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040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.09.Ph.D.2020.He.I
100 0 _aHend Yahia Zakaria
245 1 0 _aImplantable cardiac device infections prevalence :
_bDiagnostic and therapeutic implications /
_cHend Yahia Zakaria ; Supervised Ashraf Wadie Andraos , Sameh Kamal Elmaraghi , Randa Ali Soliman
246 1 5 _aالتلوث الميكروبى فى مرضى منظمات القلب الكهربية :
_bدراسة معدل الانتشار وطرق التشخيص والعلاج
260 _aCairo :
_bHend Yahia Zakaria ,
_c2020
300 _a126 P. :
_bcharts , facsmilies ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Critical Care Medicine
520 _aBackground: The use of cardiac implantable electronic device (CIED) [permanent pacemakers, implantable cardioverter-defibrillators (ICD), cardiac re-synchronized therapy (CRT)], have been shown to improve mortality and quality of life in many different patient populations. Moreover, implantation rates have increased throughout the last several decades. CIED related infection is a serious complication with significant morbidity and mortality. Objectives: We sought to evaluate the prevalence of CIED related infection as well as time of onset of infection from the last device manipulation, risk factors, clinical and demographic characteristics, causative organisms and the management and outcome of patients presented in the Critical Care Department, Cairo University. Methods: A retrospective analysis was conducted of 1871 patients who had undergone cardiac device implantation with total number of devices of 1968 and 2270 procedures performed from January 2007 to December 2017. Results: Among 1871 patients we identified 59 infectious episodes with an estimated incidence of 2.99% of totally inserted devices and 2.6% of total procedures. The infection rate in patients who had undergone recurrent procedures was significantly higher than in patients a single procedure (9.27% vs. 1.18%; P<0.001). Patients with dual chamber ICD and CRTD had the highest infection rate of 6.25% & 6.85% respectively. Pocket infection was identified in 35 cases and CIED related endocarditis (CDE) was identified in 24 cases with an incidence in relation to total procedures of 1.54% & 1.06% respectively
530 _aIssued also as CD
653 4 _aCardiac implantable electronic devices
653 4 _aIncidence
653 4 _aInfection
700 0 _aAshraf Wadie Andraos ,
_eSupervisor
700 0 _aRanda Ali Soliman ,
_eSupervisor
700 0 _aSameh Kamal Elmaraghi ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aAmira
_eCataloger
905 _aNazla
_eRevisor
942 _2ddc
_cTH
999 _c78841
_d78841