FREQUENCY OF HEMODIALYSIS CATHETER RELATED INFECTIOUS COMPLICATIONS IN PATIENTS WITH END STAGE RENAL DISEASE

Objective: To determine frequency of various types of infectious complications occurring in patients undergoing hemodialysis using temporary non-cuffed hemodialysis catheters. Study Design: Cross-sectional study. Place and Duration of Study: The Children's Hospital and the Institute of Ch...

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Autores principales:	Uzma Shehzadi, Naureen Akhtar, Muhammad Aamir Usman, Adeela Chaudhry, Faiza Noor, Nazia Rafique
Formato:	article
Lenguaje:	EN
Publicado:	Army Medical College Rawalpindi 2019
Materias:	blood stream infections complications end stage renal disease frequency Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/6c7a8c8fcff74c8d8c5240c7b78ad7c1
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spelling	oai:doaj.org-article:6c7a8c8fcff74c8d8c5240c7b78ad7c12021-11-11T05:58:34ZFREQUENCY OF HEMODIALYSIS CATHETER RELATED INFECTIOUS COMPLICATIONS IN PATIENTS WITH END STAGE RENAL DISEASE0030-96482411-8842https://doaj.org/article/6c7a8c8fcff74c8d8c5240c7b78ad7c12019-06-01T00:00:00Zhttps://www.pafmj.org/index.php/PAFMJ/article/view/3012/2250https://doaj.org/toc/0030-9648https://doaj.org/toc/2411-8842Objective: To determine frequency of various types of infectious complications occurring in patients undergoing hemodialysis using temporary non-cuffed hemodialysis catheters. Study Design: Cross-sectional study. Place and Duration of Study: The Children's Hospital and the Institute of Child Health, Lahore, from Oct 2016 to Sep 2017. Material and Methods: The study was conducted on 104 patients aged 5-15 years with end stage renal disease. Demographic information like age, gender, duration of end stage renal disease (ESRD), and details about etiology of ESRD, number of days catheter remained in situ, difficult catheter insertion and infectious complications related to catheter were recorded. Exit site, tunnel and blood stream infections and their causative organisms were detected using blood and catheter tip cultures. Results: The mean age of the patients was 11.1 ± 2.7 (range: 5-15) years and female to male ratio 1.48. Internal jugular, femoral and subclavian veins were used in 85.6%, 7.7% and 6.7% of the cases respectively. The frequency of catheter related exit site infection, tunnel infection, blood stream infection and infective endocarditis was found to be 16.3%, 7.7%, 52.9% and 34.6% respectively. Staphylococcus aureus, Escherichia coli and Klebsiella pneumonia were the commonest etiological pathogens in blood cultures whereas Staphylococcus aureus, Pseudomonas aeuroginosa and Escherichia coli were the commonest organisms found in the catheter tip cultures. Conclusion: Hemodialysis poses a very heavy burden of blood stream infections which should alert clinicians of their timely management to prevent life threatening complications later.Uzma ShehzadiNaureen AkhtarMuhammad Aamir UsmanAdeela ChaudhryFaiza NoorNazia RafiqueArmy Medical College Rawalpindiarticleblood stream infectionscomplicationsend stage renal diseasefrequencyMedicineRMedicine (General)R5-920ENPakistan Armed Forces Medical Journal, Vol 69, Iss 3, Pp 477-482 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	blood stream infections complications end stage renal disease frequency Medicine R Medicine (General) R5-920
spellingShingle	blood stream infections complications end stage renal disease frequency Medicine R Medicine (General) R5-920 Uzma Shehzadi Naureen Akhtar Muhammad Aamir Usman Adeela Chaudhry Faiza Noor Nazia Rafique FREQUENCY OF HEMODIALYSIS CATHETER RELATED INFECTIOUS COMPLICATIONS IN PATIENTS WITH END STAGE RENAL DISEASE
