Risk Factors of Klug et al for Infection of an Implanted Cardioverter-Defibrillator (ICD) or Pacemaker

 

Factors associated with an increased risk of infection:

(1) fever <= 24 hours prior to the procedure

(2) presence of a temporary pacing wire prior to the procedure

(3) early reintervention to correct a problem (hematoma, lead dislodgement, etc)

 

Factors associated with a decreased risk of infection:

(1) de novo implantation

(2) appropriate antibiotic prophylaxis prior to the procedure

 

where:

• About 30% of the patients had the procedure to replace a pulse generator or lead. The other 70% were de novo.

• An early reintervention was one done before the patient was discharged from the hospital after the procedure.