Naslov
Cardiac implantable electronic device endocarditis : Report of eight cases

Autori
Vincelj, Josip ; Biočić, Stanko ; Rudan, Diana ; Udovičić, Mario ; Sokol, Sandra ; Baršić, Bruno

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Abstracts from the 12 International Symposium on Modern Concepts in Endocarditis and Cardiovascular Infections ; u: International Journal of Antimicrobial Agents 41(2013) (S1) S1-S37 / - , 2013, S16-S16

Skup
International Symposium on Modern Concepts in Endocarditis and Cardiovascular Infections (12 ; 2013)

Mjesto i datum
Dubrovnik, Hrvatska, 19.05.2013. - 21.05.2013

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
endocarditis; cardiac implantable electronic device; echocardiograpy
(endocarditis; cardiac implantable electronic device; echocardiography)

Sažetak
Cardiac implantable electronic device (CIED)endocarditis is a rare, but potentially dangerous complication. We present CIED endocarditis in eight patients, age 24-80 years. Clinical features of patients are fever in 8, heart failure in 2, pulmonary embolism in 1 and chills in 3 patients. Echocardiography demostrated lead vegetation in all patients, two patients had concomitant valve regurgitation. Mean interval between device implantation and first findings of infection was 3.3 years. Blood culture was positive in 7 patients (87.5%). Isolated causative organisms in blood cultures and extracted leads are: staphylococci in 3 (42.8%), two MRSA, streptococci in 2 (28.5%), Pseudomonas aeruginosa 1 (14, 2%), and Corinebacterium spec. 1 (14.2%) patients. Treatment with combination of antibiotoics and surgical lead extraction was performed in 7 patients with placement of new epicardial leads. Concomitant valve surgery was performed in two patients. Hospital and 2-year survival was 100%.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

Napomena
Doi:10.1016/S0924-8579(13)70056-6

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