Surveillance of Dialysis Events: one-year experience at 33 outpatient hemodialysis centers in China
Abstract A multicenter prospective surveillance on dialysis events was carried in 33 dialysis centers in China. Maintenance hemodialysis (HD) outpatients who were dialyzed on the first two days of each month during 2014 were monitored for dialysis events and other infections. During the one-year per...
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Nature Portfolio
2017
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oai:doaj.org-article:39d4648e61cb4ed7b7f7a1f7c40ead432021-12-02T16:06:25ZSurveillance of Dialysis Events: one-year experience at 33 outpatient hemodialysis centers in China10.1038/s41598-017-00302-92045-2322https://doaj.org/article/39d4648e61cb4ed7b7f7a1f7c40ead432017-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-00302-9https://doaj.org/toc/2045-2322Abstract A multicenter prospective surveillance on dialysis events was carried in 33 dialysis centers in China. Maintenance hemodialysis (HD) outpatients who were dialyzed on the first two days of each month during 2014 were monitored for dialysis events and other infections. During the one-year period, 52,680 patient-months were monitored. Fistula and tunneled or non-tunneled central line were used for 73.70%, 15.70% and 8.85% of vascular access, respectively. There were 773 dialysis events occurred in 671 patients including 589 IV antimicrobial starts, 74 positive blood cultures and 110 local access site infections (LASI). The incidence of dialysis events was 1.47 per 100 patient-months. Among the 74 cases with bloodstream infection (BSI), 38 were access-related BSI (ARB) and there were therefore 148 cases with vascular-related infection (VAI; 38 ARB and 110 LASI). There were 740 cases (1.40 per 100 patient-months) with infections other than BSI and LASI, most (79.19%) of which were respiratory tract infections. For those with dialysis events, there were 425 cases (425/671, 63.34%) admitted to hospital and 12 cases of death (12/671, 1.79%). In conclusion, the surveillance revealed a relatively low incidence of dialysis events and the surveillance may be tailored to target those using central lines in resource-limited settings.Hui ZhangLiuyi LiHuixue JiaYunxi LiuJianguo WenAnhua WuQun LuTieying HouYun YangHuai YangWeiguang LiZhiyong ZongNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-7 (2017) |
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Medicine R Science Q Hui Zhang Liuyi Li Huixue Jia Yunxi Liu Jianguo Wen Anhua Wu Qun Lu Tieying Hou Yun Yang Huai Yang Weiguang Li Zhiyong Zong Surveillance of Dialysis Events: one-year experience at 33 outpatient hemodialysis centers in China |
| description |
Abstract A multicenter prospective surveillance on dialysis events was carried in 33 dialysis centers in China. Maintenance hemodialysis (HD) outpatients who were dialyzed on the first two days of each month during 2014 were monitored for dialysis events and other infections. During the one-year period, 52,680 patient-months were monitored. Fistula and tunneled or non-tunneled central line were used for 73.70%, 15.70% and 8.85% of vascular access, respectively. There were 773 dialysis events occurred in 671 patients including 589 IV antimicrobial starts, 74 positive blood cultures and 110 local access site infections (LASI). The incidence of dialysis events was 1.47 per 100 patient-months. Among the 74 cases with bloodstream infection (BSI), 38 were access-related BSI (ARB) and there were therefore 148 cases with vascular-related infection (VAI; 38 ARB and 110 LASI). There were 740 cases (1.40 per 100 patient-months) with infections other than BSI and LASI, most (79.19%) of which were respiratory tract infections. For those with dialysis events, there were 425 cases (425/671, 63.34%) admitted to hospital and 12 cases of death (12/671, 1.79%). In conclusion, the surveillance revealed a relatively low incidence of dialysis events and the surveillance may be tailored to target those using central lines in resource-limited settings. |
| format |
article |
| author |
Hui Zhang Liuyi Li Huixue Jia Yunxi Liu Jianguo Wen Anhua Wu Qun Lu Tieying Hou Yun Yang Huai Yang Weiguang Li Zhiyong Zong |
| author_facet |
Hui Zhang Liuyi Li Huixue Jia Yunxi Liu Jianguo Wen Anhua Wu Qun Lu Tieying Hou Yun Yang Huai Yang Weiguang Li Zhiyong Zong |
| author_sort |
Hui Zhang |
| title |
Surveillance of Dialysis Events: one-year experience at 33 outpatient hemodialysis centers in China |
| title_short |
Surveillance of Dialysis Events: one-year experience at 33 outpatient hemodialysis centers in China |
| title_full |
Surveillance of Dialysis Events: one-year experience at 33 outpatient hemodialysis centers in China |
| title_fullStr |
Surveillance of Dialysis Events: one-year experience at 33 outpatient hemodialysis centers in China |
| title_full_unstemmed |
Surveillance of Dialysis Events: one-year experience at 33 outpatient hemodialysis centers in China |
| title_sort |
surveillance of dialysis events: one-year experience at 33 outpatient hemodialysis centers in china |
| publisher |
Nature Portfolio |
| publishDate |
2017 |
| url |
https://doaj.org/article/39d4648e61cb4ed7b7f7a1f7c40ead43 |
| work_keys_str_mv |
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