Epidemiology of Central Venous Catheters Infection in Hemodialysis Patients

Al-Barshomy , Said M.; El-Antony , Neveen G.; Sakr , Mohammed; El Sokary , Rehab H.

Article Details

Epidemiology of Central Venous Catheters Infection in Hemodialysis Patients

Authors:

Al-Barshomy , Said M. | El-Antony , Neveen G. | Sakr , Mohammed | El Sokary , Rehab H.

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2021 Vol.82 Issue 2, pp.225-230

Document Type:

Article

Publication Date:

1/2021

Document Language:

English

Document ID (Org No.):

233564

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

Descriptors:

Keywords:

Abstract:

 Background: Vascular access infections in hemodialysis patients increase by 2-3 folds in central venous catheterscompared to arteriovenous fistula or graft. Among these infections exit site infections, tunnel infections and catheterrelatedbloodstream infections (CRBSI), are the most common complications. CRBSIs are major risk of hospitalizationas well as mortality in hemodialysis patients.Objective: To study the epidemiology of central venous catheter related infections (CVC-RI), patterns of microbialinfections and antibiotic sensitivity among our hemodialysis patients.Patients and methods: 94 ESRD patients on hemodialysis with temporary central venous catheter (CVC) inserted formore than 48 hours, monitored for the development of CVC related infections (CVC-RI) and divided into two maingroups according to presence of catheter infection; (A) non-infected catheter patients and group (B) infected catheterpatientsResults: The rate of CVC-RI is high in our hemodialysis patients (42.5 %). There was a significant difference betweenthe two studied groups as regard duration of HD and catheterization duration. Patients with evident catheter infectionshad significantly higher total leucocytic count (TLC) and C-reactive protein (CRP) values. There was a significantpositive correlation between CRP with catheter duration and TLC. Staphylococcus aureus was the most prevalentisolated bacteria. Vancomycin was the most common used antibiotic among infected patients.Conclusion: CVC-RI rate is high in our hemodialysis patients (42.5 %). Prolonged duration of CVC usage anddiabetes are major risk factors related to infections. Both S. aureus and Gram-negative micro-organisms were the mostcommon organisms found in our study. Vancomycin and imipenem were the most common effective antibioticsaccording to our blood cultures.

Article Details

Epidemiology of Central Venous Catheters Infection in Hemodialysis Patients

Authors:

Al-Barshomy , Said M. | El-Antony , Neveen G. | Sakr , Mohammed | El Sokary , Rehab H.

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2021 Vol.82 Issue 2, pp.225-230

Document Type:

Article

Publication Date:

1/2021

Document Language:

English

Document ID (Org No.):

233564

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002

Descriptors:

HAEMODIALYSIS

KIDNEY DISEASES

EPIDEMICS

CATHETERIZATION

PATIENTS

EGYPT

Hemodialysis Catheters

Infection

Renal Failure

Issues

Article Details

Authors: Al-Barshomy , Said M. | El-Antony , Neveen G. | Sakr , Mohammed | El Sokary , Rehab H.

Publisher: Pan Arab League of Continuous Medical Education

Main Topics: Medicine

Journal: The Egyptian Journal of Hospital Medicine 2021 Vol.82 Issue 2, pp.225-230

Document Type: Article

Publication Date: 1/2021

Document Language: English

Document ID (Org No.): 233564

Frequency: Quarterly

eISSN: 20907125

pISSN: 16872002

Descriptors:

Issues

Authors:

Al-Barshomy , Said M. | El-Antony , Neveen G. | Sakr , Mohammed | El Sokary , Rehab H.

Publisher:

Pan Arab League of Continuous Medical Education

Main Topics:

Medicine

Journal:

The Egyptian Journal of Hospital Medicine 2021 Vol.82 Issue 2, pp.225-230

Document Type:

Article

Publication Date:

1/2021

Document Language:

English

Document ID (Org No.):

233564

Frequency:

Quarterly

eISSN:

20907125

pISSN:

16872002