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.
Keywords:
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COMMENTS
Article info
Publication history
Accepted:
October 24,
2016
Received in revised form:
October 13,
2016
Received:
August 1,
2016
Footnotes
For more information on author guidelines, an explanation of our peer review process, and conflict of interest informed consent policies, please go to http://www.wiley.com/WileyCDA/Section/id-301854.html
[Correction added on 13 January 2017, after first online publication: the fifth author’s name has been corrected from “Simon D. Thomson” to “Simon J. Thomson”.]
Identification
Copyright
© 2017 International Neuromodulation Society. Published by Elsevier Inc. All rights reserved.
