文章基本信息

标题：The Importance of the Management of Infectious Complications for Patients with Left Ventricular Assist Device
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作者：Michinari Hieda ; Makoto Sata
期刊名称：Healthcare
电子版ISSN：2227-9032
出版年度：2015
卷号：3
期号：3
页码：750-756
DOI：10.3390/healthcare3030750
语种：English
出版社：MDPI Publishing
摘要：A left ventricular assist device (LVAD) therapy is the viable option for patients with advanced heart failure as a bridge to transplantation, bridge to recovery, or destination therapy. Although application of LVAD support has become a standard option, serious complications or adverse events related with LVAD remain a concern. LVAD-related infection including driveline infection (DLI) and bloodstream infection (BSI) is one of the serious clinical matters for LVAD patients, and especially BSI leads to the high incidence of mortality. The LVAD-related infections negatively impact patient’s quality of life. Therefore, control of infection is one of the primary goals of management in LVAD patients. Several efforts including early and appropriate intervention including antibiotics and wound care may contribute to avert the progress into BSI from localized DLI. Particularly, there are clinical secrets in how to use antibiotics and how to treat wound care in LVAD patients. The rational way of thinking for wound care will be introduced in this review.
关键词：Left Ventricular Assist Device; LVAD; drive-line infection; DLI; bloodstream infection; BSI Left Ventricular Assist Device ; LVAD ; drive-line infection ; DLI ; bloodstream infection ; BSI