Clinical characteristics of catheter-related infection in patients with chronic renal failure End Stage Renal failure undergoing semi-permanent catheter placement during maintenance hemodialysis through tunnelled cuffed hemodialysis catheter

Dou, Jianmin; Wu, Xue-Bing; Ao, Hua; Zhang, Qiuling; Li, Ming

doi:10.12669/pjms.38.6.4834

Cited by 5 publications

(6 citation statements)

References 26 publications

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“…High blood sugar is also beneficial for bacterial growth. (24) Several studies reported comorbidity of diabetes mellitus (DM) and CRBSI, but the results are often contradictory. (18,22,24) Despite the high rates of hypertension in patients with CRBSI, several studies reported there was no statistically significant effect of hypertension in CRBSI.…”

Section: Discussion Smentioning

confidence: 99%

“…(24) Several studies reported comorbidity of diabetes mellitus (DM) and CRBSI, but the results are often contradictory. (18,22,24) Despite the high rates of hypertension in patients with CRBSI, several studies reported there was no statistically significant effect of hypertension in CRBSI. (16,20) Comorbid hypertension was reported in two patients of this case series, and DM was reported in one patient.…”

Section: Discussion Smentioning

confidence: 99%

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Clinical Clue and Predictive Blood Count of Hemodialysis Cathether-Related Infection: Case Series

Vanessa,

Primiawan

2023

CRJIM

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Most patients with chronic kidney disease (CKD) require renal replacement therapy. Majority of hemodialysis initiation is done through a dialysis catheter access. The use of catheters double lumen (CDL) for hemodialysis has several potential complications, including infection. Catheter related bloodstream infection (CRBSI) is associated with increased morbidity and mortality in CKD patients. CRBSI therapy should not be delayed, including delays due to waiting for culture results to confirm the diagnosis. Several studies have reported the use of clinical findings and routine blood count parameters to predict CRBSI. This case series reported three cases with suspected CRBSI consisting of one woman and two men with mean age of 44.67 ± 8.21 years, mean catheter days 13 ± 6.97, and mean hemodialysis duration of 10.5 ± 13.79 month. Diagnosis CRBSI was suspected from clinical clue, i.e symptoms such as fever and chills, pain at the CDL site, and physical examination i.e body temperature and local CDL site signs. Laboratory parameters in this case series reported elevations for PLR, NLR and SIRI supporting the suspicion of bloodstream infection. All patients in this case series improved after CDL removal and antibiotics therapy. Investigation of clinical findings and routine blood count parameters can be an alternative diagnosis of CRBSI that enables prompt treatment in areas with limited facilities. Keywords: chronic kidney disease, catheter related bloodstream infection, diagnosis

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Section: Discussion Smentioning

confidence: 99%

Section: Discussion Smentioning

confidence: 99%

Clinical Clue and Predictive Blood Count of Hemodialysis Cathether-Related Infection: Case Series

Vanessa,

Primiawan

2023

CRJIM

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“…Gram-positive organisms, especially Staphylococcus aureus are the most common pathogenic bacteria of catheter-related bloodstream infection 5 and tunnel infection. 6 To deal with these problems, material scientists applicate various schemes. Silver coating of the external surface of catheter is proved efficiency in animal and clinical experiments.…”

Section: Introductionmentioning

confidence: 99%

Amino polysaccharide quaternary ammonium salt grafted to PET‐Cuff by ultraviolet irradiation for improving the sustained antibacterial property of semi‐permanent central vein tunneled cuffed catheter

Liu,

Li,

Shi

et al. 2024

Polymers for Advanced Techs

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In hemodialysis, tunneled cuffed catheter (TCC) is commonly used as a medical device for establishing vascular access. To address the current problem that the skin tunnel of TCC is susceptible to bacterial infection, this work proposes quaternized modification of the cuff of TCC to comprehensively enhance the long‐lasting antimicrobial performance of TCC. The morphology of the cuff basically resembles the polyethylene terephthalate (PET). Via ultraviolet (UV) irradiation, acrylic acid (AA) was grafted onto PET. Then, amino polysaccharide quaternary ammonium salt (As) replaced H+ of the carboxyl groups on the macromolecular chain of PET through solution post‐treatment method. Through the single factor experiment, the degree of grafting reached 159.8% under the optimum preparation conditions (AA concentration of 25 vol%, H+ concentration of 0.2 mol/L, photosensitizer capacity of 15 wt%, and photo‐irradiation time of 30 min). By the above method, we successfully synthesized a highly hydrophilic, well biocompatible, and highly efficient antimicrobial PET‐g‐PAA@As. Animal experiments and histological analyses showed that PET‐g‐PAA@As was superior to PET control and blank control groups in controlling infection and promoting wound healing. This catheter material with excellent biocompatibility, sustained antimicrobial activity, and wound healing ability will have great potential for use in hemodialysis.

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“…Other risk factors of infections in ESRD cases with CV catheters include old age, prolong catheter use, diabetes mellitus, low serum level of albumen and anemia. 9 Staphylococcus aureus contribute 80% catheter related infections in such cases. 10…”

Section: Introductionmentioning

confidence: 99%

Frequency of Catheter-Related Bacterial Infection in End Stage Renal Disease Patients on Hemodialysis

Fatima Sonia,

Irfan Ahmad,

Salman Tahir Shafi

et al. 2023

PAFMJ

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Objective: To determine the frequency of catheter related bacterial infections among the patients on hemodialysis due to end stage renal disease. Study Design: Cross sectional study Place and Duration of Study: Department of Nephrology, Sharif Medical City Hospital, Lahore Pakistan, from 6 Months i.e.,Jun 2021 to Oct 2021. Methodology: After meeting the inclusion and exclusion criteria 171 patients were enrolled. Tips of the catheters were removed by the surgeon and transferred to laboratory in a sterile container, while at least two blood culture samples were taken before removing the catheter. Catheter related bacterial infections were noted. Results: In this study the most common catheter related bacterial infection in ESRD cases on hemodialysis was blood stream tunnel infection noted in 48.5% patients followed by, infective endocarditis noted in 28.1%, echo vegetation in 26.3% patients, tunnel infection in 25.1% and exit site infection in 23.4% patients. Conclusion: The most common catheter related bacterial infection in ESRD cases on hemodialysis was blood stream tunnel infection followed by, infective endocarditis, echo vegetation, tunnel infection and exit site infection patients.

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Clinical characteristics of catheter-related infection in patients with chronic renal failure End Stage Renal failure undergoing semi-permanent catheter placement during maintenance hemodialysis through tunnelled cuffed hemodialysis catheter

Cited by 5 publications

References 26 publications

Clinical Clue and Predictive Blood Count of Hemodialysis Cathether-Related Infection: Case Series

Clinical Clue and Predictive Blood Count of Hemodialysis Cathether-Related Infection: Case Series

Amino polysaccharide quaternary ammonium salt grafted to PET‐Cuff by ultraviolet irradiation for improving the sustained antibacterial property of semi‐permanent central vein tunneled cuffed catheter

Frequency of Catheter-Related Bacterial Infection in End Stage Renal Disease Patients on Hemodialysis

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