作者
Zerelda Esquer Garrigos, Merit P George, Saira Farid, Omar M Abu Saleh, Prakhar Vijayvargiya, Maryam Mahmood, Paul A Friedman, James M Steckelberg, Daniel C DeSimone, Walter R Wilson, Larry M Baddour, M Rizwan Sohail
发表日期
2018/8
期刊
Pacing and Clinical Electrophysiology
卷号
41
期号
8
页码范围
933-942
简介
Background
Culture‐negative (CN) cardiovascular implantable electronic device (CIED) infections represent a significant management challenge for clinicians with no specific guidelines addressing this subgroup of patients. The aim of the current investigation is to report our institutional experience of CN CIED infections and propose a systematic approach to diagnostic evaluation and management of these complicated cases based on our observations.
Methods
We retrospectively screened all CIED infection cases at Mayo Clinic from 2005 through 2017. Using standardized criteria to define significant microbial growth, all patients with positive blood or pocket/device cultures were excluded.
Results
A total of 835 cases of CIED infection were screened, and of these, 47 (6%) met CN‐CIED infection criteria. Majority of patients (77%) in this cohort had received antimicrobial therapy prior to device cultures with a …
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Z Esquer Garrigos, MP George, S Farid, OM Abu Saleh… - Pacing and Clinical Electrophysiology, 2018