Effect of sutureless securement on hemodialysis catheter-related bloodstream infection

Abstract The use of sutureless securement devices during catheterization might reduce the risk of catheter-related bloodstream infection (CRBSI) by suppressing catheter-exit infection and catheter dislodgement. However, the effectiveness of these devices in reducing CRBSI risk when securing hemodial...

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Autores principales:	Keiji Fujimoto, Emi Iida, Syo Kumano, Ai Fujii, Hiroki Adachi, Kengo Furuichi, Hitoshi Yokoyama
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/b39e16cd4f1f49fdbc70db35e8eeacdd
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spelling	oai:doaj.org-article:b39e16cd4f1f49fdbc70db35e8eeacdd2021-11-08T10:54:55ZEffect of sutureless securement on hemodialysis catheter-related bloodstream infection10.1038/s41598-021-01372-62045-2322https://doaj.org/article/b39e16cd4f1f49fdbc70db35e8eeacdd2021-11-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-01372-6https://doaj.org/toc/2045-2322Abstract The use of sutureless securement devices during catheterization might reduce the risk of catheter-related bloodstream infection (CRBSI) by suppressing catheter-exit infection and catheter dislodgement. However, the effectiveness of these devices in reducing CRBSI risk when securing hemodialysis catheters has not been explored. This single-center retrospective observational study examined 211 non-tunneled hemodialysis catheters (NTHCs) from 110 hemodialysis inpatients, of which 121 were secured using conventional skin sutures (Suture group) and 90 with GRIP-LOK (GRIP-LOK group). The stabilized inverse probability of treatment (SIPT)-weighting method was used to generate a new population (SIPT-weighted model) without group differences for each of the 12 predictors of CRBSI development (i.e., age, sex, dialysis history, concomitant acute kidney injury or diabetes, concurrent use of immunosuppressant drugs or aspirin, NTHC insertion site, methicillin-resistant Staphylococcus aureus, carriage, bacteremia event within 3 months before catheterization, hemoglobin level, and serum albumin titer). The effect of GRIP-LOK compared with sutures on CRBSI in the SIPT-weighted model was evaluated using univariate SIPT-weighted Cox proportional regression analysis, which showed a significant CRBSI suppression effect of GRIP-LOK compared with sutures (hazard ratio: 0.17 [95% CI 0.04–0.78], p = 0.023).　GRIP-LOK affords a lower risk of CRBSI due to indwelling NTHCs than conventional securement using sutures.Keiji FujimotoEmi IidaSyo KumanoAi FujiiHiroki AdachiKengo FuruichiHitoshi YokoyamaNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Keiji Fujimoto Emi Iida Syo Kumano Ai Fujii Hiroki Adachi Kengo Furuichi Hitoshi Yokoyama Effect of sutureless securement on hemodialysis catheter-related bloodstream infection
description	Abstract The use of sutureless securement devices during catheterization might reduce the risk of catheter-related bloodstream infection (CRBSI) by suppressing catheter-exit infection and catheter dislodgement. However, the effectiveness of these devices in reducing CRBSI risk when securing hemodialysis catheters has not been explored. This single-center retrospective observational study examined 211 non-tunneled hemodialysis catheters (NTHCs) from 110 hemodialysis inpatients, of which 121 were secured using conventional skin sutures (Suture group) and 90 with GRIP-LOK (GRIP-LOK group). The stabilized inverse probability of treatment (SIPT)-weighting method was used to generate a new population (SIPT-weighted model) without group differences for each of the 12 predictors of CRBSI development (i.e., age, sex, dialysis history, concomitant acute kidney injury or diabetes, concurrent use of immunosuppressant drugs or aspirin, NTHC insertion site, methicillin-resistant Staphylococcus aureus, carriage, bacteremia event within 3 months before catheterization, hemoglobin level, and serum albumin titer). The effect of GRIP-LOK compared with sutures on CRBSI in the SIPT-weighted model was evaluated using univariate SIPT-weighted Cox proportional regression analysis, which showed a significant CRBSI suppression effect of GRIP-LOK compared with sutures (hazard ratio: 0.17 [95% CI 0.04–0.78], p = 0.023).　GRIP-LOK affords a lower risk of CRBSI due to indwelling NTHCs than conventional securement using sutures.
format	article
author	Keiji Fujimoto Emi Iida Syo Kumano Ai Fujii Hiroki Adachi Kengo Furuichi Hitoshi Yokoyama
author_facet	Keiji Fujimoto Emi Iida Syo Kumano Ai Fujii Hiroki Adachi Kengo Furuichi Hitoshi Yokoyama
author_sort	Keiji Fujimoto
title	Effect of sutureless securement on hemodialysis catheter-related bloodstream infection
title_short	Effect of sutureless securement on hemodialysis catheter-related bloodstream infection
title_full	Effect of sutureless securement on hemodialysis catheter-related bloodstream infection
title_fullStr	Effect of sutureless securement on hemodialysis catheter-related bloodstream infection
title_full_unstemmed	Effect of sutureless securement on hemodialysis catheter-related bloodstream infection
title_sort	effect of sutureless securement on hemodialysis catheter-related bloodstream infection
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/b39e16cd4f1f49fdbc70db35e8eeacdd
work_keys_str_mv	AT keijifujimoto effectofsuturelesssecurementonhemodialysiscatheterrelatedbloodstreaminfection AT emiiida effectofsuturelesssecurementonhemodialysiscatheterrelatedbloodstreaminfection AT syokumano effectofsuturelesssecurementonhemodialysiscatheterrelatedbloodstreaminfection AT aifujii effectofsuturelesssecurementonhemodialysiscatheterrelatedbloodstreaminfection AT hirokiadachi effectofsuturelesssecurementonhemodialysiscatheterrelatedbloodstreaminfection AT kengofuruichi effectofsuturelesssecurementonhemodialysiscatheterrelatedbloodstreaminfection AT hitoshiyokoyama effectofsuturelesssecurementonhemodialysiscatheterrelatedbloodstreaminfection
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Effect of sutureless securement on hemodialysis catheter-related bloodstream infection

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