Bundled skin antiseptic preparation for complex cardiac implantable electronic device infection: a propensity-score matching cohort study.
J Hosp Infect
; 103(3): 311-320, 2019 Nov.
Article
em En
| MEDLINE
| ID: mdl-31449919
ABSTRACT
BACKGROUND:
Cardiac implantable electronic device (CIED) infection, a major complication of a CIED implant procedure, can prolong hospitalization and cause mortality.AIM:
To evaluate the efficacy of a bundled skin antiseptic preparation for preventing infection after implantation of a complex CIED.METHODS:
This study analysed 1163 consecutive patients who had received a bundled skin antiseptic preparation before CIED implantation from July 2012 to December 2017. According to the complexity of the CIED implant procedure, the patients were divided into a complex CIED group (N = 370) and a non-complex CIED group (N = 793). A complex procedure was defined as a pacemaker replacement, implantation of implantable cardioverter defibrillator and cardiac resynchronization therapy, device upgrade, or lead revision.FINDINGS:
During a mean follow-up of 2.9 ± 1.7 years, CIED infection developed in 15 patients (1.3%), and the incidence of minor and major infection was 1.1% and 0.2%, respectively. The incidence of CIED infection did not significantly differ between the complex CIED group and the non-complex CIED group (1.1% vs 1.4%, respectively; non-significant). Multivariate analysis indicated that procedural complexity was not an independent predictor of CIED infection. After 21 propensity score matching, the matched non-complex CIED group and the matched complex CIED group still showed no significant difference in the incidence of CIED infection.CONCLUSION:
Bundled skin antiseptic preparation is an effective and widely applicable strategy for decreasing infection risk after a complex CIED implantation.Palavras-chave
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MEDLINE
Assunto principal:
Infecção da Ferida Cirúrgica
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Cuidados Pré-Operatórios
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Antissepsia
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Implantação de Prótese
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Pacotes de Assistência ao Paciente
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Procedimentos Cirúrgicos Cardíacos
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article