Aljabri Khalid, Garlitski Ann, Weinstock Jonathan, Madias Christopher
The Cardiovascular Center, Tufts Medical Center, Tufts University School of Medicine, 800 Washington Street, Boston, MA 02111, USA.
The Cardiovascular Center, Tufts Medical Center, Tufts University School of Medicine, 800 Washington Street, Boston, MA 02111, USA.
Card Electrophysiol Clin. 2018 Mar;10(1):153-162. doi: 10.1016/j.ccep.2017.11.016.
The rate of cardiac implantable electronic device (CIED) infection has increased disproportionately to the rate of implantation. Expanded indications for CIED implantation combined with a sicker patient population contribute to this increased rate. Device-related infections are most commonly due to perioperative contamination, and infection risk increases in conjunction with procedural complexity. Early pocket re-exploration and upgrade procedures confer a higher infectious risk. Confirmed CIED infection requires prompt removal of the CIED system combined with antimicrobial therapy. Understanding the risks of CIED infection and using preventive measures are critical. It is hoped that emerging technologies will mitigate CIED infection rates.
心脏植入式电子设备（CIED）感染率的增长与植入率不成比例。CIED植入适应证的扩大以及患者群体病情加重导致了这一感染率的上升。与设备相关的感染最常见的原因是围手术期污染，并且感染风险会随着手术复杂性的增加而升高。早期的囊袋再次探查和升级手术会带来更高的感染风险。确诊的CIED感染需要迅速移除CIED系统并联合抗菌治疗。了解CIED感染的风险并采取预防措施至关重要。希望新兴技术能够降低CIED感染率。
