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首页> 外文期刊>The Journal of Antimicrobial Chemotherapy >Guidelines for the diagnosis, prevention and management of implantable cardiac electronic device infection. Report of a joint Working Party project on behalf of the British Society for Antimicrobial Chemotherapy (BSAC, host organization), British Heart Rhythm Society (BHRS), British Cardiovascular Society (BCS), British Heart Valve Society (BHVS) and British Society for Echocardiography (BSE)
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Guidelines for the diagnosis, prevention and management of implantable cardiac electronic device infection. Report of a joint Working Party project on behalf of the British Society for Antimicrobial Chemotherapy (BSAC, host organization), British Heart Rhythm Society (BHRS), British Cardiovascular Society (BCS), British Heart Valve Society (BHVS) and British Society for Echocardiography (BSE)

机译：诊断，预防和管理植入式心脏电子设备感染的指南。代表英国抗微生物化学治疗协会（BSAC，主办组织），英国心律协会（BHRS），英国心血管协会（BCS），英国心脏瓣膜协会（BHVS）和英国超声心动图协会联合工作组项目的报告（疯牛病）

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摘要

Infections related to implantable cardiac electronic devices (ICEDs), including pacemakers, implantable cardiac defibrillators and cardiac resynchronization therapy devices, are increasing in incidence in the USA and are likely to increase in the UK, because more devices are being implanted. These devices have both intravascular and extravascular components and infection can involve the generator, device leads and native cardiac structures or various combinations. ICED infections can be life-threatening, particularly when associated with endocardial infection, and all-cause mortality of up to 35% has been reported. Like infective endocarditis, ICED infections can be difficult to diagnose and manage. This guideline aims to (i) improve the quality of care provided to patients with ICEDs, (ii) provide an educational resource for all relevant healthcare professionals, (iii) encourage a multi-disciplinary approach to ICED infection management, (iv) promote a standardized approach to the diagnosis, management, surveillance and prevention of ICED infection through pragmatic evidence-rated recommendations, and (v) advise on future research projects/audit. The guideline is intended to assist in the clinical care of patients with suspected or confirmed ICED infection in the UK, to inform local infection prevention and treatment policies and guidelines and to be used in the development of educational and training material by the relevant professional societies. The questions covered by the guideline are presented at the beginning of each section.
机译：与可植入心脏电子设备（ICED）有关的感染，包括起搏器，可植入心脏除颤器和心脏再同步治疗设备，在美国的发病率正在上升，在英国可能会上升，因为植入的设备越来越多。这些设备同时具有血管内和血管外成分，感染可能涉及发生器，设备导线和天然心脏结构或各种组合。 ICED感染可能危及生命，特别是与心内膜感染相关时，据报道全因死亡率高达35％。像感染性心内膜炎一样，ICED感染可能难以诊断和处理。本指南旨在（i）改善为ICED患者提供的护理质量，（ii）为所有相关的医疗保健专业人员提供教育资源，（iii）鼓励采用多学科的ICED感染管理方法，（iv）促进通过务实的证据分级建议，以标准化的方式诊断，管理，监测和预防ICED感染，并且（v）就未来的研究项目/审核提供建议。该指南旨在协助在英国对疑似或确诊的ICED感染的患者进行临床护理，为当地的感染预防和治疗政策和指南提供信息，并由相关专业协会用于编写教育和培训材料。指南涵盖的问题在每个部分的开头。

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