Blomstrom-Lundqvist Carina, Ostrowska Bozena
Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
Europace. 2021 May 25;23(Suppl 4):iv11-9. doi: 10.1093/europace/euab071.
Cardiac implantable electronic devices (CIED) are potentially life-saving treatments for several cardiac conditions, but are not without risk. Despite dissemination of recommended strategies for prevention of device infections, such as administration of antibiotics before implantation, infection rates continue to rise resulting in escalating health care costs. New trials conveying important steps for better prevention of device infection and an EHRA consensus paper were recently published. This document will review the role of various preventive measures for CIED infection, emphasizing the importance of adhering to published recommendations. The document aims to provide guidance on how to prevent CIED infections in clinical practice by considering modifiable and non-modifiable risk factors that may be present pre-, peri-, and/or post-procedure.
心脏植入式电子设备(CIED)对多种心脏疾病具有潜在的挽救生命的作用,但并非没有风险。尽管已传播了预防设备感染的推荐策略,如在植入前使用抗生素,但感染率仍在上升,导致医疗保健成本不断增加。最近发表了传达更好预防设备感染重要步骤的新试验以及一份欧洲心律协会(EHRA)共识文件。本文将回顾各种预防CIED感染措施的作用,强调遵守已发表建议的重要性。本文旨在通过考虑手术前、手术中和/或手术后可能存在的可改变和不可改变的风险因素,为临床实践中如何预防CIED感染提供指导。