Manejo de la colonización por Staphylococcus aureus meticilin resistente, en pacientes y profesionales de una unidad de hemodiálisis, en una situación de elevada endemia: ¿objetivo cero?

Gómez-González, M. Carmen; Campos, Rosa María Píriz; Pascua, Javier; Marigliano, N.; Lancho, Jose María; Teno, Pilar

doi:10.1016/j.eimc.2011.08.007

Cited by 3 publications

(1 citation statement)

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“…With regard to resistance profiles, microorganisms such as MRSA and VRE have been isolated in surveillance cultures collected from patients on dialysis treatment [29,34,35]. Aktas et al .…”

Section: Discussionmentioning

confidence: 99%

Risk factors for bloodstream infection in patients at a Brazilian hemodialysis center: a case–control study

et al. 2015

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BackgroundInfection is the leading cause of morbidity and the second leading cause of mortality in patients on renal replacement therapy. The rates of bloodstream infection in hemodialysis patients vary according to the type of venous access used. Gram-positive bacteria are most frequently isolated in blood cultures of hemodialysis patients. This study evaluated risk factors for the development of bloodstream infections in patients undergoing hemodialysis.MethodsRisk factors associated with bloodstream infections in patients on hemodialysis were investigated using a case–control study conducted between January 2010 and June 2013. Chronic renal disease patients on hemodialysis who presented with positive blood cultures during the study were considered as cases. Controls were hemodialysis patients from the same institution who did not present with positive blood cultures during the study period. Data were collected from medical records. Logistic regression was used for statistical analysis.ResultsThere were 162 patients included in the study (81 cases and 81 controls). Gram-positive bacteria were isolated with the highest frequency (72%). In initial logistic regression analysis, variables were hypertension, peritoneal dialysis with previous treatment, type and time of current venous access, type of previous venous access, previous use of antimicrobials, and previous hospitalization related to bloodstream infections. Multiple regression analysis showed that the patients who had a central venous catheter had an 11.2-fold (CI 95%: 5.17–24.29) increased chance of developing bloodstream infections compared with patients who had an arteriovenous fistula for vascular access. Previous hospitalization increased the chance of developing bloodstream infections 6.6-fold (CI 95%: 1.9–23.09).ConclusionsInfection prevention measures for bloodstream infections related to central venous catheter use should be intensified, as well as judicious use of this route for vascular access for hemodialysis. Reducing exposure to the hospital environment through admission could contribute to a reduction in bloodstream infections in this population.

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“…With regard to resistance profiles, microorganisms such as MRSA and VRE have been isolated in surveillance cultures collected from patients on dialysis treatment [29,34,35]. Aktas et al .…”

Section: Discussionmentioning

confidence: 99%