title: [Pacemaker infections].
abstract: Infectious complications following pacemaker implantation are not common but can be particularly severe. The reported incidence varies from 0.5 to 5% in the literature. The duration of the procedure and repeat procedures are considered to be predisposing factors. The main cause of these infections is thought to be local contamination during the implantation. The commonest causal organism is staphylococcus. Because the presentation may be atypical, the diagnosis is often confirmed by transesophageal echocardiography which is the investigation of choice for imaging a vegetation on an endocavitary pacing lead in cases of infectious endocarditis. The seriousness of this infection requires early diagnosis and adapted treatment including double bactericidal antibiotherapy and complete ablation of the material. Systematic preoperative prophylactic antibiotic therapy is recommended.
authors.affiliation: Service de cardiologie, Hôpital Mongi Slim La Marsa.
authors.forename: Aida
authors.initials: A
authors.lastname: Mokaddem
authors.forename: Kaouther
authors.initials: K
authors.lastname: Bachraoui
authors.forename: Wicem
authors.initials: W
authors.lastname: Sdiri
authors.forename: Salem
authors.initials: S
authors.lastname: Kachboura
authors.forename: Mohamed Rachid
authors.initials: MR
authors.lastname: Boujnah
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017548:Echocardiography, Transesophageal; D006801:Humans; D010138:Pacemaker, Artificial / Q000382:microbiology*; D011379:Prognosis; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000473:pathology*
chemical_list: D000900:Anti-Bacterial Agents