Absorbable antibiotic beads as an adjuvant therapy in treating ventricular assist devices driveline infection: A case report.
J Card Surg
; 35(8): 2073-2076, 2020 Aug.
Article
em En
| MEDLINE
| ID: mdl-32652630
ABSTRACT
BACKGROUND:
Ventricular assist devices driveline infections are common, recalcitrant, and carry high morbidity and mortality. Herein, we reported a patient with driveline infection that was successfully treated with a combination of systemic antibiotics, surgical debridement, and instillation of absorbable antibiotic beads to the wound bed. METHODS ANDRESULTS:
A 39-year-old man with nonischemic cardiomyopathy underwent insertion of a continuous flow left ventricular assist device. Four years postoperatively, the patient presented with clinical, laboratory, and radiologic signs of driveline tract infection. He underwent extensive surgical debridement, installation of absorbable antibiotic beads that consisted of calcium sulfate, vancomycin, and tobramycin, into the wound bed, and systemic antibiotics. The patient was free of infection 9 month postoperatively.CONCLUSION:
Absorbable calcium sulfate antibiotic beads may serve as a beneficial adjunct to surgical debridement and systemic antibiotics for the treatment of ventricular assist device driveline infection, and merit further investigation.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Coração Auxiliar
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Infecções Relacionadas à Prótese
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Quimioterapia Adjuvante
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Antibacterianos
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Cardiomiopatias
Limite:
Adult
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Humans
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Male
Idioma:
En
Revista:
J Card Surg
Assunto da revista:
CARDIOLOGIA
Ano de publicação:
2020
Tipo de documento:
Article