دورية أكاديمية
Predictive factors of infection in patients with chronic kidney disease using hemodialysis catheters.
| العنوان: | Predictive factors of infection in patients with chronic kidney disease using hemodialysis catheters. |
|---|---|
| المؤلفون: | Matos JDC; Universidade Federal do Amazonas - UFAM, Manaus, AM, Brasil.; Universidade do Estado do Amazonas - UEA, Manaus, AM, Brasil., Polsin LLM; Universidade Federal do Amazonas - UFAM, Manaus, AM, Brasil., Israel KCP; Universidade Federal do Amazonas - UFAM, Manaus, AM, Brasil.; Universidade do Estado do Amazonas - UEA, Manaus, AM, Brasil., Cavalcante LP; Universidade Federal do Amazonas - UFAM, Manaus, AM, Brasil. |
| المصدر: | Jornal vascular brasileiro [J Vasc Bras] 2023 Aug 11; Vol. 22, pp. e20220098. Date of Electronic Publication: 2023 Aug 11 (Print Publication: 2023). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sociedade Brasileira de Angiologia e Cirurgia Vascular Country of Publication: Brazil NLM ID: 101262256 Publication Model: eCollection Cited Medium: Internet ISSN: 1677-7301 (Electronic) Linking ISSN: 16775449 NLM ISO Abbreviation: J Vasc Bras Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Salvador, BA : Sociedade Brasileira de Angiologia e Cirurgia Vascular, [2002]- |
| مستخلص: | Background: Infection is the most frequent complication of central venous catheters used for hemodialysis. Objectives: The purpose of this study was to the determine the central venous catheter-related infection rate at a dialysis center in the Brazilian state of Amazonas and to identify risk factors and the microbiological profile of the infections. Methods: This was an observational study with prospective data collection over a 12-month period by chart analysis and face-to-face interviews with patients undergoing hemodialysis using central venous catheters at a dialysis center. Results: 96 central venous catheters were analyzed in 48 patients. 78 of these were non-tunneled central venous catheters (81.3%) and 18 were tunneled central venous catheters (18.7%), 53.1% of the catheters were exchanged because of infection and blood cultures were obtained from 35.2% of the patients who had catheter-related infections. Gram-negative bacteria were isolated from five of the nine blood cultures in which there was bacterial growth and Gram-positive bacteria were isolated from the other four. The most commonly isolated bacteria was Staphylococcus hominis , found in 22.2% of positive blood cultures. Conclusion: The overall hemodialysis venous catheter infection rate was 10.1 episodes/1000 catheter days, 15.1 episodes/1000 catheters days in non-tunneled catheters and 3.3 episodes/1000 catheters days in tunneled catheters. The infection predisposing factors identified were use of non-tunneled catheters and having 2 hemodialysis sessions per week. Regarding the microbiological profile, over half of the bacteria isolated were Gram-negative. Competing Interests: Conflicts of interest: No conflicts of interest declared concerning the publication of this article. (Copyright© 2023 The authors.) |
| References: | J Am Soc Nephrol. 2005 May;16(5):1449-55. (PMID: 15788468) BMC Infect Dis. 2021 Feb 12;21(1):173. (PMID: 33579205) J Bras Nefrol. 2020 May 20;42(2):191-200. (PMID: 32459279) Eur J Clin Microbiol Infect Dis. 2013 Jul;32(7):955-9. (PMID: 23397233) J Bras Nefrol. 2011 Mar;33(1):86-92. (PMID: 21541468) Rev Soc Bras Med Trop. 2013 Jul-Aug;46(4):426-32. (PMID: 23970309) Am J Kidney Dis. 2020 Apr;75(4 Suppl 2):S1-S164. (PMID: 32778223) J Am Soc Nephrol. 2003 Jul;14(7):1863-70. (PMID: 12819247) Epidemiol Perspect Innov. 2011 Feb 02;8(1):1. (PMID: 21288353) Clin Infect Dis. 2009 Jul 1;49(1):1-45. (PMID: 19489710) Am J Kidney Dis. 2008 Nov;52(5):982-93. (PMID: 18760516) Clin Infect Dis. 2011 May;52(9):e162-93. (PMID: 21460264) J Am Soc Nephrol. 2002 Apr;13(4):1061-1066. (PMID: 11912267) J Am Soc Nephrol. 1998 May;9(5):869-76. (PMID: 9596085) Infect Control Hosp Epidemiol. 2002 Dec;23(12):716-20. (PMID: 12517012) Semin Dial. 2010 Jan-Feb;23(1):6-10. (PMID: 20331810) Am J Kidney Dis. 2000 Jan;35(1):80-8. (PMID: 10620548) Ann Saudi Med. 2019 Jul-Aug;39(4):258-264. (PMID: 31381376) BMC Infect Dis. 2015 Mar 26;15:158. (PMID: 25879516) |
| فهرسة مساهمة: | Keywords: catheter-related infections; central venous catheters; hemodialysis units, hospital; renal dialysis |
| تواريخ الأحداث: | Date Created: 20231004 Latest Revision: 20231005 |
| رمز التحديث: | 20240829 |
| مُعرف محوري في PubMed: | PMC10545231 |
| DOI: | 10.1590/1677-5449.202200982 |
| PMID: | 37790890 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1677-7301 |
|---|---|
| DOI: | 10.1590/1677-5449.202200982 |