Practice Variation in Infective Endocarditis Prophylaxis for Pediatric and Congenital Heart Disease Patients with Cardiac Implantable Electronic Devices: An International Survey

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Infective endocarditis is a serious complication in patients with cardiac implantable electronic devices, particularly in pediatric and congenital heart disease populations.
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Current guidelines recommend a single pre-procedural antibiotic dose for CIED implantation but do not support routine prophylaxis for most procedures.
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Pediatric and congenital heart disease patients face unique risks for infective endocarditis due to complex cardiac anatomy and prolonged device presence.
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A global survey was conducted to assess current practices in infective endocarditis prophylaxis among clinicians caring for pediatric patients with CIEDs.
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The survey aimed to identify practice patterns and clinician experiences with device-related infective endocarditis in pediatric and adult congenital heart disease.

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