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Healthcare 2015, 3(3), 750-756; doi:10.3390/healthcare3030750

The Importance of the Management of Infectious Complications for Patients with Left Ventricular Assist Device

1
Departments of Transplantation, National Cerebral and Cardiovascular Center, Osaka 565-0873, Japan
2
Pulmonology and Infection Control, National Cerebral and Cardiovascular Center, Osaka 565-0873, Japan
*
Author to whom correspondence should be addressed.
Academic Editor: Zena Moore
Received: 1 May 2015 / Revised: 31 July 2015 / Accepted: 18 August 2015 / Published: 26 August 2015
(This article belongs to the Special Issue Wound Care)
View Full-Text   |   Download PDF [74 KB, uploaded 26 August 2015]

Abstract

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. View Full-Text
Keywords: Left Ventricular Assist Device; LVAD; drive-line infection; DLI; bloodstream infection; BSI Left Ventricular Assist Device; LVAD; drive-line infection; DLI; bloodstream infection; BSI
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Hieda, M.; Sata, M.; Nakatani, T. The Importance of the Management of Infectious Complications for Patients with Left Ventricular Assist Device. Healthcare 2015, 3, 750-756.

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