The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.
Risk Factor Analysis of Permanent Pacemaker Infection
Abstract
Background. Several host- and procedure-related factors have been reported to increase the risk of permanent pacemaker (PPM) infection on the basis of descriptive analyses of case series. The purpose of this study is to assess the risk factors for PPM infection using case-control study methods.Methods. All patients who had a PPM implanted at our institution from January 1991 to December 2003 were retrospectively reviewed. Each patient who experienced a PPM infection was matched with 2 control subjects by age, sex, year of implantation, and duration of follow-up. Univariate and multivariable analyses were performed to identify significant risk factors for PPM infection.Results. Twenty-nine case patients and 58 control subjects met inclusion criteria. The majority (83%) of case patients presented with a pocket infection; a minority (10%) had PPM-related endocarditis. Staphylococcus species (69%) were the most common pathogens. On univariate analysis, previous PPM infection, malignancy, long-term corticosteroid use, multiple device revisions, a permanent central venous catheter, the presence of >2 pacing leads, and a lack of antibiotic prophylaxis at the time of PPM placement were associated with an increased risk of PPM infection. A multivariable logistic regression model identified long-term corticosteroid use (odds ratio [OR], 13.90; 95% confidence interval [CI], 1.27-151.7; P=.03) and the presence of >2 pacing leads versus 2 leads (OR, 5.41; 95% CI, 1.44-20.29; P=.01) as independent risk factors for PPM infection. In contrast, use of antibiotic prophylaxis prior to PPM implantation had a protective effect (OR, 0.087; 95% CI, 0.016-0.48; P=.005).Conclusions. These findings should assist clinicians in identifying patients who are at increased risk of PPM infection, as well as in developing strategies to minimize the modifiable risks.
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Treatment of Infections Associated with Surgical Implants
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Management and Outcome of Permanent Pacemaker and Implantable Cardioverter-Defibrillator Infections
Sohail, M. R., Uslan, D. Z., Khan, A. H., Friedman, P. A., Hayes, D. L., Wilson, W. R., Steckelberg, J. M., Stoner, S., & Baddour, L. M. (2007) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2007.01.072 · Cited by 751
Self-citationInfections Associated with Indwelling Medical Devices
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Diagnosis and Management of Infections Involving Implantable Electrophysiologic Cardiac Devices
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Nonvalvular Cardiovascular Device–Related Infections
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Self-citationIncreasing rates of cardiac device infections among medicare beneficiaries: 1990–1999
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Self-citationRising Rates of Cardiac Rhythm Management Device Infections in the United States: 1996 through 2003
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Antibiotic Prophylaxis for Permanent Pacemaker Implantation: A Meta-Analysis
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Cited by
Clinical practice guidelines for antimicrobial prophylaxis in surgery
Bratzler, D. W., Dellinger, E. P., Olsen, K. M., Perl, T. M., Auwaerter, P. G., Bolon, M. K., Fish, D. N., Napolitano, L. M., Sawyer, R. G., Slain, D., et al. (2013) · American Journal of Health-System Pharmacy · doi:10.2146/ajhp120568 · Cited by 2,591
Clinical Practice Guidelines for Antimicrobial Prophylaxis in Surgery
Bratzler, D. W., Dellinger, E. P., Olsen, K. M., Perl, T. M., Auwaerter, P. G., Bolon, M. K., Fish, D. N., Napolitano, L. M., Sawyer, R. G., Slain, D., et al. (2013) · Surgical Infections · doi:10.1089/sur.2013.9999 · Cited by 1,197
Baddour, L. M., Epstein, A. E., Erickson, C. C., Knight, B. P., Levison, M. E., Lockhart, P. B., Masoudi, F. A., Okum, E. J., Wilson, W. R., Beerman, L. B., et al. (2010) · Circulation · doi:10.1161/circulationaha.109.192665 · Cited by 1,030
Self-citationKirkfeldt, R. E., Johansen, J. B., Nohr, E. A., Jorgensen, O. D., & Nielsen, J. C. (2014) · European Heart Journal · doi:10.1093/eurheartj/eht511 · Cited by 871
Polyzos, K. A., Konstantelias, A. A., & Falagas, M. E. (2015) · EP Europace · doi:10.1093/europace/euv053 · Cited by 493
Metadata
- Authors
- Sohail, M. R., Uslan, D. Z., Khan, A. H., Friedman, P. A., Hayes, D. L., Wilson, W. R., Steckelberg, J. M., Stoner, S. M., & Baddour, L. M.
- Venue
- Clinical Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2007-07-15
- Volume
- 45
- Issue
- 2
- Pages
- 166-173
- ISSN
- 1058-4838 (ISSN-L)
- 1537-6591
- OpenAlex
- W2150457138
- Cited by
- 288
- References
- 18
- FWCI
- 8.37
- Type
- journal article
- Language
- en
- Open access
- closed
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