Abstract
BACKGROUND: In neuromodulation therapies, hardware-related infections are a major challenge often leading to hardware removal.
OBJECTIVE: To investigate the role of adjuvant hyperbaric oxygen therapy (HBOT) in hardware-related infections.
METHODS: Fourteen hardware-related infection events in 12 consecutive patients between 2002 and 2015 were treated with antibiotics and adjuvant HBOT at the Karolinska University Hospital (Stockholm, Sweden). Two time-independent infection events related to hardware replacements occurred in 2 patients. Infection resolution and the need for hardware removal were assessed.
RESULTS: Twelve out of 14 events of hardware-related infection were successfully treated without hardware removal (86%). The 2 patients treated twice with HBOT on 2 time-independent occasions could retain their hardware in both cases. Hardware was removed following HBOT failure in 2 infection events, with long-term infection control achieved in all patients. Further, an intrathecal pump malfunction caused by HBOT at 2.8 bars was observed, leading to a change in the manufacturer's guidelines.
CONCLUSIONS: This study indicates a potential benefit of adjuvant HBOT in the treatment of hardware-related infections in neuromodulation, diminishing the need for hardware removal and treatment interruption. Prospective studies are warranted to establish the role of adjuvant HBOT in the treatment of hardware-related infections in neuromodulation.
| Original language | English |
|---|---|
| Journal | Stereotactic and Functional Neurosurgery |
| Volume | 96 |
| Issue number | 2 |
| Pages (from-to) | 100-107 |
| ISSN | 1011-6125 |
| DOIs | |
| Publication status | Published - 1 Jun 2018 |
Keywords
- Aged
- Aged, 80 and over
- Anti-Bacterial Agents/administration & dosage
- Child
- Device Removal/methods
- Female
- Follow-Up Studies
- Humans
- Hyperbaric Oxygenation/methods
- Male
- Middle Aged
- Prospective Studies
- Prosthesis-Related Infections/diagnosis
- Retrospective Studies
- Treatment Outcome
- Young Adult