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Bloodstream infections in prolonged use of axillary-placed, intra-aortic balloon-pump support: A single-center study

Published online by Cambridge University Press:  10 November 2023

Diane Dreucean
Affiliation:
Department of Pharmacy, Houston Methodist Hospital, Houston, Texas
Kevin R. Donahue
Affiliation:
Department of Pharmacy, Houston Methodist Hospital, Houston, Texas
Celia Morton
Affiliation:
Department of Pharmacy, Houston Methodist Hospital, Houston, Texas
Luma Succar
Affiliation:
Department of Pharmacy, Houston Methodist Hospital, Houston, Texas
Jill Krisl
Affiliation:
Department of Pharmacy, Houston Methodist Hospital, Houston, Texas
Tanushree Agrawal
Affiliation:
Methodist DeBakey Heart and Vascular Center, Houston Methodist Hospital, Houston, Texas
Katherine Perez
Affiliation:
Department of Pharmacy, Houston Methodist Hospital, Houston, Texas
Taylor Jaramillo
Affiliation:
University of Houston College of Pharmacy, Houston, Texas
Ju Kim
Affiliation:
Methodist DeBakey Cardiology Associates, Houston Methodist Hospital, Houston, Texas
Nadia Fida
Affiliation:
Methodist DeBakey Cardiology Associates, Houston Methodist Hospital, Houston, Texas
Ashrith Guha
Affiliation:
Methodist DeBakey Cardiology Associates, Houston Methodist Hospital, Houston, Texas
Mahwash Kassi
Affiliation:
Methodist DeBakey Cardiology Associates, Houston Methodist Hospital, Houston, Texas
Rayan Yousefzai
Affiliation:
Methodist DeBakey Cardiology Associates, Houston Methodist Hospital, Houston, Texas
Imad Hussain
Affiliation:
Methodist DeBakey Cardiology Associates, Houston Methodist Hospital, Houston, Texas
Kevin Grimes
Affiliation:
Infectious Diseases, Houston Methodist Academic Medicine Associates, Houston Methodist Hospital, Houston, Texas
Arvind Bhimaraj*
Affiliation:
Methodist DeBakey Cardiology Associates, Houston Methodist Hospital, Houston, Texas
*
Corresponding author: Arvind Bhimaraj; Email: abhimaraj@houstonmethodist.org

Abstract

Infections from prolonged use of axillary intra-aortic balloon pumps (IABPs) have not been well studied. Bloodstream infection (BSI) occurred in 13% of our patients; however, no difference in outcome was noted between those with BSI and those without. Further studies regarding protocol developments that minimize BSI risk are needed.

Type
Concise Communication
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of The Society for Healthcare Epidemiology of America

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Footnotes

a

Authors of equal contribution.

References

Bhimaraj, A, Agrawal, T, Duran, A, et al. Percutaneous left axillary artery placement of intra-aortic balloon pump in advanced heart failure patients. JACC Heart Fail 2020;8:313323.CrossRefGoogle ScholarPubMed
Cheng, R, Tank, R, Ramzy, D, et al. Clinical outcomes of impella microaxial devices used to salvage cardiogenic shock as a bridge to durable circulatory support or cardiac transplantation. ASAIO J 2019;65:642648.CrossRefGoogle ScholarPubMed
Aslam, S, Xie, R, Cowger, J, et al. Bloodstream infections in mechanical circulatory support device recipients in the International Society of Heart and Lung Transplantation Mechanically Assisted Circulation Support Registry: epidemiology, risk factors, and mortality. J Heart Lung Transplant 2018;37:10131020.CrossRefGoogle ScholarPubMed
Hannan, MM, Xie, R, Cowger, J, et al. Epidemiology of infection in mechanical circulatory support: a global analysis from the ISHLT Mechanically Assisted Circulatory Support Registry. J Heart Lung Transplant 2019;38:364373.CrossRefGoogle ScholarPubMed
Kyvernitakis, A, Pappas, O, Farmakiotis, D, et al. Bloodstream infections in continuous-flow left-ventricular-assist-device recipients: diagnostic and clinical implications. ASAIO J 2019;65:798805.CrossRefGoogle ScholarPubMed
Kusne, S, Mooney, M, Danziger-Isakov, L, et al. An ISHLT consensus document for prevention and management strategies for mechanical circulatory support infection. J Heart Lung Transplant 2017;36:11371153.CrossRefGoogle ScholarPubMed
Biffi, S, Di Bella, S, Scaravilli, V, et al. Infections during extracorporeal membrane oxygenation: epidemiology, risk factors, pathogenesis and prevention. Int J Antimicrob Agents 2017;50:916.CrossRefGoogle Scholar
Dudeck, MA, Edwards, JR, Allen-Bridson, K, et al. National Healthcare Safety Network report, data summary for 2013, device-associated module. Am J Infect Control 2015;43:206221.CrossRefGoogle ScholarPubMed