Sustained bacteremia in patients with a permanent endocardial pacemaker: assessment of wire removal. Clin Infect Dis. 1993;17:46 55. 34. Klug D, Lacroix D, Savoye C, Goullard L, Grandmougin D, Hennequin JL, Kacet S, Lekieffre J. Systemic infection related to endocarditis on pacemaker leads: clinical presentation and management. Circulation. 1997;95:2098 2107. 35. Da Costa A, Leli vre H, Kirkorian G, C lard M, Chevalier P, Vandenesch F, Etienne J, Touboul P. Role of the preaxillary flora in pacemaker infections: a prospective study. Circulation. 1998;97: 1791 1795. 36. Fu EY, Shepard RK. Permanent pacemaker infections. Card Electrophysiol Rev. 1999;3:39 41. 37. Chua JD, Wilkoff BL, Lee I, Juratli N, Longworth DL, Gordon SM. Diagnosis and management of infections involving implantable electro- physiologic cardiac devices. Ann Intern Med. 2000;133:604 608. 38. Sohail MR, Uslan DZ, Khan AH, Friedman PA, Hayes DL, Wilson WR, Steckelberg JM, Stoner S, Baddour LM. Management and outcome of permanent and implantable cardioverter-defibrillator infections. J Am Coll Cardiol. 2007;49:1851 1859. 39. Villamil Cajoto I, Rodr guez Framil M, Van den Eynde Collado A, Jos Villaci n Vicedo M, Canedo Romero C. Permanent transvenous pacemaker infections: an analysis of 59 cases. Eur J Intern Med. 2007; 18:484 488. 40. del Rio A, Anguera I, Mir JM, Mont L, Fowler VG Jr, Azqueta M, Mestres CA; Hospital Clinic Endocarditis Study Group. Surgical treatment of pacemaker and defibrillator lead endocarditis: the impact of electrode lead extraction on outcome. Chest. 2003;124:1451 1459. 41. Kloos WE, Bannermann TL. Update on the clinical significance of coagulase-negative staphylococci. Clin Microbiol Rev. 1994;7:117 140. 42. Cacoub P, Leprince P, Nataf P, Hausfater P, Dorent R, Wechsler B, Bors V, Pavie A, Piette JC, Gandjbakhch I. Pacemaker infective endocarditis. Am J Cardiol. 1998;82:480 484. 43. Chacko ST, Chandy ST, Abraham OC, Swaminathan S, Varghese GM, Priscilla R, Mathai. 