Prevention of infections associated with permanent cardiac antiarrhythmic devices by implementation of a comprehensive infection control program

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Abraham BorerAmos Katz

Abstract

To implement a comprehensive infection control (IC) program for prevention of cardiac device-associated infections (CDIs). Prospective before-after trial with 2 years of follow-up. A tertiary-care, university-affiliated medical center. A consecutive sample of all adults undergoing cardiac device implantation between 1997 and 2002. An IC program was implemented during late 2001 and included staff education, preoperative modification of patient risk factors, intraoperative control of strict aseptic technique, surgical scrubbing and attire, control of environmental risk factors, optimization of antibiotic prophylaxis, postoperative wound care, and active surveillance. The clinical endpoint was CDI rates. Between 1997 and 2000, there were 7 CDIs among 725 procedures (mean annual CDI incidence, 1%). During the first 9 months of 2001, there were 7 CDIs among 167 procedures (4.2%; P = .007): CDIs increased from 7 among 576 to 3 among 124 following pacemaker implantation (P = .39) and from 0 among 149 to 4 among 43 following cardioverter-defibrillator implantation (P = .002). Of the 14 CDIs, 5 involved superficial wounds, 7 involved deep wounds, and 2 involved endocarditis. Following intervention, there were no cases of CDI among 316 p...Continue Reading

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Citations

Nov 22, 2008·The Journal of Hospital Infection·C D Owens, K Stoessel
Aug 31, 2012·The New England Journal of Medicine·Larry M BaddourWalter R Wilson
Jul 29, 2008·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Maximilian PichlmaierWolf-Rainer Abraham
Oct 29, 2009·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Thomas KleemannKarlheinz Seidl
Aug 10, 2013·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Georg MarschChristian Kuehn
Sep 19, 2014·Current Infectious Disease Reports·Natividad BenitoJosé M Miró
Nov 10, 2015·Advances in Preventive Medicine·Sangeeta SastryMohamed H Yassin
Oct 31, 2015·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Panagiotis KorantzopoulosJohn A Goudevenos
Jun 23, 2011·Archives of Cardiovascular Diseases·Maguy MetaisSandra Malavaud
Jul 22, 2016·Pacing and Clinical Electrophysiology : PACE·Umashankar LakshmanadossWai Shun Wong
Oct 11, 2007·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Jonas MarschallDavid K Warren
Aug 18, 2005·Pacing and Clinical Electrophysiology : PACE·Dhanunjaya LakkireddyHuagui Li
Nov 26, 2008·Progress in Cardiovascular Diseases·Mark V Sherrid, James P Daubert

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