[Evaluation of bacteremia following percutaneous coronary intervention in Rajaei hospital in 2007]

ABSTRACT

Cardiovascular disease are the most common chronic disease and the leading cause of disease related disability and fatality around the world. Among the therapeutic strategies of coronary artery disease, [CAO]. Percutaneous coronary intervention [PCI] has achieved an increasing importance. The infectious complication of PCI although uncommon, may lead to hazardous outcome. The study was done on 230 participants, with nopreprocedural infection, fever and antibiotic receipt. The PCI was done via femoral artery access. After PCI, 3 sets of blood culture were taken in eight hours time interval. Our data comprised of demographic, risk factors, procedural information and blood culture results were obtained and analysed consequently. The study demonstrated that, prevalence of bacteremia was 5.7%, although none of the patient did manifest clinical aspects of infection. Hence, the bacteremia was transient in all patients, with positive blood culture result. The most common organism was staphylococcus epidermidis [76.9%]. There was association between bacteremia and duration of procedure, type of procedure, and number of vessels on with PCI was done. Our study demonstrated that, post PCI bacteremia is clinically insignificant. According to the study result, preprocedural prophylactic antibiotic therapy is not recommended