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Infectious Diseases Update on IMACS

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Margaret M. Hannan, MD
Mater Hospital
Dublin, Ireland

The ISHLT registry for Mechanically Assisted Circulatory Support (IMACS) is an international registry intended to enroll and follow patients with MCS devices. The registry will record pre-implant patient information, device information and will track the major post implant clinical events.

The IMACS registry continues to grow and expand across Europe, South America, Asia, Australasia, and the Middle East.

IMACS currently has forty-five hospitals and four collectives that have expressed interest in participating and submitting data to the registry. Twenty-two of these hospitals have moved forward with the enrollment process and 5 hospitals are enrolled. IMACS strongly encourages the ISHLT community to continue to spread the word not just through cardiothoracic transplant community but through ID and other specialist networks across the world.

The ID council continues to work with the IMACS registry to streamline the variables collected and develop a support structure for monitoring and validating these variables. The IMACS registry will provide a framework for comparing the effectiveness of different antibiotic prophylaxis regimens, examine different types and locations of infection using the new ISHLT definitions, and compare the clinical outcomes with different antibiotics used in the treatment of these difficult and complex infections.

The ID council continues to promote the enrollment of new hospitals in new countries through already established academic ID networks sharing experience and expertise in cardiovascular infections including the International Collaboration on Endocarditis.

Requirements for enrollment can be found on the IMACS website under the Site Enrollment section - http://www.ishlt.org/registries/siteEnrollment.asp. First, if a hospital or collective is interested in registration and enrollment in IMACS, they should complete an IMACS Registry Institutional Enrollment Form and submit it via email to IMACS@uab.edu. Next, an IMACS staff member will contact the interested site to continue the enrollment process. In order to be enrolled in IMACS, the following items or forms will be requested:

  1. IMACS Registry Institutional Enrollment Form
  2. International Society for Heart and Lung Transplantation Registry for Mechanically Assisted Circulatory Support (IMACS) Memorandum of Agreement
  3. Human Subjects Research certification (Ethics Board, Institutional Review Board, etc.)
  4. Completed Training - At least one IMACS staff member at the institution must complete the IMACS training process. A live web-based data entry training session will be scheduled with the designated staff member at each institution. This training will be conducted in English.

Each item or form will need to be completed satisfactorily before a hospital or collective is officially enrolled in IMACS. Once a hospital is enrolled, they will be sent a user name and password is sent to begin entering data into the IMACS Registry.

Friendly IMACS staff members are available to answer all questions or inquiries regarding the registry. Please send an email to IMACS@uab.edu.

Disclosure Statement: The author has no conflicts of interest to disclose

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