Surgical infection prophylaxis prior to left ventricular assist device implantation: A survey of clinical practice

Journal of Cardiac Surgery
Ahmad MouradStacey A Maskarinec

Abstract

Short duration, antimicrobial prophylaxis that includes antistaphylococcal activity is recommended at the time of left ventricular assist device (LVAD) implantation to reduce infection-related complications. There continues to be wide variability in surgical infection prophylaxis (SIP) regimens among implantation centers. The aim of this study is to characterize current SIP regimens at different LVAD centers. A survey study was conducted from 26 September 2017 to 25 October 2017. Surveys were distributed electronically to LVAD coordinators and infectious diseases specialists at 75 US medical centers identified as having an LVAD program. Data collection included information about antimicrobial selection, duration, Staphylococcus aureus screening, and decolonization procedures. We received 29 survey responses. The majority of surveys were completed by infectious diseases physicians (72.4% [21 out of 29]). Most responding centers reported LVAD programs established for greater than 10 years (20 out of 29 [69%]). Cardiac transplantation was performed in 28 out of 29 (96%) centers. Of centers reporting a defined SIP regimen for non-penicillin allergic patients (96% [28 out of 29]), 17.9% (5 out of 28) reported a four-drug regimen, 35...Continue Reading

References

Jul 26, 2002·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·Denis SpelmanS Wesselingh
Mar 26, 2005·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·David SimonGordon Trenholme
Mar 27, 2007·The Annals of Thoracic Surgery·Richard EngelmanUNKNOWN Workforce on Evidence-Based Medicine, Society of Thoracic Surgeons
Feb 2, 2010·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Saima AslamRabih O Darouiche
Aug 3, 2010·Vascular and Endovascular Surgery·Stone PatrickAsmita Modak
May 11, 2011·Journal of Cardiac Surgery·Paul C WalkerPreeti N Malani
Dec 14, 2011·Interactive Cardiovascular and Thoracic Surgery·Metesh Nalin AcharyaSteven Tsui
Feb 14, 2012·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Tonya CrawfordJoseph S Solomkin
Jan 15, 2013·Circulation·Rachel J GordonUNKNOWN Ventricular Assist Device Infection Study Group
Jan 19, 2013·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Dale W BratzlerUNKNOWN Society for Healthcare Epidemiology of America
Mar 7, 2013·Surgical Infections·Dale W BratzlerUNKNOWN Society for Healthcare Epidemiology of America (SHEA)
Aug 15, 2013·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Juhsien Jodi C NienaberUNKNOWN Mayo Cardiovascular Infections Study Group
Oct 22, 2013·The Annals of Thoracic Surgery·Veli K TopkaraGregory A Ewald
Dec 18, 2016·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Shimon KusneFrancisco Arabia
Jun 5, 2017·The Annals of Thoracic Surgery·Manoj K SaraswatGlenn J Whitman
Aug 7, 2017·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Shimon KusneShirish Huprikar
Nov 3, 2017·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·John C O'HoroM Rizwan Sohail
Nov 3, 2017·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Nana AburjaniaMuhammad R Sohail
Nov 28, 2017·The Annals of Thoracic Surgery·Maria PapathanasiouPeter Luedike
Oct 10, 2018·Cardiology Clinics·Saima Aslam
Mar 3, 2020·The Annals of Thoracic Surgery·Jeffrey J TeutebergPavan Atluri

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