Evidence-Based Strategies to Promote Long-Term Cardiac Implant Site Health: Review of the Literature

Q: What is the clinical evidence from this study?

Study design: Systematic Review. Population: Cardiac implantable electronic device (CIED) infection. Intervention: Infection prevention strategies (antibiotic prophylaxis, surgical technique, ciNPT).

Leo Licari; Simona Viola; Claudia Carolla; Sofia Campanella; Giuseppe Salamone

doi:10.7759/cureus.13027

January 31, 2021CureusOpen Access

Evidence-Based Strategies to Promote Long-Term Cardiac Implant Site Health: Review of the Literature

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Why the study?

CIED placement and related complications have risen over the past decade, with infections causing high mortality and device explantation rates.

Key Points

To synthesize current clinical recommendations and outline evidence-based strategies for preventing infections associated with cardiac implantable electronic devices.
Literature review evaluating existing studies, guidelines, and recommendations concerning the prevention of cardiac implantable electronic device infections.
Rising rates of cardiac device placements over the past decade correspond to an increase in device-related complications, explantations, and patient mortality.
Implementation of standardized, evidence-based preventive measures consistently lowers the risk of implant site and systemic device infections.

Study Design

Type

Systematic Review

Structured PICO

P

Population

Patients undergoing cardiac implantable electronic device (CIED) placement

I

Intervention

Evidence-based strategies for CIED infection prevention (preoperative, intraoperative, and postoperative measures)

O

Outcome

CIED-related infection and surgical site infection (SSI)safety

Adherence to evidence-based preoperative, intraoperative, and postoperative measures, including antibiotic prophylaxis and rigorous surgical technique, is essential to prevent CIED infections.

Limitations

No statistical analyses were performed.

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Answers are grounded in this paper and cite their sources.

Implication

Prioritize rigorous technique, prophylaxis, and ciNPTs in CIED implantation to reduce infections; reinforces evidence-based prevention bundles.

Abstract

Cardiac implantable electronic devices (CIEDs) are commonly used nowadays. The association between CIED placement and infections is responsible for the high mortality and device explantation rate. Since CIED placement has increased in the past decade, CIED-related complications have risen. In order to reduce the CIED-related complications rate, the prevention of device infection represents the main goal. Over time, many different studies have proven the importance of the measures to prevent CIED-related infections. This review aims to collect the actual recommendations for CIED infection prevention, providing an overview of the main evidence-based strategies.

Discussion

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Cite This Study

Licari et al. (2021) conducted a systematic review in Cardiac implantable electronic device (CIED) infection. Infection prevention strategies (antibiotic prophylaxis, surgical technique, ciNPT) was evaluated.

synapsesocial.com/papers/6a85c7e6d1e5e0588dd4f9d9 https://doi.org/10.7759/cureus.13027

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Evidence-Based Strategies to Promote Long-Term Cardiac Implant Site Health: Review of the Literature

Key Points

Study Design

Structured PICO

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Evidence-Based Strategies to Promote Long-Term Cardiac Implant Site Health: Review of the Literature

Key Points

Study Design

Structured PICO

Limitations

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

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