Evidence map›Paper›PMID 31008922›Full record

Observational studyMedicine2019

Cardiac implantable electronic device infections: Observational data from a tertiary care center in Lebanon.

Marwan Refaat, Patrick Zakka, Maurice Khoury, Hassan Chami, Shareef Mansour, Bernard Harbieh, Bernard Abi-Saleh, Abdul Rahman Bizri

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Strategies for surface coatings of implantable cardiac medical devices.Frontiers in bioengineering and biotechnology · 2023
    Review
  4. The Gram-Negative Bacilli Isolated from Caves-International journal of environmental research and public health · 2022
    Review
  5. Article
  6. Article
  7. Observational
  8. Review
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Marwan RefaatDepartment of Internal Medicine, Division of Cardiology, American University of Beirut Medical Center, Beirut, Lebanon.
Patrick ZakkaDepartment of Internal Medicine, Emory University Hospital, Atlanta, GA, USA.
Maurice KhouryDepartment of Internal Medicine, Division of Cardiology, American University of Beirut Medical Center, Beirut, Lebanon.
Hassan ChamiDepartment of Internal Medicine, Emory University Hospital, Atlanta, GA, USA.
Shareef MansourDepartment of Internal Medicine, Division of Cardiology, American University of Beirut Medical Center, Beirut, Lebanon.
Bernard HarbiehDepartment of Internal Medicine, Division of Cardiology, Keserwan Medical Center.
Bernard Abi-SalehDepartment of Internal Medicine, Division of Cardiology, American University of Beirut Medical Center, Beirut, Lebanon.
Abdul Rahman BizriDepartment of Internal Medicine, Division of Infectious Diseases, American University of Beirut Medical Center, Lebanon.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

With increasing rates of device implantation, there is an increased recognition of device infection. We conducted a retrospective observational study in a tertiary care center in Lebanon, with data collected from medical records of patients presenting with cardiac implantable electronic device (CIED) infection from 2000 to 2017 with the purpose of identifying etiologies, risk factors and other parameters, and comparing them to available data from the rest of the world. We identified a total of 22 CIED infections. The most common microbial etiologies, including involvement in polymicrobial infection, were coagulase-negative staphylococci (45.5%) and Staphylococcus aureus (22.7%). Rare cases of Brucella melitensis, Sphingomonas paucimobilis, and Kytococcus schroeteri device infection were seen. Heart failure was seen in 77.3% of patients, hypertension in 68.2%, and chronic kidney disease in 50%. Skin changes were the most common presenting symptoms (86.4%). Antibiotics were given to all patients and all had their devices removed, with 36.4% undergoing new device implantation. This is the first study of CIED infections in Lebanon and the Middle East. Local epidemiology and occupational exposure must be considered while contemplating the microbial etiology of infection. Close monitoring after device implantation is important in preventing device infection that carries high risk of morbidity and mortality.

Indexed as

Defibrillators, ImplantablePacemaker, ArtificialAdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleHumansInfantLebanonMaleMedical RecordsMiddle AgedProsthesis-Related Infections

Identifiers

PMID31008922
PMCPMC6494368

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.