The salvage of infected cardiac pacemaker pockets using a closed irrigation system.
Over a period of 71 months, 19 patients were treated for infected or eroded permanent pacemaker pockets. All cases were treated with local debridement and insertion of a closed irrigation system using a solution of tyloxapol and tobramycin. Successful eradicaiton of the infection, without complete replacement of the pacemaker system, was achieved in all cases.
D000368:Aged; D000369:Aged, 80 and over; D001424:Bacterial Infections / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010138:Pacemaker, Artificial / Q000009:adverse effects*; D011092:Polyethylene Glycols / Q000627:therapeutic use; D012008:Recurrence; D012086:Reoperation; D007507:Therapeutic Irrigation; D014031:Tobramycin / Q000627:therapeutic use
D011092:Polyethylene Glycols; D014031:Tobramycin; C016811:tyloxapol