Infection Rate Related to Permanent Hemodialysis Catheters

Document Type : Original Article

Authors

Department of Surgery, Faculty of Medicine, Suez Canal University Hospital, Egypt

Abstract

Background: Centrally placed venous catheters for hemodialysis have become an essential part of recently established medical care given to end-stage renal disease (ESRD) patients. Dialysis access related bloodstream infection and the complications related to such a problem requiring hospitalization account for almost1/3 of the cost of ESRD management, with a documented death rate of 12-25.9%. Aim: The present study aimed to assess the infection rate related to permanent hemodialysis catheters performed at Suez Canal University Hospital. Patients and Methods: thirty-five patients were included in this study. All of them had an interventional session to place a tunneled cuffed hemodialysis catheter for ESRD. Evaluation of the procedure and its outcome was done. Results: No bloodstream catheter-related infection occurred in 45.7% of the study population. Only 2 patients (5.7%) had an infection within the first week, 1 patient (2.9%) infection was within the first month and in the remaining 16 patients had their first bloodstream catheter-related infection episode after the first month. Conclusion: The previous history of bloodstream infection associated with a dialysis catheter increases the probability of infection to the newly inserted permanent catheter, before reaching 6 months’ lifetime despite changing the access site.

Keywords

Suez Canal University Medical Journal
Volume 19, Issue 2
October 2016
Pages 184-192

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