Table 2

Differences between infections after initial implantation and repeat reoperation

Initial implantation (n=178)Reoperation (n=254)P values
Localised pocket infection87 (48.9 %)178 (70.1 %)<0.001
Lead-associated endocarditis92 (51.7 %)120 (47.3 %)0.363
Cryptogenic blood stream infection46 (25.8 %)61 (24 %)0.734
Total number of leads in place (SD)2.0±0.62.5±0.9<0.001
Median implant duration (IQR)21.1 (2.9, 47.2)71 (32.5, 113.2)<0.001
Median time from last procedure until infection (IQR)8.9 (0.9, 33.3)19.5 (1.1, 62.9)<0.0001
Excision requiring laser sheath47 (26.4 %)166 (65.6 %)<0.001
Fever >38°C89 (50 %)115 (45.3 %)0.378
New moderate or severe valve regurgitation33 (19.5 %)29 (12.3 %)0.05
Sepsis55 (30.9 %)49 (19.3 %)0.006
Pain at pocket site58 (32.6 %)125 (49.2 %)0.001
Warmth at pocket site45 (25.3 %)91 (35.8 %)0.021
Pus from pocket site35 (19.7 %)80 (31.5 %)0.008
Drainage from pocket49 (27.5 %)100 (39.4 %)0.013
Skin ulceration at pocket site17 (9.6 %)36 (14.2 %)0.18
Skin erosion at pocket site29 (16.3 %)61 (24 %)0.055
Metastatic foci of infection30 (16.9 %)22 (8.7 %)0.016
Stigmata of endocarditis4 (2.2 %)11 (4.3 %)0.295
Mean C-reactive protein, mg/dL (SD)28.3±37.0635.8±39.40.1
Mean erythrocyte sedimentation rate, mm/hour (SD)41.8±34.134.7±28.00.42
Mean leucocyte count (×10^9L) (SD)10.5±5.19.5±5.40.025