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Infectious Complications of Mechanical Circulatory Support 

Infectious Complications of Mechanical Circulatory Support
Chapter:
Infectious Complications of Mechanical Circulatory Support
Author(s):

Joyce L. Sanchez

, Timothy J. Baures

, Patrick B. Mazi

, and Samuel L. Windham

DOI:
10.1093/med/9780190909291.003.0036
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date: 02 June 2020

Implanted mechanical circulatory support devices introduce both short- and long-term risks for infection. With the evolution of surgical techniques and current device technology, the incidence of major infections has decreased, but the overall incidence of infections has remained stable. The need for a percutaneous driveline means that these patients will remain at risk for infection in both superficial and deeper structures, including blood-stream infections. Over time, the spectrum of infecting organism(s) at each site has increasingly been characterized, allowing for early, appropriate antibiotic treatment and decreasing death from infections. The standardization of criteria has increased diagnostic specificity and allows studies to evaluate the optimal antibiotics and duration of therapy. Consultation with an infectious disease specialist familiar with device infections will minimize morbidity and potential delays in transplantation.

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