Symptoms of pacemaker pocket infection?

summary

With the increasing incidence rate of chronic arrhythmia, more and more people are using cardiac pacemakers for 24 hours to supervise the fragile heart to prevent death caused by slow heartbeat. About 1% of the patients will be infected or injured after the permanent pacemaker is installed in clinic. The incomplete electrodes that have caused complications and clear potential risk need to be removed as soon as possible. Symptoms of pacemaker pocket infection? Let's talk about it

Symptoms of pacemaker pocket infection?

① Pacemaker pocket infection is characterized by local cellulitis, redness, swelling, exudation, incision dehiscence or pain. Pacemaker pocket infection usually coexists with icedie or iced-li.

② Nonspecific symptoms and signs of systemic infection (such as fever, chills, night sweats, discomfort and anorexia) are the only clinical manifestations of icedie / icenli. Less than 10% of patients may have septic shock. Therefore, the clinical diagnosis of iced-ie / iced-li is usually delayed. Icedie / icedli may present as secondary infection (such as spinal cord and lung infection). Duke standard is helpful for the diagnosis of icepie / icedli. Among the patients with iced device and persistent staphylococcal bloodstream infection, 30% - 45 o have iced infection. Therefore, iced patients with Staphylococcus aureus or microorganisms in multiple blood cultures should actively screen for iced infection.

Active and effective treatment can reduce the length of hospital stay, readmission rate, operation times and unnecessary antibiotic exposure. The risk of injury should be reduced as much as possible, including the risk of device removal and replacement, adverse drug reactions, long-term vascular access complications, health care related infections, colonization and infection of drug-resistant bacteria. The treatment of iced infection should be individualized, but there should be clear principles.

matters needing attention

Many patients are worried about pacemaker installation. In fact, pacemaker installation is very safe. Although many pacemaker complications and faults are listed above, the overall incidence rate is only about 1%. In patients with pacemaker implantation indications, if we can standardize the treatment and regular follow-up, then for these patients, the benefits are far greater than its disadvantages.