description	Objective: To determine frequency of various types of infectious complications occurring in patients undergoing hemodialysis using temporary non-cuffed hemodialysis catheters. Study Design: Cross-sectional study. Place and Duration of Study: The Children's Hospital and the Institute of Child Health, Lahore, from Oct 2016 to Sep 2017. Material and Methods: The study was conducted on 104 patients aged 5-15 years with end stage renal disease. Demographic information like age, gender, duration of end stage renal disease (ESRD), and details about etiology of ESRD, number of days catheter remained in situ, difficult catheter insertion and infectious complications related to catheter were recorded. Exit site, tunnel and blood stream infections and their causative organisms were detected using blood and catheter tip cultures. Results: The mean age of the patients was 11.1 ± 2.7 (range: 5-15) years and female to male ratio 1.48. Internal jugular, femoral and subclavian veins were used in 85.6%, 7.7% and 6.7% of the cases respectively. The frequency of catheter related exit site infection, tunnel infection, blood stream infection and infective endocarditis was found to be 16.3%, 7.7%, 52.9% and 34.6% respectively. Staphylococcus aureus, Escherichia coli and Klebsiella pneumonia were the commonest etiological pathogens in blood cultures whereas Staphylococcus aureus, Pseudomonas aeuroginosa and Escherichia coli were the commonest organisms found in the catheter tip cultures. Conclusion: Hemodialysis poses a very heavy burden of blood stream infections which should alert clinicians of their timely management to prevent life threatening complications later.
format	article
author	Uzma Shehzadi Naureen Akhtar Muhammad Aamir Usman Adeela Chaudhry Faiza Noor Nazia Rafique
author_facet	Uzma Shehzadi Naureen Akhtar Muhammad Aamir Usman Adeela Chaudhry Faiza Noor Nazia Rafique
author_sort	Uzma Shehzadi
title	FREQUENCY OF HEMODIALYSIS CATHETER RELATED INFECTIOUS COMPLICATIONS IN PATIENTS WITH END STAGE RENAL DISEASE
title_short	FREQUENCY OF HEMODIALYSIS CATHETER RELATED INFECTIOUS COMPLICATIONS IN PATIENTS WITH END STAGE RENAL DISEASE
title_full	FREQUENCY OF HEMODIALYSIS CATHETER RELATED INFECTIOUS COMPLICATIONS IN PATIENTS WITH END STAGE RENAL DISEASE
title_fullStr	FREQUENCY OF HEMODIALYSIS CATHETER RELATED INFECTIOUS COMPLICATIONS IN PATIENTS WITH END STAGE RENAL DISEASE
title_full_unstemmed	FREQUENCY OF HEMODIALYSIS CATHETER RELATED INFECTIOUS COMPLICATIONS IN PATIENTS WITH END STAGE RENAL DISEASE
title_sort	frequency of hemodialysis catheter related infectious complications in patients with end stage renal disease
publisher	Army Medical College Rawalpindi
publishDate	2019
url	https://doaj.org/article/6c7a8c8fcff74c8d8c5240c7b78ad7c1
work_keys_str_mv	AT uzmashehzadi frequencyofhemodialysiscatheterrelatedinfectiouscomplicationsinpatientswithendstagerenaldisease AT naureenakhtar frequencyofhemodialysiscatheterrelatedinfectiouscomplicationsinpatientswithendstagerenaldisease AT muhammadaamirusman frequencyofhemodialysiscatheterrelatedinfectiouscomplicationsinpatientswithendstagerenaldisease AT adeelachaudhry frequencyofhemodialysiscatheterrelatedinfectiouscomplicationsinpatientswithendstagerenaldisease AT faizanoor frequencyofhemodialysiscatheterrelatedinfectiouscomplicationsinpatientswithendstagerenaldisease AT naziarafique frequencyofhemodialysiscatheterrelatedinfectiouscomplicationsinpatientswithendstagerenaldisease
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FREQUENCY OF HEMODIALYSIS CATHETER RELATED INFECTIOUS COMPLICATIONS IN PATIENTS WITH END STAGE RENAL DISEASE

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