Key result
Review details risk scoring systems and antibiotic eluting pouches to reduce CIED infections.
Why the study?
Infections related to cardiac implantable electronic devices cause increased morbidity, mortality, and financial burden, and despite preventive measures, infection rates have risen over the last decade.
Does the use of antibiotic eluting pouches and risk scoring systems reduce infections in patients undergoing CIED implantation?
Does the use of antibiotic eluting pouches and risk scoring systems reduce infections in patients undergoing CIED implantation?
This review highlights the utility of risk scoring systems and antibiotic-eluting envelopes in mitigating the rising rates of CIED infections.
May support targeted antibiotic pouch use in high-risk CIED patients; leaves open prospective validation of risk scores.
Cardiac implantable electronic device (CIED) has been increasingly used with expanding indications in patients with cardiac diseases. There is substantial evidence to suggest of their role in improving outcomes in patients with and without heart failure. Complications of the device implantation including infections are associated with increased morbidity and mortality and also substantial financial burden to the society. Several clinical characteristics have been recognized as risk factors for the occurrence of the infections. Considering that infections occur in the presence of multiple risk factors acting together, scoring systems have been developed in identifying patients at risk. Despite preventive measures, the rates of infections associated with CIEDs have increased over the last decade. Recent studies have documented the role of implantable antibiotic eluting pouches in reducing infections in patients undergoing CIED implantation. The present review will address the risk scoring systems studied and also address the role of antibiotic pouch and the recent patents in developing this technology.
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Shariff et al. (2016) conducted a review in Cardiac implantable electronic device (CIED) infections. Antibiotic eluting pouches and risk scoring systems was evaluated. This review summarizes risk scoring systems for cardiac implantable electronic device infections and the role of antibiotic eluting pouches in reducing infection rates.
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