Risk Factors for the Infections Caused by Temporary Double-Lumen Hemodialysis Catheters

Ünver, Suat; Atasoyu, Enes Murat; Evrenkaya, T. Rıfkı; Ardıç, Nurittin; Özyurt, Mustafa

doi:10.1016/j.arcmed.2005.07.010

Cited by 11 publications

(18 citation statements)

References 11 publications

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“…The most frequent microorganisms isolated from VAC infections have been Gram‐positive strains (4,10,16,17). We also isolated Gram‐positive strains in most of our cases, and the most frequently encountered bacteria was MRSA.…”

Section: Discussionmentioning

confidence: 64%

“…The US Centers for Disease Control and Prevention states: “Place catheters used for hemodialysis in a jugular or femoral vein rather than a subclavian vein to avoid venous stenosis if catheter access is necessary”(19). In contrast, Unver compared IJ VAC with SJ VAC in 70 hemodialysis patients, and SJ VAC had a low risk for CR‐BSI (17). A significantly higher risk of thrombosis in the femoral group was found by Merrer et al.…”

Section: Discussionmentioning

confidence: 97%

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Catheter‐related Infections via Temporary Vascular Access Catheters: A Randomized Prospective Study

2010

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Temporary vascular access catheters (VACs) are important devices used in acute blood purification therapies. The aim of this study was to determine whether a catheterization duration of 2 weeks increased the risk of nosocomial complications when compared with a 1-week duration. Fifty-six patients with 90 double lumen VACs were randomly chosen, and received either 1- or 2-week catheterizations from operators experienced in the placement of such catheters at three sites such as the internal jugular, subclavian, or femoral vein. The characteristics of the VACs, including the sites, procedures, and lengths, were similar in both groups. No significant difference in the rate of catheter colonization was observed between the groups (14.6% vs 26.2%, P = 0.1371). No significant difference in the rate of catheter-related bloodstream infections was observed between the groups (2.1% vs 4.8%, P = 0.5967). Two-week indwelling did not increase the risk of infection compared with 1-week indwelling at any of the sites in critically ill patients.

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Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 97%

Catheter‐related Infections via Temporary Vascular Access Catheters: A Randomized Prospective Study

2010

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“…This result was consistent as was found in literature sources which stated that the incidence of infections after non-tunneled DLC insertion was higher compared to tunneled DLC insertion. 5,8,9,10 Per literatures, this was because the "cuff" on tunneled DLC. Dacron cuff is used as the anchor to place the catheter subcutaneously, where catheter will then be bound to connective tissue, making it more stable and there will be lesser chance for it to be displaced.…”

Section: Discussionmentioning

confidence: 99%

“…1,2,3 The most common complication after the application of DLC is bloodstream infection and dysfunction due to formation of the thrombus.4 Studies in Turkey and the Netherlands reported that the complication of bloodstream infection or bacteremia after DLC insertion reached up to 23.9% and 22%, respectively. 5,6 In the United States of America, more than 300.000 individuals are dependent on hemodialysis, with the majority of them was caused by late stage kidney disease. 7 In Indonesia, there is no data describes the distribution of complication incidence of bloodstream infection related to DLC insertion, either tunneled or non-tunneled, as well as other related factors.…”

Section: Introductionmentioning

confidence: 99%

Infection of Double Lumen Catheter as Hemodialysis Access

Basri

Patrianef

2017

NRJS

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Introduction. One of the most common complications in vascular access was bacteremia or bloodstream infection. The purpose of this study was to know the infection rate in dialysis double lumen catheter (DLC) and it's relating factors. Method. This was a cross-sectional analytical study that was carried out by enrolling all ≥18-year-old subjects who underwent surgical insertion of DLC for hemodialysis during 2015 in Cipto Mangunkusumo General Hospital, Jakarta. Variables of bloodstream infection, age, gender, diabetes mellitus, history of previous DLC infection, history of catheter related bacteremia, site of insertion and duration were subjected to statistical analysis. Significance achieved if p value <0.05. Results. Out of all subjects, there were 19 (17.6%) subjects with bacteremia. Whereas, 5 (9.4%) subjects were those with tunneled DLC, and the remaining 14 (26.4%) were those with non-tunneled DLC. Factors found to be related with infection were the use of non-tunneled DLC (p = 0.043) and no history of previous DLC insertion (p = 0.038). Conclusion. Tunneled DLC was found superior to non-tunneled one to prevent catheter related bacteremia. The use of non-tunneled DLC should be avoided as hemodialysis access.

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“…Criteria to define different infection topographies varied, 15 (44.5%) used their own criteria, (4,(10)(11)(12)15,18,28,30,31,(34)(35)(36)(37)(38)40) 12 (36.4%) CDC criteria , (13,16,17,(20)(21)(22)25,26,29,32,33,39) 3 (9.1%) nationally set criteria (19,23,27) and 3 (9.1%) did not cite the criteria used. (14,24,41) Regarding VARI, authors who used their own criteria defined, for infection on the access site, the presence of pus and phlogistic signs surrounding insertion.…”

Section: Definition Of Infectionmentioning

confidence: 99%

Infecções em pacientes submetidos a procedimento hemodialítico: revisão sistemática

Cais¹,

Turrini²,

Strabelli³

2009

Rev. bras. ter. intensiva

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Risk Factors for the Infections Caused by Temporary Double-Lumen Hemodialysis Catheters

Cited by 11 publications

References 11 publications

Catheter‐related Infections via Temporary Vascular Access Catheters: A Randomized Prospective Study

Catheter‐related Infections via Temporary Vascular Access Catheters: A Randomized Prospective Study

Infection of Double Lumen Catheter as Hemodialysis Access

Infecções em pacientes submetidos a procedimento hemodialítico: revisão sistemática

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