Nakajima Hiroshi, Taki Masami
Japan Research Institute for Device Therapy, NT Bldg., 1-1-12, Yushima, Bunkyo-ku, Tokyo 113-0034, Japan.
Medtronic Japan Co., Ltd., 2-14-1 Higashi Shimbashi, Minato-ku, Tokyo 105-0021 Japan.
J Arrhythm. 2016 Aug;32(4):303-7. doi: 10.1016/j.joa.2015.09.006. Epub 2015 Nov 4.
We conducted a survey of the infection burden associated with the implantation of cardiac implantable electronic devices (CIEDs) in Japan.
The institutes were selected using annual device implantation data provided by Medtronic Japan Co., Ltd. The data sampling period was from January 1 to December 31, 2013. Institutes were classified into Group P, at which only pacemakers were implanted, and Group A, at which other CIEDs were implanted. Group P was further classified into three sub-groups by implantation number. The infection rate was compared between groups using logistic regression analysis.
A total of 129 of 138 institutes responded. The annual infection rate was 1.12% for overall CIEDs. The institute at which 15-29 pacemakers were implanted had a high infection rate (2.11%). No statistically significant difference was observed (adjusted p=0.1131). The overall migration rate was 0.50%. Complete removal of the CIED system was performed in 55.8% of patients who underwent implantation.
This survey was the first on CIED infection and migration in Japan. The CIED infection rate (1.12%) was similar to that previously reported. A high infection rate (2.77%) was observed in the infection experienced institutes.
我们对日本心脏植入式电子设备（CIED）植入相关的感染负担进行了一项调查。
利用美敦力日本有限公司提供的年度设备植入数据选择研究机构。数据采样期为2013年1月1日至12月31日。研究机构被分为仅植入起搏器的P组和植入其他CIED的A组。P组根据植入数量进一步分为三个亚组。使用逻辑回归分析比较各组之间的感染率。
138个研究机构中共有129个做出了回应。CIED总体的年感染率为1.12%。植入15 - 29个起搏器的机构感染率较高（2.11%）。未观察到统计学上的显著差异（校正p = 0.1131）。总体迁移率为0.50%。在接受植入的患者中，55.8%的患者进行了CIED系统的完全移除。
这项调查是日本首次关于CIED感染和迁移的调查。CIED感染率（1.12%）与先前报道的相似。在有感染经历的机构中观察到较高的感染率（2.77%）。
