Risk factors of cardiac device infection: Glove contamination during device procedures

Kozon, Isabella; Riahi, Sam; Lundbye‐Christensen, Søren; Thøgersen, Anna Margrethe; Ejlertsen, Tove; Aaen, Dorthe; Paulsen, Kirsten Inger; Hjortshøj, Søren Pihlkjær

doi:10.1016/j.ajic.2017.03.019

Cited by 12 publications

(8 citation statements)

References 18 publications

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“…The wound in which the pacemaker was placed was also cultured. 12 In 67% of cases, there was contamination of either the surgeon's or the assistant's gloves, with 42% of cases also having wound contamination. Interestingly though, no patients developed a clinical infection, either at 30 days postoperatively or within the first 2 years after pacemaker implantation.…”

Section: Analysis Corpmentioning

confidence: 99%

“…11 Other level II studies looked at bacterial counts. A study by Kozon and colleagues 12 measured the bacterial count on surgeon's gloves and the assistant's gloves before handling a pacemaker for implantation. The wound in which the pacemaker was placed was also cultured.…”

Section: Analysis Corpmentioning

confidence: 99%

“…Interestingly though, no patients developed a clinical infection, either at 30 days postoperatively or within the first 2 years after pacemaker implantation. 12 A study by Markel and colleagues 13 performed a mock prepping experience with the participants either in a long-sleeve gown and gloves or with uncovered arms. While there was decrease in Micrococcus seen, there was no overall difference in bacterial contamination, either with the use of a gown and gloves or when performing a surgical prep with exposed arms.…”

Section: Analysis Corpmentioning

confidence: 99%

See 2 more Smart Citations

Debunking the Myth: What You Really Need to Know about Clothing, Electronic Devices, and Surgical Site Infection

Svetanoff

Dekonenko

Briggs

et al. 2021

Journal of the American College of Surgeons

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Section: Analysis Corpmentioning

confidence: 99%

Section: Analysis Corpmentioning

confidence: 99%

Section: Analysis Corpmentioning

confidence: 99%

See 1 more Smart Citation

Debunking the Myth: What You Really Need to Know about Clothing, Electronic Devices, and Surgical Site Infection

Svetanoff

Dekonenko

Briggs

et al. 2021

Journal of the American College of Surgeons

View full text Add to dashboard Cite

“…Glove change when draping the patient and before handling the generator may reduce risk for infection, although large-scale randomized clinical trials are lacking. 20 There is some support that bacterial glove contamination before handling the generator is common 66 and that double-gloving reduces the rate of inner glove perforation, but it is unclear whether microbial transmission and the rate of post-operative infectious complications are reduced. Non-powdered gloves may reduce the risk of infection by reducing local inflammation.…”

Section: Preventionmentioning

confidence: 99%

Prevention of cardiac implantable electronic device infections: guidelines and conventional prophylaxis

Blomström‐Lundqvist

Ostrowska

2021

EP Europace

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Cardiac implantable electronic devices (CIED) are potentially life-saving treatments for several cardiac conditions, but are not without risk. Despite dissemination of recommended strategies for prevention of device infections, such as administration of antibiotics before implantation, infection rates continue to rise resulting in escalating health care costs. New trials conveying important steps for better prevention of device infection and an EHRA consensus paper were recently published. This document will review the role of various preventive measures for CIED infection, emphasizing the importance of adhering to published recommendations. The document aims to provide guidance on how to prevent CIED infections in clinical practice by considering modifiable and non-modifiable risk factors that may be present pre-, peri-, and/or post-procedure.

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“…In addition, the heart pacemaker battery is not suitable for the human body because it may interact with human blood. 11 If the batteries are put into the man, the battery leak can contact the blood, which can trigger a toxic problem and death.…”

Section: Introductionmentioning

confidence: 99%

Design and analysis of batteryless cardiac pacemaker through combining thermoelectric generators along with DC‐DC converter

Shwetha¹,

Lakshmi

2021

Int Trans Electr Energ Syst

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Implantable cardiac pacemakers are equipped with batteries to provide power supply that have a limited lifetime. Battery-based implantable cardiac pacemakers need surgical intervention to replace batteries. This is an undesirable condition that can increase the risk of complications and costs for patients. To overcome the above shortcomings, a batteryless cardiac pacemaker is introduced, which harvests energy from the body temperature. In this article, a batteryless cardiac pacemaker is designed, which is powered by sustainable energy sources. Hence, thermoelectric generators (TEGs) are considered the sustainable renewable energy source that powers up cardiac pacemakers with effective reduction in dimension without limiting the capacity. Then, power electronic converters adapted with TEGs has enhanced the ability of controlling environmental conditions as well as maximizing energy harvesting. Therefore, a DC-DC converter is designed with TEG to solve environmental conditions issues of TEG. In this proposed methodology, a TEG with three different types of DC-DC converters is designed and validated to analyze the performance of converters such as boost converter, buck converter, and buckboost converter. The proposed design was analyzed based on a case example and simulated using Cadence Capture CIS. Finally, a prototype of our design was developed to evaluate the experimental outcome. Four modules are designed and validated: general pacemaker, TEG with pacemaker, TEG with boost converter, TEG with buck converter, and TEG with buck-boost List of Symbols and Abbreviations: ρ, density; Q, heat flux; Q, volumetric heat; C P , specific heat at consonant pressure; j !

show abstract

Risk factors of cardiac device infection: Glove contamination during device procedures

Cited by 12 publications

References 18 publications

Debunking the Myth: What You Really Need to Know about Clothing, Electronic Devices, and Surgical Site Infection

Debunking the Myth: What You Really Need to Know about Clothing, Electronic Devices, and Surgical Site Infection

Prevention of cardiac implantable electronic device infections: guidelines and conventional prophylaxis

Design and analysis of batteryless cardiac pacemaker through combining thermoelectric generators along with DC‐DC converter

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