prikaz prve stranice dokumenta Enterobacter cloacae septicemia in a triple-cannula extracorporeal membrane oxygenation circulatory support treated with Seraph-100 Microbind affinity blood filter
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Enterobacter cloacae septicemia in a triple-cannula extracorporeal membrane oxygenation circulatory support treated with Seraph-100 Microbind affinity blood filter
Croatian Medical Journal, 64 (2023), 4; 284-288. https://doi.org/10.3325/cmj.2023.64.284
Pavlov, Marin; Bodrožić Džakić Poljak, Tomislava; Pavlović, Nikola; Šestan Crnek, Sandra; Barić, Davor; Rudež, Igor

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Pavlov, M., Bodrožić Džakić Poljak, T., Pavlović, N., Šestan Crnek, S., Barić, D. i Rudež, I. (2023). Enterobacter cloacae septicemia in a triple-cannula extracorporeal membrane oxygenation circulatory support treated with Seraph-100 Microbind affinity blood filter. Croatian Medical Journal, 64. (4), 284-288. doi: 10.3325/cmj.2023.64.284

Pavlov, Marin, et al. "Enterobacter cloacae septicemia in a triple-cannula extracorporeal membrane oxygenation circulatory support treated with Seraph-100 Microbind affinity blood filter." Croatian Medical Journal, vol. 64, br. 4, 2023, str. 284-288. https://doi.org/10.3325/cmj.2023.64.284

Pavlov, Marin, Tomislava Bodrožić Džakić Poljak, Nikola Pavlović, Sandra Šestan Crnek, Davor Barić i Igor Rudež. "Enterobacter cloacae septicemia in a triple-cannula extracorporeal membrane oxygenation circulatory support treated with Seraph-100 Microbind affinity blood filter." Croatian Medical Journal 64, br. 4 (2023): 284-288. https://doi.org/10.3325/cmj.2023.64.284

Pavlov, M., et al. (2023) 'Enterobacter cloacae septicemia in a triple-cannula extracorporeal membrane oxygenation circulatory support treated with Seraph-100 Microbind affinity blood filter', Croatian Medical Journal, 64(4), str. 284-288. doi: 10.3325/cmj.2023.64.284

Pavlov M, Bodrožić Džakić Poljak T, Pavlović N, Šestan Crnek S, Barić D, Rudež I. Enterobacter cloacae septicemia in a triple-cannula extracorporeal membrane oxygenation circulatory support treated with Seraph-100 Microbind affinity blood filter. Croatian Medical Journal [Internet]. 2023. [pristupljeno 01.05.2024.];64(4):284-288. doi: 10.3325/cmj.2023.64.284

M. Pavlov, T. Bodrožić Džakić Poljak, N. Pavlović, S. Šestan Crnek, D. Barić i I. Rudež, "Enterobacter cloacae septicemia in a triple-cannula extracorporeal membrane oxygenation circulatory support treated with Seraph-100 Microbind affinity blood filter", Croatian Medical Journal, vol. 64, br. 4, str. 284-288, 2023. [Online]. Dostupno na: https://urn.nsk.hr/urn:nbn:hr:105:707139. [Citirano: 01.05.2024.]

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Naslov (engleski)Enterobacter cloacae septicemia in a triple-cannula extracorporeal membrane oxygenation circulatory support treated with Seraph-100 Microbind affinity blood filter
AutorMarin Pavlov
AutorTomislava Bodrožić Džakić Poljak
AutorNikola Pavlović
AutorSandra Šestan Crnek
AutorDavor Barić
AutorIgor Rudež
Autorova ustanovaSveučilište u Zagrebu
Medicinski fakultet
(KATEDRA ZA KIRURGIJU)
Znanstveno / umjetničko
područje, polje i grana		BIOMEDICINA I ZDRAVSTVO
Kliničke medicinske znanosti
Kirurgija
Sažetak (engleski)
Bloodstream infections (BSI) are frequently encountered during extracorporeal membrane oxygenation (ECMO) support. Once septicemia is observed, treatment should be rapid, adequate, and multifaceted, particularly in advanced ECMO configurations. We report on a case of a 60-year-old male patient with acute-on-chronic heart failure due to ischemic cardiomyopathy. The treatment was complicated by cardiogenic shock requiring veno-arterial ECMO support, and, due to persistent pulmonary congestion, an upgrade with an additional left-atrial drainage cannula. After seven days of ECMO support, septicemia with shock ensued. Ex iuvantibus antibiotic treatment was started promptly. We wanted to minimize the likelihood of bacterial biofilm build-up requiring an exchange of the ECMO circuit and cannula, which was expected to be challenging. Therefore, we added a Seraph-100 Microbind affinity blood filter (providing blood purification with the potential for rapid bacterial clearance) to the ECMO circuit. Initial blood cultures tested positive for Enterobacter cloacae. Following a course of Seraph-100 treatment, bacteremia, septicemia, and shock resolved. There was no need for a circuit or cannula exchange. The additional eleven days of ECMO support were uneventful. The patient was successfully bridged to long-term mechanical circulatory support. We believe that the synergistic effect of early implementation of both broad-spectrum antibiotic treatment and blood purification with the potential for rapid bacterial clearance (such as the one provided with the Seraph-100 Microbind affinity blood filter) is crucial in BSI in patients receiving advanced ECMO.
Ključne riječi (engleski)
Jezikengleski
Vrsta publikacijeZnanstveni rad - Prikaz slučaja
Status objaveObjavljen
Vrsta recenzijeRecenziran
Verzija publikacijeObjavljena verzija rada (izdavačev PDF)
Naslov časopisaCroatian Medical Journal
Brojčani podacivol. 64, br. 4, str. 284-288
p-ISSN0353-9504
e-ISSN1332-8166
DOIhttps://doi.org/10.3325/cmj.2023.64.284
URN:NBNurn:nbn:hr:105:707139
Datum objave publikacije2023
URL dokumentahttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10509680/
Vrsta resursaTekst
Prava pristupaOtvoreni pristup
Uvjeti korištenjaIkona licence Imenovanje-Nekomercijalno-Dijeli pod istim uvjetima 4.0 međunarodna (CC BY-NC-SA 4.0)
Datum i vrijeme pohrane2024-04-09 09:03:15