Infectious diseases and infection control prevention strategies in adult and pediatric population on ECMO

Author:

Vazquez-Colon Zasha1ORCID,Marcus Joseph E.23ORCID,Levy Emily4ORCID,Shah Aditya5,MacLaren Graeme67,Peek Giles8

Affiliation:

1. Congenital Heart Center, Department of Pediatrics, University of Florida, Gainesville, FL, USA

2. Infectious Diseases Services, Department of Medicine, Brooke Army Medical Center, Joint Base San Antonio, Fort Sam Houston, TX, USA

3. Department of Medicine, Uniformed Services University, Bethesda, MD

4. Divisions of Pediatric Infectious Diseases and Pediatric Critical Care Medicine, Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, MN, USA

5. Division of Public Health, Infectious Diseases and Occupational Medicine, Mayo Clinic, Rochester, MN, USA

6. Cardiothoracic Intensive Care Unit, National University Hospital, Singapore

7. Antimicrobial Stewardship Program, Division of Infectious Diseases, Department of Medicine, National University Hospital, Singapore

8. Congenital Heart Center, Departments of Surgery and Pediatrics, University of Florida, Gainesville, FL, USA

Abstract

As survival after ECMO improves and use of ECMO support increases in both pediatric and adult population, there is a need to focus on both the morbidities and complications associated with ECMO and how to manage and prevent them. Infectious complications during ECMO often have a significant clinical impact, resulting in increased morbidity or mortality irrespective of the underlying etiology necessitating cardiorespiratory support. In this review article, we discuss the prevention, management, challenges, and differences of infectious complications in adult and pediatric patients receiving ECMO support.

Publisher

SAGE Publications

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