[Non-valvular cardiac devices endocarditis].
The risk of infective endocarditis on pacemaker or ICD is not negligible and has increased in recent years. Several host-related, procedure-related, or device-related risk factors have been recognized. Owing to its potential severity, the possibility of infective endocarditis should be envisaged in patients with repeated pulmonary infections or documented bacteremia and transesophageal echocardiography should then be used. The most common germs causing pacemaker endocarditis are staphylococci. Treatment requires prolonged antibiotic therapy and retrieval of the pacemaker and leads.
Selton-Suty
C
C
Service de cardiologie, CHU Nancy-Brabois, allée du Morvan, 54511 Vandoeuvre-les-Nancy, France. c.suty-selton@chu-nancy.fr
Doco-Lecompte
T
T
Freysz
L
L
Chometon
F
F
Duhoux
F
F
Blangy
H
H
Dodinot
B
B
Carteaux
J-P
JP
Sadoul
N
N
Juillière
Y
Y
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017147:Defibrillators, Implantable / Q000009:adverse effects / Q000382:microbiology; D020878:Device Removal; D004696:Endocarditis / Q000175:diagnosis / Q000628:therapy*; D006801:Humans; D010138:Pacemaker, Artificial / Q000009:adverse effects* / Q000382:microbiology; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000628:therapy*
D000900:Anti-Bacterial Agents