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Title: The Neurostimulation Appropriateness Consensus Committee (NACC) Recommendations for Infection Prevention and Management
Authors: Deer TR
Provenzano DA
Hanes M
Pope JE
Thomson S
Russo M 
McJunkin T
Saulino M
Raso LJ
Lad SP
Narouze S
Falowski S
Levy R
Baranidharan G
Golovac S
Demesmin D
Witt WO
Simpson BA
Krames E
Mekhail N
Keywords: complications
perioperative medicine
risk reduction
spinal cord stimulation
Issue Date: Jan-2017
Source: 20(1):31-50.
Abstract: Introduction: The use of neurostimulation for pain has been an established therapy for many decades and is a major tool in the arsenal to treat neuropathic pain syndromes. Level I evidence has recently been presented to substantiate the therapy, but this is balanced against the risk of complications of an interventional technique. Methods: The Neurostimulation Appropriateness Consensus Committee (NACC) of the International Neuromodulation Society convened an international panel of well published and diverse physicians to examine the best practices for infection mitigation and management in patients undergoing neurostimulation. The NACC recommendations are based on evidence scoring and peer-reviewed literature. Where evidence is lacking the panel added expert opinion to establish recommendations. Results: The NACC has made recommendations to improve care by reducing infection and managing this complication when it occurs. These evidence-based recommendations should be considered best practices in the clinical implantation of neurostimulation devices. Conclusion: Adhering to established standards can improve patient care and reduce the morbidity and mortality of infectious complications in patients receiving neurostimulation.
ISSN: 1094-7159
Appears in Collections:Scholarly and Clinical

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