Management to prevent infection of clinical VAD cases

Abstract

In our clinical 15 cases of ventricular assist device (VAD), inflammatory changes, bacterial examination and time of operations were evaluated.
No severe infection and deteced bacteria during VAD pumping, but inflammatory changes had given worse and bacteria was detected aftre weaning VAD. Management to prevent infection have to be made exhausively, not only during VAD pumping, but also after weaning VAD.
Detected bacteria had poor poison, and this was thought to be caused by opportunistic infection. A kind, dose and period of antibiotics must be chosen adequately.
The worse of inflammatory changes and positive percentage of bacteria were proportionated by time of operations, in order to decrease infection, re-operation have to be reduced, as rare as possible.