Bacteremia in hemodialysis patients

Suzuki, Masashi; Satoh, Nobuhiko; Nakamura, Motonobu; Horita, Shoko; Seki, George; Moriya, Kyoji

doi:10.5527/wjn.v5.i6.489

Cited by 67 publications

(60 citation statements)

References 55 publications

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“…The most reported microorganisms in CRBSI are Gram-positive organisms of the skin. 13 In some parts of the world catheter related infection caused by Gram-negative organisms. 14 4 The immune deficient patients are more prone for Candida fungal infection of their central venous catheters.…”

Section: Discussionmentioning

confidence: 99%

Catheter related infection in hemodialysis patients with double lumen catheter.

Ali

Das

Kumar

et al. 2019

TPMJ

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Catheter related infections are common issue, a major cause of morbidity and mortality in patients with uremia. Clinical findings, including fever, redness, or tenderness at catheter site are unreliable for the diagnosis of catheter-related infection due to poor sensitivity and specificity. Study Design: Descriptive Cross sectional Study. Setting: Department of Nephrology, Jinnah Postgraduate Medical Centre, Karachi. Period: September 2014 to March 2015. Materials and Methods: All patients with age 25-50 years of either gender undergoing hemodialysis via double-lumen catheter were enrolled. Regular monitoring of temperature and WBC counts was carried out. If a patient develops fever (100 F or more) or leukocytosis (TLC 12,000 /mcl), a through re-examination, urinalysis and chest X-ray was done to exclude other causes of infection in this patient. Blood cultures from catheter tip and a peripheral blood culture was sent. Growth of the organism from both the cultures was noted and catheter related infection was termed positive if same organism s found to be present in both the cultures. Results: Mean age of the patients was 42.69 ±6.86 years. There were 75 (58.10%) females and 54 (41.90%) males. In majority of the patients, site of catheter was right internal jugular vein 54 (41.90%), followed by femoral vein 30 (23.30%), left internal jugular vein 24 (18.60%) and subclavian vein in 21 (16.30%) patients. Frequency of catheter related infection was found to be 19 (14.70%). Conclusion: The frequency of catheter related infection was found in 19 (14.70%) patients undergoing hemodialysis via double-lumen catheter.

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Section: Discussionmentioning

confidence: 99%

Catheter related infection in hemodialysis patients with double lumen catheter.

Ali

Das

Kumar

et al. 2019

TPMJ

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“…7 Treatment options for the situation described would include bypass of the thrombosed cephalic vein from the brachial artery to most proximal site of the thrombus; but in this case the thrombus extended as far as the left subclavian vein. 8 In cases of central occlusion, endovascular thrombolysis techniques can be used in acute cases with low doses of urokinase, tissue plasminogen activator (tPA), combined with thromboaspiration or stent angioplasty, when there is central stenosis or cephalic arch stenosis causing hypertension. 9 These techniques offer good results when early signs of access failure are detected, which probably could have occurred with the case described before the outcome of complete and extended thrombosis of the cephalic vein.…”

Section: Discussionmentioning

confidence: 99%

Úlceras de quirodáctilos e dorso de mão esquerda ocasionadas por hipertensão venosa após confecção de fístula arteriovenosa braquiocefálica: relato de caso

et al. 2019

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Venous ulcers caused by venous hypertension secondary to arteriovenous fistulae are rare. Their etiology can be confirmed by vascular Doppler ultrasonography, which can differentiate between stenosis of central vessels and hemodynamic overload caused by development of tributaries from the vein responsible for the arteriovenous fistula. We present a case caused by hemodynamic overload of a tributary, which diverted the primary flow from the fistula to the distal limb. We chose to ligate the fistula to treat the ulcers and create another arteriovenous fistula in the contralateral limb. ResumoÚlceras venosas decorrentes de hipertensão venosa por fístula arteriovenosa são raras. A investigação de sua etiologia é esclarecida pelo eco-Doppler vascular, que diferencia entre estenose de vasos centrais e sobrecarga hemodinâmica gerada pelo desenvolvimento de tributárias, a partir da veia responsável pela fístula arteriovenosa. Apresentamos um caso gerado por sobrecarga hemodinâmica em tributária, que desviou o fluxo principal da fístula distalmente ao membro. Optamos por realizar a ligação da fístula para tratamento das úlceras e confecção de nova fístula arteriovenosa em membro contralateral. Palavras-chave: fístula arteriovenosa; diálise renal; insuficiência renal crônica; úlcera cutânea. How to cite: Akamine-Asari AI, Damasceno DCF, Almeida NA, Moreira HC, Barros RAV, Ximenes Filho FAB. Ulcers of the fingers and dorsum of the left hand caused by venous hypertension after construction of a brachiocephalic arteriovenous fistula: case report. J Vasc Bras. 2019;18:e20190008. https://doi.

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“…The rate of MRSA bacteremia in Canada, Australia, and Scandinavia has increased in the span of 2000 and 2008 (P = 0.035) owing to rise in community-acquired infections (P = 0.013) [4]. The study conducted by Suzuki et al showed that MRSA attributed to 26% of the infections among 42,857 general population in North America and 19.5% of the infections among 26,613 general population in Europe [5].…”

Section: Prevalencementioning

confidence: 99%

Methicillin-Resistant Staphylococcus aureus Infections in Patients With Renal Disorders: A Review

Singh

Raju

Nikalji³

et al. 2019

World J Nephrol Urol

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Methicillin-resistant Staphylococcus aureus (MRSA) infection is a rapidly escalating global health burden. It is not only restricted to patients in the hospital settings but has also rooted deeply in the community settings. With increasing prevalence of life style and kidney diseases, the prevalence of MRSA infections is also expected to rise. MRSA infection plays a major role in renal disorders due to its direct vascular access (VA) thereby making patients undergoing dialysis and renal transplant more vulnerable to infections. Prolonged hospital stay, close proximity to MRSA-infected individual, exposure to broad-spectrum antibiotics, surgery and presence of foreign bodies such as central venous catheters predispose an individual to MRSA infection. Current panel of antibiotic treatment includes vancomycin, teicoplanin, linezolid, daptomycin, tigecycline and ceftaroline. However, emergence of resistant strains and several undesirable features pertaining to safety and tolerability of these drugs have led to limited options available for the management of multidrug-resistant MRSA infection in patients with renal disorders. Therefore, there is an increasing need for developing a new potent antibacterial agent with established renal safety that decreases the mortality and morbidity rates in MRSA-infected renal patients.

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Bacteremia in hemodialysis patients

Cited by 67 publications

References 55 publications

Catheter related infection in hemodialysis patients with double lumen catheter.

Catheter related infection in hemodialysis patients with double lumen catheter.

Úlceras de quirodáctilos e dorso de mão esquerda ocasionadas por hipertensão venosa após confecção de fístula arteriovenosa braquiocefálica: relato de caso

Methicillin-Resistant Staphylococcus aureus Infections in Patients With Renal Disorders: A Review

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