Cardiac Device Infections (CDIs) Present Late and Renal Insufficiency is a Risk Factor-Retrospective Review of CDIs from August 2009 to August 2011

MARIAM BAKHTARY, DAVID HIRSCHWERK and MEREDITH AKERMAN

Author address: 

North Shore-LIJ School of Medicine at Hofstra University , Manhasset, NY

Abstract: 

Background: Cardiovascular Implantable Electronic Devices (CIED) are important in managing cardiac disease. As more devices have been implanted, cardiac device infections (CDI) have been observed. Our goal was to characterize CDIs in the cohort managed at our center. Methods: Retrospective review of all pts with CDIs admitted to NSUH between 2009 and 2011. Utilizing a case-control design we strove to identify risk factors for infection. Matching was performed in a 1:1 ratio according to age sex, device type and descriptive analysis was performed. Results: 102 pts with CIEDs were analyzed. 86 patients met the case/control criteria. 43 pts met the criteria for CDI (21 PPM, 22 ICD). Median age was 79. Infection of the device pocket was more common (67%) than device wire endocarditis. Coagulase-neg Staphylococci (33%) and S. aureus , (35%) were the leading pathogens. However, gram (-) pathogens and Enterococci comprised 5.8% and 3.8% of cases. Infection with fungi (Candida sp. and Aspergillus ) were also identified. Fever was present in 33% of cases and leukocytosis in 30% of cases. Anemia was more common in cases (72%) than in controls (49%) (p
2012

abstract No: 

1092

Full conference title: 

ID Week 2012
    • IDWeek 2012