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Information Journal Paper

Title

FACTORS INVOLVED IN CUFFED CATHETER-RELATED INFECTIONS IN HEMODIALYSIS PATIENTS

Pages

  34-40

Abstract

 Background and Aims: DIALYSIS CATHETER-related INFECTIONs (CRI) remain a significant cause for morbidity and mortality in HEMODIALYSIS patients. We studied factors that predispose HEMODIALYSIS patients to CRI. Methods: This a retrospective case controlled study of HEMODIALYSIS patients with a cuffed permanent catheter access conducted over a 12-month period. Those developing CRI acted as the study group and those who remained free of CRI acted as controls. Patients and catheter variables that were documented included: Chronic Comorbidity Index (CCI), serum albumin level, Kt/V, number of CRI, organism/s isolated, and whether the catheter had to be removed.Significance of differences between the two groups was assessed using two tailed independent test for continuous variables and Chi square for categorical variables.Results: Fifty-seven study patients and 39 controls were included. There were 107 episodes CRIs. The number of episodes of INFECTION/catheter patients was 1.1 after a mean follow up period of 933 (±255) days. Number of episodes of INFECTION per 1000 catheter/days was 1.2 and per 100 dialysis sessions was 0.714. Catheter duration was shorter (1040 ± 198 days) in the infected group compared to the control group (1139 ± 275 days, p=0.042). The commonest organism isolated was Staph aureus (35%) followed by Enterobacter cloacae (14.8%). The commonest antibiotic used was vancomycin, followed by gentamycin and ceftazidime. The actuarial catheter survival was markedly less with multiple episodes of INFECTION compared to single episode (p=0.029). A single episode of INFECTION was associated with 9.5% chance of catheter losses as opposed to a 43.3% chance in multiple INFECTIONs (p=0.0001).Conclusions: Risk of INFECTION was increased with femoral placement and number of dialysis sessions. The risk of catheter loss with multiple INFECTIONs is more. The demographic characteristics are not a risk factor for developing INFECTION.

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    Cite

    APA: Copy

    AL KINANI, A.A., HEJAILI, F., FLAIW, A., QURASHI, S., GHAMDI, GH., MAHMOUD, I., & AL SAYYARI, A.A.. (2011). FACTORS INVOLVED IN CUFFED CATHETER-RELATED INFECTIONS IN HEMODIALYSIS PATIENTS. THE JOURNAL OF NEPHRO-UROLOGY MONTHLY, 3(1), 34-40. SID. https://sid.ir/paper/323680/en

    Vancouver: Copy

    AL KINANI A.A., HEJAILI F., FLAIW A., QURASHI S., GHAMDI GH., MAHMOUD I., AL SAYYARI A.A.. FACTORS INVOLVED IN CUFFED CATHETER-RELATED INFECTIONS IN HEMODIALYSIS PATIENTS. THE JOURNAL OF NEPHRO-UROLOGY MONTHLY[Internet]. 2011;3(1):34-40. Available from: https://sid.ir/paper/323680/en

    IEEE: Copy

    A.A. AL KINANI, F. HEJAILI, A. FLAIW, S. QURASHI, GH. GHAMDI, I. MAHMOUD, and A.A. AL SAYYARI, “FACTORS INVOLVED IN CUFFED CATHETER-RELATED INFECTIONS IN HEMODIALYSIS PATIENTS,” THE JOURNAL OF NEPHRO-UROLOGY MONTHLY, vol. 3, no. 1, pp. 34–40, 2011, [Online]. Available: https://sid.ir/paper/323680/en

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