Arrhythmias & electrophysiologyCohort study

Use of a taurolidine containing antimicrobial wash to reduce cardiac implantable electronic device infection

EuropacePublished

  • Prospective observational study
  • historical control
  • single-centre

Patients with >1 procedure censored for the last treatment group and reassigned at the next procedure

Authors' conclusion

TauroPace is safe but more effective than H2O2 in reducing CIED infection.

Study context

Population
Patients undergoing invasive cardiac implantable electronic device (CIED) procedures, 1 January 2017 to 28 February 2022
Exposure
TauroPace vs 3% H2O2 antimicrobial wash
  • TauroPacen = 654 procedures on 631 patients
  • H2O2n = 551 procedures on 532 patientsreference
Outcome
Major CIED infection
Follow-up
Within 3 months

Main finding

As reported in the abstract

CIED infection

P = 0.0075

Observational data: associations, not effects.

Secondary outcomes

Death · till end of follow-up

P = 0.33

Baseline risk factors for infection

More patient risk factors in TauroPace than H2O2
P = 0.0058
Similar device and procedure-specific risk factors
P = 0.17

Safety

Non-infection related adverse events

P = 0.0802

Original publication

Use of a taurolidine containing antimicrobial wash to reduce cardiac implantable electronic device infection. Europace. Published 13 October 2023. doi:10.1093/europace/euad306

Summarised from the published abstract; every number is checked against it