April 20, 2004
HOUSTON, TX - According to an April 1, 2004 review in the New England Journal of Medicine by Michael E. DeBakey VA Medical Center (MEDVAMC) physician Rabih O. Darouiche, M.D., about half of the two million cases of nosocomial infection that occur each year in the United States are associated with medical devices. Veterans, who tend to be older and receive more devices than the general population, are particularly predisposed to develop device-associated infections. Although less common than infections related to catheters, infections associated with surgical implants are generally more difficult to manage because they require a longer period of antibiotic therapy and often repeated surgical procedures to remove the infected implant and insert new implant.
Darouiche, a staff physician in the Medical Care and Spinal Cord Injury Care Lines at the MEDVAMC, is also the founder and director of the Center for Prostheses Infection of Baylor College of Medicine. He is board certified in internal medicine, infectious disease, and spinal cord injury medicine.
The article by Darouiche reviews the clinical and economic effects, diagnostic dilemmas, and principles of medical and surgical treatment of infections associated with surgical implants. He also analyzes implant-specific therapeutic approaches including those used in prosthetic heart valves, vascular grafts, pacemaker-defibrillator systems, joint prostheses, fracture-fixation devices, ventricular shunts, mammary implants, and penile prostheses.
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Point of Contact: VHAHOU Public Affairs04/20/04 14:59