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  • Title: Cardiac implantable devices: surveillance of surgical site infections and assessment of professional practices.
    Author: Metais M, Hebrard A, Duparc A, Mondoly P, Delay M, Lepage B, Malavaud S.
    Journal: Arch Cardiovasc Dis; 2011 May; 104(5):325-31. PubMed ID: 21693369.
    Abstract:
    BACKGROUND: A programme for quality assurance and prevention of infection risk during implantation of cardiac medical devices (pacemakers and defibrillators) was set up in our hospital. AIM: We sought to assess surgical site infection rate and compliance with infection-control practices (principally antibiotic prophylaxis). METHODS: Surgical site infections associated with implanted medical devices were monitored in patients during a 6-month period and a 1-year follow-up. Professional practices concerning the use of prophylactic antibiotics in surgery were assessed. RESULTS: The surgical site infection rate was 2.3%. Overall compliance was 45% for the use of antibiotic prophylaxis. CONCLUSIONS: Optimal compliance with antibiotic prophylaxis was not reached in the present series, which demonstrated a surgical site infection rate of 2.3%. More effort must be made to achieve full compliance with preventive measures in the implantation of medical devices.
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