / E31

页数：31

共 22 条

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Hernandez-Madrid, Antonio
Paul, Thomas
Abrams, Dominic
Aziz, Peter F.
Blom, Nico A.
Chen, Jian
Chessa, Massimo
Combes, Nicolas
Dagres, Nikolaos
Diller, Gerhard
Ernst, Sabine
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Hebe, Joachim
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Moreno, Javier
Peinado, Rafael
Pison, Laurent
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Kautzner, Joseph
Wissner, Erik
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EUROPACE, 2018, 20 (11): : 1719 - +
[22] Access to and clinical use of cardiac implantable electronic devices and interventional electrophysiological procedures in the European Society of Cardiology Countries: 2016 Report from the European Heart Rhythm Association
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