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[Is there an indication for endocarditis prophylaxis in patients with cardiac devices?]. | LitMetric

AI Article Synopsis

  • Cardiac implantable electronic devices (CIEDs) help treat heart disease, but they can lead to serious infections.
  • The number of CIED patients and the rates of infections, including endocarditis, are on the rise due to potential contamination during implantation or secondary infections.
  • Current guidelines don't recommend preventative antibiotics for CIED patients before dental or invasive procedures unless they have specific risk factors, and any patient showing signs of infection should be treated in specialized centers.

Article Abstract

Cardiac implantable electronic devices (CIED) are essential in treating cardiovascular disease, but their infections are serious complications. The number of patients with CIEDs is increasing, as are CIED infection rates and related endocarditis. These infections arise either from contamination during implantation or from secondary infections. Current guidelines do not support prophylactic antibiotics for CIED patients before dental or other invasive procedures, unless the patient has other risk factors (E.g. an artificial heart valve). Patients with fever or signs of a pocket infection should be treated in centers equipped for laser extraction.

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Source
http://dx.doi.org/10.1007/s15006-024-4374-5DOI Listing

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