Diagnosis and management of subcutaneous implantable cardioverter-defibrillator infections based on process mapping.

antibiotics diagnosis extraction infection mapping subcutaneous implantable cardioverter-defibrillator

Journal

Pacing and clinical electrophysiology : PACE
ISSN: 1540-8159
Titre abrégé: Pacing Clin Electrophysiol
Pays: United States
ID NLM: 7803944

Informations de publication

Date de publication:
09 2020
Historique:
received: 16 10 2019
revised: 16 01 2020
accepted: 02 03 2020
pubmed: 9 4 2020
medline: 13 10 2021
entrez: 9 4 2020
Statut: ppublish

Résumé

Infection is a well-recognized complication of cardiovascular implantable electronic device (CIED) implantation, including the more recently available subcutaneous implantable cardioverter-defibrillator (S-ICD). Although the AHA/ACC/HRS guidelines include recommendations for S-ICD use, currently there are no clinical trial data that address the diagnosis and management of S-ICD infections. Therefore, an expert panel was convened to develop consensus on these topics. A process mapping methodology was used to achieve a primary goal - the development of consensus on the diagnosis and management of S-ICD infections. Two face-to-face meetings of panel experts were conducted to recommend useful information to clinicians in individual patient management of S-ICD infections. Panel consensus of a stepwise approach in the diagnosis and management was developed to provide guidance in individual patient management. Achieving expert panel consensus by process mapping methodology in S-ICD infection diagnosis and management was attainable, and the results should be helpful in individual patient management.

Sections du résumé

BACKGROUND
Infection is a well-recognized complication of cardiovascular implantable electronic device (CIED) implantation, including the more recently available subcutaneous implantable cardioverter-defibrillator (S-ICD). Although the AHA/ACC/HRS guidelines include recommendations for S-ICD use, currently there are no clinical trial data that address the diagnosis and management of S-ICD infections. Therefore, an expert panel was convened to develop consensus on these topics.
METHODS
A process mapping methodology was used to achieve a primary goal - the development of consensus on the diagnosis and management of S-ICD infections. Two face-to-face meetings of panel experts were conducted to recommend useful information to clinicians in individual patient management of S-ICD infections.
RESULTS
Panel consensus of a stepwise approach in the diagnosis and management was developed to provide guidance in individual patient management.
CONCLUSION
Achieving expert panel consensus by process mapping methodology in S-ICD infection diagnosis and management was attainable, and the results should be helpful in individual patient management.

Identifiants

pubmed: 32267974
doi: 10.1111/pace.13902
pmc: PMC7607386
doi:

Types de publication

Consensus Development Conference Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

958-965

Informations de copyright

© 2020 Wiley Periodicals LLC.

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Auteurs

Larry M Baddour (LM)

Division of Infectious Diseases, Department of Medicine, and Department of Cardiovascular Diseases, Mayo Clinic College of Medicine and Science, Rochester, Minnesota.

Raul Weiss (R)

The Ohio State University Wexner Medical Center, Cardiology, DHLRI, Columbus, Ohio.

George E Mark (GE)

Department of Cardiology, Cooper University Hospital, Camden, New Jersey.

Mikhael F El-Chami (MF)

Division of Cardiology, Section of Electrophysiology, Emory University Hospital, Atlanta, Georgia.

Mauro Biffi (M)

Institute of Cardiology, S. Orsola Malpighi Hospital, Bologna, Italy.

Vincent Probst (V)

L'Institut du Thorax, CHU de Nantes, Cardiology, Nantes, France.

Pier D Lambiase (PD)

UCL Institute of Cardiovascular Science, and Barts Heart Center, London, UK.

Marc A Miller (MA)

Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital, New York.

Timothy McClernon (T)

People Architects, Inc., Minneapolis.

Linda K Hansen (LK)

Boston Scientific Corp., St. Paul, Minnesota.

Bradley P Knight (BP)

Center for Heart Rhythm Disorders Bluhm Cardiovascular Institute, Northwestern Memorial Hospital, Chicago, Illinois.

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