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Review
. 2022 Feb;45(2):262-269.
doi: 10.1111/pace.14429. Epub 2022 Jan 13.

Preoperative checklist to reduce the risk of cardiac implantable electronic device infections

Matteo Ziacchi  1 , Giulia Massaro  1 , Andrea Angeletti  1 , Giovanni Statuto  1 , Igor Diemberger  1 , Cristian Martignani  1 , Nazzareno Galiè  1 , Mauro Biffi  1 , Giuseppe Boriani  2
Affiliations
Review

Preoperative checklist to reduce the risk of cardiac implantable electronic device infections

Matteo Ziacchi et al. Pacing Clin Electrophysiol. 2022 Feb.

Abstract

Cardiac implantable electronic device (CIED) infection represents a dramatic event with a high mortality rate (>3x) despite antibiotic therapy and device extraction; therefore, the real winning strategy in this situation could be represented by prevention. Antibiotic prophylaxis and antibiotic-releasing envelope are effective in improving patient outcome; however, healthcare costs related to CIED infections remain high over the years. In this review we would keep the attention on a pre-surgical checklist to reduce the risk of CIED infections. In fact, checklist is an effective instrument for medical care quality improvement mainly used in surgery, but not very commonly in cath-lab and electrophysiology procedures. All steps of this checklist are of proven effectiveness in reducing the risk of CIED infections but, up till now, they are not considered together in a pre-surgical approach.

Keywords: cardiac implantable electronic devices; checklist; infectious risk.

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References

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