Risk Factors for the Infections Caused by Temporary Double-Lumen Hemodialysis Catheters

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• 作者：Suat Unver ; Enes Murat Atasoyu ; T. Rifki Evrenkaya ; Nurittin Ardic and Mustafa Ozyurt
• 刊名：Archives of Medical Research
• 出版年：2006
• 出版时间：April 2006
• 年：2006
• 卷：37
• 期：3
• 页码：348-352
• 全文大小：104 K

文摘

Background

Temporary hemodialysis catheters are important devices used in dialysis practice but may be the source of infection in hemodialysis patients.

Methods

We investigated the infectious complications in 70 hemodialysis patients using 113 hemodialysis catheters.

Results

The frequency of catheter-related bacteremia was 23.9 % , of which Staphylococci were the most frequently growing organism (96.3 % ). Exit-site infection was observed in one patient. No cases were lost due to the infectious complications. The risk for the development of catheter-related bacteremia was increased after the 24th day of catheterization and after the second venous puncture.

Conclusions

There was a positive correlation between hypoalbuminemia and bacteremia. Internal jugular venous catheterization and hypoalbuminemia were determined as risk factors for the development of catheter-related bacteremia. The risk factors for catheter-related bacteremia in patients with hemodialysis catheter should be determined and modified in order to decrease infectious complications.