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Sustained Bacteremia in 26 Patients with a Permanent Endocardial Pacemaker: Assessment of Wire Removal

Camus, Christophe ; Leport, Catherine ; Raffi, Francois ; Michelet, Christian ; Cartier, Francois ; Vilde, Jean Louis

Clinical infectious diseases, 1993-07, Vol.17 (1), p.46-55 [Periódico revisado por pares]

Chicago, IL: The University of Chicago Press

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Título:
Sustained Bacteremia in 26 Patients with a Permanent Endocardial Pacemaker: Assessment of Wire Removal
Autor: Camus, Christophe ; Leport, Catherine ; Raffi, Francois ; Michelet, Christian ; Cartier, Francois ; Vilde, Jean Louis
Assuntos: Aged ; Aged, 80 and over ; Anti-Bacterial Agents - therapeutic use ; Artificial pacemakers ; Bacteremia ; Bacteremia - diagnosis ; Bacteremia - etiology ; Bacteremia - therapy ; Bacterial diseases ; Bacterial endocarditis, myocarditis and pericarditis. Bacterial diseases of the aorta, limb vessels and lymphatic vessels ; Biological and medical sciences ; Clinical Infectious Disease Articles ; Electric Wiring - instrumentation ; Electrodes ; Endocarditis ; Female ; Human bacterial diseases ; Humans ; Infections ; Infectious diseases ; Male ; Medical sciences ; Microorganisms ; Middle Aged ; Pacemaker, Artificial - adverse effects ; Pulse generators ; Relapse ; Reoperation ; Sepsis ; Staphylococcal Infections - diagnosis ; Staphylococcal Infections - etiology ; Staphylococcal Infections - therapy ; Staphylococcus
É parte de: Clinical infectious diseases, 1993-07, Vol.17 (1), p.46-55
Notas: istex:B906F10358AD667F56A98B42774B7E77949C39B2
ark:/67375/HXZ-0BW5V1B0-Z
Reprints or correspondence: Dr. Christophe Camus, Service de Réanimation Médicale et Maladies Infectieuses, Hôpital Pontchaillou, rue Henri Leguilloux, 35033 Rennes Cedex, France.
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Descrição: We reviewed the data on 26 patients with permanent endocardial pacemakers who had 28 episodes of bacteremia to determine whether removal of the wire is required. Patients recovered completely from the first episode in seven of 20 cases of staphylococcal bacteremia and in six of six cases of nonstaphylococcal bacteremia (P = .015). Definitive cure was not achieved during the first episode in seven cases of staphylococcal bacteremia related to the pacing system when the wire was not withdrawn; however, cure was achieved in five of six cases when the whole pacemaker was removed (P < .01). The duration of treatment was longer for the patients from whom the wire was not removed during the first episode (P < .01). Whether cases of staphylococcal bacteremia were related to the pacing system or not, the rate of recovery of the responsible microorganism from the wires was similar for both groups of patients (six [82%] of seven and three [75%] of four, respectively). Nonstaphylococcal bacteremia was unrelated to the pacing system in five of six cases; these patients were all cured without removal of the wire.
Editor: Chicago, IL: The University of Chicago Press
Idioma: Inglês

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Sustained Bacteremia in 26 Patients with a Permanent Endocardial Pacemaker: Assessment of Wire Removal

Camus, Christophe ; Leport, Catherine ; Raffi, Francois ; Michelet, Christian ; Cartier, Francois ; Vilde, Jean Louis

Chicago, IL: The University of Chicago Press

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