Cardiac Rhythm Management Device Infections

Joon Young Song

doi:10.3947/ic.2011.43.3.234

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Song: Cardiac Rhythm Management Device Infections

Review Article

Infection & Chemotherapy

Infection & Chemotherapy 2011; 43(3): 234-239.

Published online: 29 June 2011

DOI: https://doi.org/10.3947/ic.2011.43.3.234

Cardiac Rhythm Management Device Infections

Joon Young Song

Division of Infectious Disease, Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.

Correspondence to Joon Young Song, M.D. Division of Infectious Disease, Department of Internal Medicine, Korea University Guro Hospital, 97, Gurodong-gil, Guro-gu, Seoul 152-703, Korea. Tel: +82-2-2626-3052, Fax: +82-2-2626-1105, infection@medimail.co.kr

Received 26 May 2011 Accepted 26 May 2011

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Cardiac rhythm management device (CRMD) infection is rare, but potentially life-threatening complication. Despite technical evolution of cardiac device, the cases of CRMD infection have increased remarkably over the past decades. In this review, several important key points were discussed with regards to the epidemiology, pathogenesis, risk factors, microbiology, clinical manifestations, diagnosis, treatment and prevention of CRMD infection.

Keywords: Pacemaker, Artificial, Defibrillators, Implantable, Infection, Endocarditis

Figures and Tables

Figure 1

Management of cardiac rhythm management device infection (adapted from Sohail et al. [19]). ^*The duration of antibiotics should be counted from the day of device explantation.

Figure 2

Implantation of a new device in patients with cardiac rhythm management device infection (adapted from Sohail et al.[19]).

Table 1

Risk Factors for Cardiac Rhythm Management Device Infections

Table 2

Microbiological Distribution of Causative Pathogens for Cardiac Rhythm Management Device Infections [17-20]

NS, not specified; MSSA, methicilline-susceptible Staphylococcus aureus; MRSA, methicilline-resistant Staphylococcus aureus.

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