Key result
Detailed surgical technique remains the most critical factor for preventing CIED infections.
Why the study?
Despite appropriate antimicrobial prophylaxis, cardiac implantable electronic device infection rates are increasing disproportionately to implantation rates, necessitating improved prevention strategies.
Answers are grounded in this paper and cite their sources.
Proper operative technique and comprehensive perioperative management are critical for preventing surgical site infections during cardiac implantable electronic device placement.
Cardiac implantable electronic devices (CIEDs) have become important in the treatment of cardiac disease and placement rates increased significantly in the last decade. However, despite the use of appropriate antimicrobial prophylaxis, CIED infection rates are increasing disproportionately to the implantation rate. CIED infection often requires explantation of all hardware, and at times results in death. Surgical site infection (SSI) is the most common cause of CIED infection as a pocket infection. The best method of combating CIED infection is prevention. Prevention of CIED infections comprises three phases: before, during, and after device implantation. The most critical factors in the prevention of SSIs are detailed operative techniques including the practice of proper technique by the surgeon and surgical team.
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Katsuhiko Imai (2015) conducted a review in Cardiac implantable electronic device (CIED) infection. Perioperative management and operative techniques was evaluated. Prevention of cardiac implantable electronic device infections relies on comprehensive perioperative management, with detailed operative techniques by the surgical team being the most critical factor.
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