No abstract

Background: Regarding the prevalence of chronic renal disease and CVC (central venous catheterization) complications, this systematic review and meta-analysis was performed to determine the prevalence of CVC complications in Iran. Methods: In this systematic review and meta-analysis, based on the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) protocol, all Iran and international databases from 2000 to 2019 were investigated using keywords of fever during or after dialysis, redness of the catheter insertion site, swelling, tenderness (touch sensitivity), infection, thrombosis, inadequate catheter (catheter malfunction), hemothorax, and pus outflow (pus drainage). The search was conducted by two members of the research team (MB, AT). In case of any disagreement between them, the quality of the investigation was examined by the third person (AB). In the present study, we analyzed data using comprehensive meta-analysis software. Results: According to this study’s findings, 12 articles with a total sample of 1395 patients were included in the systematic review and meta-analysis. Our findings were as follows: the prevalence of hemodialysis infection was 26.6% (95%CI: 16.2%–40.6%) (I2=95.5, P<0.001, Q=236.66), the prevalence of thrombosis was 18.3% (95%CI: 11.2%-28.6%), and the prevalence of inadequate catheter (catheter malfunction) was 16.1% (95%CI: 9.2%-26.7%). Conclusion: The prevalence of CVC complications was significant in hemodialysis patients. Therefore, appropriate interventions should be provided to reduce these complications.

Introduction: COVID-19 has caused a great deal of fear indifferent communities. In this study, we reported the recovery of a diabetic elderly woman with a history of asthmafromCOVID-19 infection. Case Presentation: A 61-year-old woman was hospitalized due to dyspnea and low blood O2 saturation and later diagnosed with COVID-19, as confirmed by PCR. The patient had a history of asthma and diabetes and used salbutamol and Atrovent spray. She also had a history of hospitalization at one month prior to the current admission. Despite all these, COVID-19was successfully managed, and she was discharged with a good clinical condition after the improvement of respiratory complications. Conclusion: Despite having an advanced age and underlying diseases (diabetes and asthma), the recovery of this elderly woman shows that even such patientscandefeatCOVID-19 as long as the disease is not progressed to advanced phases and appropriate therapeutic measures are taken. By reporting such cases, it is possible to give people hope and motivation and reduce their fear of the disease.