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Erschienen in: Heart and Vessels 5/2019

10.11.2018 | Original Article

Seasonal variations in cardiac implantable electronic device infections

verfasst von: Baptiste Maille, Linda Koutbi, Noémie Resseguier, Coralie Lemoine, Franck Thuny, Michael Peyrol, Jérôme Hourdain, Jean-Claude Deharo, Frédéric Franceschi

Erschienen in: Heart and Vessels | Ausgabe 5/2019

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Abstract

Infections of cardiac implantable electronic devices (CIEDs) have increased over the past decade. However, the impact of the climate on CIED infections is unknown. To determine whether there is a seasonal variation in CIED infections. In this single-center observational study, retrospective analysis of prospectively collected data was performed. Timone Hospital in Marseille (south-east France) is a tertiary care institution and the regional reference center for management of CIED infections. All consecutive patients with CIED extractions for infectious reasons were included over a 12-year period. We noted the mean temperature (°C), precipitation (mm) and the incidence of CIED infections over this period. Among 612 patients [mean (standard deviation) age, 72.4 (13.0) years; 74.0% male], 238 had endocarditis alone (38.9%), 249 had pocket infection alone (40.7%), and 125 had both (20.4%). We found bacterial documentation in 428 patients (70.0%), commensal in 245 (40.0%). The incidence of CIED infections was positively associated with high temperature (regression coefficient = 0.075; = 0.01) and precipitation (regression coefficient = 0.022; P < 0.01). Seasonal variation was specific of pocket infections, whether they were associated with endocarditis or not. Subgroups with infection seasonality were: women, elderly people (> 75 years), late CIED infection and skin commensal bacterial infections. We found a seasonal variation in pocket infections, whether associated with endocarditis or not. Infections were associated with elevated temperatures and precipitation. Therefore, specific prevention strategy should be discussed in high-risk patients.
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Metadaten
Titel
Seasonal variations in cardiac implantable electronic device infections
verfasst von
Baptiste Maille
Linda Koutbi
Noémie Resseguier
Coralie Lemoine
Franck Thuny
Michael Peyrol
Jérôme Hourdain
Jean-Claude Deharo
Frédéric Franceschi
Publikationsdatum
10.11.2018
Verlag
Springer Japan
Erschienen in
Heart and Vessels / Ausgabe 5/2019
Print ISSN: 0910-8327
Elektronische ISSN: 1615-2573
DOI
https://doi.org/10.1007/s00380-018-1292-4

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