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Ventricular assist device-related infections and solid organ transplantation-Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice.
Clin Transplant. 2019 09; 33(9):e13552.CT

Abstract

The Infectious Diseases Community of Practice of the American Society of Transplantation has published evidenced-based guidelines on the prevention and management of infectious complications in SOT recipients since 2004. This updated guideline reviews the epidemiology of ventricular assist device (VAD) infections and provides recommendations for the management and prevention of these infections. Almost one half of those awaiting heart transplantation are supported with VADs. Despite advances in device technologies, VAD infections commonly complicate mechanical circulatory support and remain typified by common components and anatomic locations. These infections have important implications for transplant candidates, most notably increased wait-list mortality. Strategic management of these infections is crucial for successful transplantation. Coincidentally, explantation of all VAD components at the time of transplantation is often the definitive cure for the device-associated infection. Highlighted in this updated guideline is the reported success of transplantation in patients with a variety of pre-existing VAD infections and guidance on post-transplant management strategies.

Authors+Show Affiliations

Department of Infectious Diseases, Lerner College of Medicine, Case Western Reserve University, Cleveland, Ohio. Transplant Infectious Diseases, Transplant Center, Cleveland Clinic Foundation, Cleveland, Ohio.Medicine and Surgery, Divisions of Infectious Diseases and Organ Transplantation, Northwestern University Feinberg School of Medicine, Chicago, Illinois.No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30924952

Citation

Koval, Christine E., et al. "Ventricular Assist Device-related Infections and Solid Organ transplantation-Guidelines From the American Society of Transplantation Infectious Diseases Community of Practice." Clinical Transplantation, vol. 33, no. 9, 2019, pp. e13552.
Koval CE, Stosor V, AST ID Community of Practice. Ventricular assist device-related infections and solid organ transplantation-Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice. Clin Transplant. 2019;33(9):e13552.
Koval, C. E., & Stosor, V. (2019). Ventricular assist device-related infections and solid organ transplantation-Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice. Clinical Transplantation, 33(9), e13552. https://doi.org/10.1111/ctr.13552
Koval CE, Stosor V, AST ID Community of Practice. Ventricular Assist Device-related Infections and Solid Organ transplantation-Guidelines From the American Society of Transplantation Infectious Diseases Community of Practice. Clin Transplant. 2019;33(9):e13552. PubMed PMID: 30924952.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Ventricular assist device-related infections and solid organ transplantation-Guidelines from the American Society of Transplantation Infectious Diseases Community of Practice. AU - Koval,Christine E, AU - Stosor,Valentina, AU - ,, Y1 - 2019/04/29/ PY - 2019/02/10/received PY - 2019/03/20/revised PY - 2019/03/22/accepted PY - 2019/3/30/pubmed PY - 2020/10/2/medline PY - 2019/3/30/entrez KW - bacteremia KW - device infection KW - driveline infection KW - ventricular assist device SP - e13552 EP - e13552 JF - Clinical transplantation JO - Clin Transplant VL - 33 IS - 9 N2 - The Infectious Diseases Community of Practice of the American Society of Transplantation has published evidenced-based guidelines on the prevention and management of infectious complications in SOT recipients since 2004. This updated guideline reviews the epidemiology of ventricular assist device (VAD) infections and provides recommendations for the management and prevention of these infections. Almost one half of those awaiting heart transplantation are supported with VADs. Despite advances in device technologies, VAD infections commonly complicate mechanical circulatory support and remain typified by common components and anatomic locations. These infections have important implications for transplant candidates, most notably increased wait-list mortality. Strategic management of these infections is crucial for successful transplantation. Coincidentally, explantation of all VAD components at the time of transplantation is often the definitive cure for the device-associated infection. Highlighted in this updated guideline is the reported success of transplantation in patients with a variety of pre-existing VAD infections and guidance on post-transplant management strategies. SN - 1399-0012 UR - https://www.unboundmedicine.com/medline/citation/30924952/Ventricular_assist_device_related_infections_and_solid_organ_transplantation_Guidelines_from_the_American_Society_of_Transplantation_Infectious_Diseases_Community_of_Practice_ L2 - https://doi.org/10.1111/ctr.13552 DB - PRIME DP - Unbound Medicine ER -