A meta-analysis on the role of sonication in the diagnosis of cardiac implantable electronic device-related infections.
| العنوان: | A meta-analysis on the role of sonication in the diagnosis of cardiac implantable electronic device-related infections. |
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| المؤلفون: | Araújo D; Escola Superior de Saúde, Instituto Politécnico do Porto, Rua Dr. António Bernardino de Almeida, Porto, Portugal., Martins JP; Escola Superior de Saúde, Instituto Politécnico do Porto, Rua Dr. António Bernardino de Almeida, Porto, Portugal.; CEAUL- Centro de Estatística e Aplicações, Faculdade de Ciências, Universidade de Lisboa, Campo Grande, Lisbon, Portugal.; CHUdSA - Centro Hospitalar Universitário de Santo António, Porto, Portugal., Ferreira SL; Escola Superior de Saúde, Instituto Politécnico do Porto, Rua Dr. António Bernardino de Almeida, Porto, Portugal.; REQUIMTE/LAQV, Escola Superior de Saúde, Instituto Politécnico do Porto, Rua Dr. António Bernardino de Almeida, Porto, Portugal., Mota S; Escola Superior de Saúde, Instituto Politécnico do Porto, Rua Dr. António Bernardino de Almeida, Porto, Portugal.; Faculty of Economics, University of Coimbra, Coimbra, Portugal., Ferreira PL; CHUdSA - Centro Hospitalar Universitário de Santo António, Porto, Portugal.; Centre for Health Studies and Research of University of Coimbra, Centre for Innovative Biomedicine and Biotechnology, Avenida Dias da Silva, Coimbra, Portugal., Pimenta R; Escola Superior de Saúde, Instituto Politécnico do Porto, Rua Dr. António Bernardino de Almeida, Porto, Portugal.; CHUdSA - Centro Hospitalar Universitário de Santo António, Porto, Portugal. |
| المصدر: | Frontiers in microbiology [Front Microbiol] 2024 Mar 15; Vol. 15, pp. 1361626. Date of Electronic Publication: 2024 Mar 15 (Print Publication: 2024). |
| نوع المنشور: | Systematic Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Frontiers Research Foundation Country of Publication: Switzerland NLM ID: 101548977 Publication Model: eCollection Cited Medium: Print ISSN: 1664-302X (Print) Linking ISSN: 1664302X NLM ISO Abbreviation: Front Microbiol Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Lausanne : Frontiers Research Foundation |
| مستخلص: | Introduction: One of the biggest obstacles in diagnosing Implant-Associated Infections is the lack of infection criteria and standardized diagnostic methods. These infections present a wide range of symptoms, and their diagnosis can be hampered by the formation of microbial biofilms on the surface of implants. This study aimed to provide insight into the performance of sonication in the diagnosis of infections associated with Cardiac Implantable Electronic Devices, to help define a consensus on the algorithm for the microbial diagnosis of these infections. Methods: We carried out a systematic review with meta-analysis. The PRISMA methodology guidelines were followed, and an advanced search was carried out in PubMed and Web of Science, which enabled 8 articles to be included in the review, in which a meta-analysis was also carried out. QUADAS-2 was used to assess the risk of bias and effect measures were calculated to assess publication bias. Results: The overall sensitivity of the method was 0.823 (95% CI: 0.682-0.910) and the specificity was 0.632 (95% CI: 0.506-0.743). Discussion: These results suggest that sonication may offer advantages in diagnosing these infections. However, it is essential to approach these findings carefully and take into account the recommendations provided in the EHRA 2019 guidelines. This study highlights the importance of more effective diagnostic approaches for implantable medical device-associated infections to improve the quality of treatment and minimize the risks associated with these challenging medical conditions. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2024 Araújo, Martins, Ferreira, Mota, Ferreira and Pimenta.) |
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| فهرسة مساهمة: | Keywords: biofilms; cardiac implantable electronic devices; implant associated infections; meta-analysis; microbiological diagnosis; sonication; systematic review |
| تواريخ الأحداث: | Date Created: 20240401 Latest Revision: 20240403 |
| رمز التحديث: | 20240403 |
| مُعرف محوري في PubMed: | PMC10978762 |
| DOI: | 10.3389/fmicb.2024.1361626 |
| PMID: | 38559357 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1664-302X |
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| DOI: | 10.3389/fmicb.2024.1361626 |