Academic Journal
Reuse of Internal Pulse Generator in Cases of Infection after Deep Brain Stimulation Surgery
| Title: | Reuse of Internal Pulse Generator in Cases of Infection after Deep Brain Stimulation Surgery |
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| Authors: | Selcuk Gocmen, Ozkan Celiker, Abdullah Topcu, Aikaterini Panteli, Goksemin Acar, Feridun Acar |
| Source: | Stereotactic and Functional Neurosurgery. 92:140-144 |
| Publisher Information: | S. Karger AG, 2014. |
| Publication Year: | 2014 |
| Subject Terms: | Male, retrospective study, Deep Brain Stimulation, reimplantation, Generator, recycling, ethylene oxide, 0302 clinical medicine, data base, device infection, middle aged, cost, Deep brain stimulation, antibiotic therapy, antibiotic agent, prevention and control, computer, Aged, Deep Brain Stimulation/adverse effects/*instrumentation, Electrodes, Implanted/adverse effects/*microbiology, Equipment Contamination/prevention & control, Equipment Reuse/standards, Female, Follow-Up Studies, Humans, Middle Aged, Movement Disorders/diagnosis/*therapy, Retrospective Studies, Staphylococcal Infections/*diagnosis/*etiology, instrument sterilization, clinical article, Movement Disorders, adult, article, health care cost, Staphylococcal Infections, Electrodes, Implanted, 3. Good health, aged, female, standards, Infection, motor dysfunction, pulse generator, water, infection rate, Article, 03 medical and health sciences, Hardware, electrode implant, male, medical device contamination, Equipment Reuse, follow up, human, Electrodes, device removal, cost control, nonhuman, medical device complication, temperature, economic aspect, major clinical study, incidence, Equipment Contamination, brain depth stimulation, internal pulse generator |
| Description: | Background: Hardware-related infection after deep brain stimulation (DBS) is one of the most serious complications and may need additional interventions. Objectives: To reuse the internal pulse generator (IPG) after DBS infection and to reduce the economic costs. Methods: A database of 102 patients who underwent DBS surgery was used in the study. The incidence, clinical characteristics and management of infections while reusing the IPG after DBS-related infection were analyzed and reported. Results: The overall infection rate was 5.9% (6 of 102 patients). Management consisted of total hardware removal followed by intravenous antibiotics. The IPG was at first kept in a solution, then rinsed with water and dried following sterilization with ethylene oxide gas at 38°C for 18 h. When the treatment of the infection was finished, we reused the IPG and reimplanted the DBS. No hardware-related infection or other complications were observed after reimplantation. Conclusions: Management of hardware-related infections can be challenging. The medical and economic costs associated with these infections are enormous. The IPG can often be saved in infected patients. Thus, a significant cost burden is eliminated. Properly executed, reuse of IPG should markedly reduce the costs of these devices. |
| Document Type: | Article |
| Language: | English |
| ISSN: | 1423-0372 1011-6125 |
| DOI: | 10.1159/000360585 |
| Access URL: | https://pubmed.ncbi.nlm.nih.gov/24776691 https://pubmed.ncbi.nlm.nih.gov/24776691/ http://europepmc.org/abstract/MED/24776691 https://www.ncbi.nlm.nih.gov/pubmed/24776691 https://hdl.handle.net/11499/7699 https://doi.org/10.1159/000360585 http://acikerisim.pau.edu.tr:8080/xmlui/handle/11499/7699 |
| Rights: | URL: https://www.karger.com/Services/SiteLicenses |
| Accession Number: | edsair.doi.dedup.....6e4de87ec042165a2930d334e0e5780a |
| Database: | OpenAIRE |
| ISSN: | 14230372 10116125 |
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| DOI: | 10.1159/000360585 |