What question did this study set out to answer?

To establish an international, evidence-based consensus framework for the risk assessment, prevention, diagnosis, and clinical management of cardiac implantable electronic device infections.

October 12, 2019European Journal of Cardio-Thoracic SurgeryOpen Access

European Heart Rhythm Association (EHRA) international consensus document on how to prevent, diagnose, and treat cardiac implantable electronic device infections—endorsed by the Heart Rhythm Society (HRS), the Asia Pacific Heart Rhythm Society (APHRS), the Latin American Heart Rhythm Society (LAHRS), International Society for Cardiovascular Infectious Diseases (ISCVID) and the European Society of Clinical Microbiology and Infectious Diseases (ESCMID) in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS)

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Why the study?

Uncertainties remained regarding various preventive, diagnostic, and treatment measures for CIED infections, guidance was limited, and an international consensus document on managing CIED infections was lacking.

Design

International consensus document

Authors

CBCarina Blomström‐LundqvistUppsala University VTVassil TraykovElectrophysiology PEPaola Anna ErbaCollege Board

Discussion

Member takes

Implication

May support pre-implantation IV antibiotics to curb CIED infections; leaves open optimal regimens pending randomized data.

Key Points

To establish an international, evidence-based consensus framework for the risk assessment, prevention, diagnosis, and clinical management of cardiac implantable electronic device infections.
Convened an international expert panel representing EHRA, HRS, APHRS, LAHRS, ISCVID, ESCMID, and EACTS.
Synthesized evidence from randomized clinical trials, clinical literature, and a worldwide EHRA survey identifying clinical practice discrepancies.
Clarified recommendations on preventive interventions, including pre-procedural intravenous antibiotics, skin antisepsis, pocket washes, and antibacterial envelopes.
Provided unified guidance on diagnostic pathways, infected device extraction, post-procedural antibiotic durations, novel oral anticoagulants, and operator volume standards.

Structured PICO

Population

Patients with or receiving cardiac implantable electronic devices (pacemakers, implantable cardiac defibrillators, and cardiac resynchronization therapy devices)

Intervention

Strategies for risk assessment, prevention, diagnosis, and treatment of CIED infections

This international consensus document provides comprehensive guidance on the risk assessment, prevention, diagnosis, and treatment of CIED infections.

Cite This Study

Blomström‐Lundqvist et al. (2019) studied this question.

synapsesocial.com/papers/6a7cb4d1e7df423ee14c7ac9 https://doi.org/10.1093/ejcts/ezz296

Topics

Cardiac device therapy

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Discussion

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Implication

Key Points

Structured PICO

Cite This Study

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Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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