Incidence of bloodstream infection in multicenter inception cohorts of hemodialysis patients

Taylor, Geoffrey; Gravel, Denise; Johnston, Lynn; Embil, John M.; Holton, Donna; Paton, Shirley; Infection, the Canadian Nosocomial; Epidemiolog, the Canadian Hospital

doi:10.1016/j.ajic.2003.05.007

Cited by 155 publications

(131 citation statements)

References 17 publications

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“…Repetitive breaks in skin integrity allow infection to reach the AVG. Bacteria adhere more strongly to the synthetic material of the AVG, leading to resistance of the host defences compared with native AVFs [27,28]. This is confirmed by our experience.…”

Section: Discussionsupporting

confidence: 78%

Infected Prosthetic Dialysis Arteriovenous Grafts: A Single Dialysis Center Study

Bachleda

Kalinová

Utíkal

et al. 2012

Surgical Infections

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Background: The prosthetic arteriovenous grafts (AVG) being used increasingly to create hemodialysis access are prone to infections that pose potentially life-threatening infectious and bleeding complications, as well as loss of dialysis access. In this study, we identified the bacteriologic agents of infected AVGs by site swab, blood culture, and prosthesis cultures, and to evaluate the role of microbiological findings in the management of the infection. Methods: We focused on 51 patients with 53 AVGs operated on in our clinic from January 2006 to December 2009. An infected AVG was identified by clinical, ultrasound, and microbiological findings. Sensitivity to antibiotics was determined for all bacterial strains. Isolates were identified by pulsed-field gel electrophoresis (PFGE) of bacterial DNA. In a few cases, positron emission tomography-computed tomography (PET-CT) examination was performed. Results: Strains of Staphylococcus spp., especially S. aureus, were the most frequent cause of infected AVG. All S. aureus strains were sensitive to methicillin. With the exception of a single case, isolates obtained simultaneously from the skin site and the vascular prosthesis were identical genetically. Conclusions: Our results suggest that bacterial infectious agents detected in site swab, blood, or graft culture confirm a suspicion of AVG infection. A PET-CT examination can provide confirmation. The combination of microbiologic and radionuclide findings can improve the management of the AVG infection, but surgery remains essential.

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Section: Discussionsupporting

confidence: 78%

Infected Prosthetic Dialysis Arteriovenous Grafts: A Single Dialysis Center Study

Bachleda

Kalinová

Utíkal

et al. 2012

Surgical Infections

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“…The hospitalization rate for these patients is double the general population and in 20% of cases the cause for hospitalization is infection 24,25 . Epidemiologic studies have shown that angioaccess type affects the risk of infection or bacteremie emergence 22,26 . At highest risk are patients with central venous catheter followed by patients with tunelized catheter and arteriovenous graft, while native arteriovenous fistula present low risk of infection 23,26,27 .…”

Section: Introductionmentioning

confidence: 99%

“…In hemodialysis patients infection is associated with high 14 P. Bachleda [18][19][20][21] . Studies have shown that a vascular access is one of the most important risk factors for infection and bacteremia in hemodialysis patients 22,23 . The hospitalization rate for these patients is double the general population and in 20% of cases the cause for hospitalization is infection 24,25 .…”

Section: Introductionmentioning

confidence: 99%

INFECTIOUS COMPLICATIONS OF ARTERIOVENOUS ePTFE GRAFTS FOR HEMODIALYSIS

Bachleda¹,

Utíkal²,

Kalinová³

et al. 2010

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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“…A study by Taylor, et al found that the relative risk of bacteremia in those using catheter for HD was estimated to be ten times greater than in patients with AVF. It was also observed that 18.5% of all deaths in dialysis patients were related bacteremia [20]. In this study, of the 56 patients on HD, 18 (32%) had permanent catheters and of these, 7 (38.9%) were hospitalized during the follow-up due to infection of the access, representing a high rate of catheter infection.…”

Section: Discussionmentioning

confidence: 93%

Evaluation of the Impact of Nutritional Support on Quality of Life and Morbidity Indicators in Hemodialysis

Espirito¹,

Nestor²,

Rodrigues³

2018

J Nutri Med Diet Care

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Incidence of bloodstream infection in multicenter inception cohorts of hemodialysis patients

Cited by 155 publications

References 17 publications

Infected Prosthetic Dialysis Arteriovenous Grafts: A Single Dialysis Center Study

Infected Prosthetic Dialysis Arteriovenous Grafts: A Single Dialysis Center Study

INFECTIOUS COMPLICATIONS OF ARTERIOVENOUS ePTFE GRAFTS FOR HEMODIALYSIS

Evaluation of the Impact of Nutritional Support on Quality of Life and Morbidity Indicators in Hemodialysis

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