Patient with previous heartmate 3 lvad pump exchange on (b)(6) 2023 due to pseudomonas bacteremia.Admitted on (b)(6) 2023 as blood culture drawn on (b)(6) 2023 was positive for candida albicans.Id consulted who felt the picc was contaminated so picc was removed.Iv antibiotics changed to oral at time of discharge on (b)(6) 2023.Admitted on (b)(6) 2023 due to pseudomonas bacteremia.Iv antibiotics administered.Decision was made to perform another heartmate 3 lvad pump exchange as the apical sewing ring and part of the aortic graft was left in place with the last exchange.The patient was taken to the operating room on (b)(6) 2023 for a heartmate 3 lvad pump exchange, all aspects of the pump were exchanged.The surgeon noted no obvious purulence or vegetation.Surgery went well.The patient is currently recovering on the telemetry unit.Bloods cultures sent on (b)(6) 2023 and (b)(6) 2023 positive for strep mitis.Blood culture sent on (b)(6) 2023 positive for actinomyes species.Iv antibiotics will continue until (b)(6) 2023 at which time id will make further recommendations.
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