Risk Factors of Catheter-Related Infection in Patients Undergoing Hemodialysis Using Double Lumen Catheter at Dr. M. Djamil Hospital Padang

Iqbal, Muhammad; Rustam, Raflis; Rivaldy, Vendry

doi:10.37275/bsm.v6i1.436

Cited by 2 publications

(2 citation statements)

References 9 publications

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“…This number is not much different from the results of a study by Wiradana et al, (Wiradana et al, 2021) in 2021 in Denpasar which reported that 41.2% of 102 patients undergoing hemodialysis had CDL infections. In a study by Iqbal et al, (Iqbal et al, 2022) in Padang in 2022, they reported a higher percentage of CDL infections, out of a total of 40 hemodialysis patients who underwent CDL installation, 27 patients (67.5%) had CDL infections. From this study, the results showed that there was no significant difference in sex and age between patients with and without CDL, so it can be concluded that the incidence of CDL infection in this study was not influenced by gender and age.…”

Section: Discussionmentioning

confidence: 98%

Characteristic Of Catheter Double Lumen Infection In Chronic Kidney Disease Patients At Dr. Mohammad Hoesin Hospital Palembang

Dahlan,

Yusuf,

Rahman

et al. 2023

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<div><table cellspacing="0" cellpadding="0" align="left"><tbody><tr><td align="left" valign="top"><p><em>The majority of chronic kidney failure patients (40-60%) require hemodialysis (HD) twice a week and often face problems with inadequate venous access. Hemodialysis patients with CKD often use an alternative to central venous access in the form of a well-tunneled double lumen (CDL) catheter or non-tunneled. However, the use of CDL causes many risks of infection This study aims to analyzed risk factors for CDL infection in patients with chronic kidney failure undergoing hemodialysis at dr. Mohammad Hoesin Hospital period January to December 2021.Descriptive study with retrospective study design was undertaken in the hemodialysis unit at dr. Mohammad Hoesin Hospital Palembang from January to December 2022. There were 100 samples who met the inclusion criteria. The relationship between independent and dependent variables was analyzed using the Chi Square test or Fisher's Exact. The most important risk factors were analyzed using the Logistic Regression test. All data were analyzed by SPPS version 22.0. In this study, there was no significant relationship between gender, age, ureum, creatinine, leucocyte and length of use with the incidence of CDL infection (p > 0,05), however there is a significant relationship between nutritional status with the incidence of CDL infection (OR = 31.418 (CI5% 10.028 – 98.438); p = 0.000); there was a significant relationship between catheter location with the incidence of CDL infection (p = 0.000); and there was a significant relationship between the type of catheter with the incidence of CDL infection (OR = 32.276 (CI5% 4.096 – 254.319); p = 0.000).In this study, it was found that the factors influencing CDL infection were nutritional status and type of catheter</em><em>.</em></p><p> </p></td></tr></tbody></table></div><strong><em>Keyword: Catheter, CDL, Chronic Kidney Failure, Haemodialysis, Infection</em></strong>

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Section: Discussionmentioning

confidence: 98%

Characteristic Of Catheter Double Lumen Infection In Chronic Kidney Disease Patients At Dr. Mohammad Hoesin Hospital Palembang

Dahlan,

Yusuf,

Rahman

et al. 2023

Contagion

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“…14 Similarly, many African countries, Middle East and European studies reported a significant association between the incidence of CRBSIs and longer duration of CVC insertion. 10,15,16 In CKD patients, the possible reasons for the prolonged duration of CVC usage were due to the difficulty of performing an arteriovenous fistula (AVF). This is a common problem encountered in our center.…”

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confidence: 99%

Catheter-Related Blood Stream Infections and Associated Factors Among Hemodialysis Patients in a Tertiary Care Hospital

Weldetensae¹,

Weledegebriel²,

Tesfahunegn³

et al. 2023

IDR

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Non-tunneled central venous catheter remains the preferred vascular access at hemodialysis initiation in developing countries despite a high burden of infection complications. The goal of this study was to determine the burden, risk factors, and microbiological spectrum of catheter-related bloodstream infections at a tertiary care center in Ethiopia. Methods: A retrospective cross-sectional study design was applied among patients who underwent central venous catheter insertion for hemodialysis between January 2016 and June 2022 with no native arteriovenous fistula and stayed more than 48 hours. Data were collected from the patient's registration book, patient charts, and microbiology registry and analyzed using SPSS 21. Binary logistic regression was applied to assess the relationship between the independent and outcome variables. P-values less than 0.05 with AOR and 95% CI were used as statistically significant variables. Results: In this study, 353 patients were included. The mean age was 39±17.9 years and the average duration of catheter stay was 58 ±95 days. A hundred thirty-five (38.2%) CRBSIs were documented with an incidence rate of 7.74 episodes per 1000 catheter days. The causative microorganism was predominantly gram-negatives (57.6%). Duration of a catheter (AOR: 0.3; P < 0.001), previous CVC infection (AOR: 11.9; P < 0.001), high white blood cell count (AOR: 0.31; P<0.001), urban residence (AOR: 1.92; P<0.05), and low hemoglobin levels (AOR: 2.78; P < 0.05) were independently associated with catheter-related bloodstream infections. Conclusion:In conclusion, the incidence of catheter-related bloodstream infection among patients on hemodialysis was high with gram-negative predominance. Early fistula must be planned to reduce the duration of temporary vascular access.

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Risk Factors of Catheter-Related Infection in Patients Undergoing Hemodialysis Using Double Lumen Catheter at Dr. M. Djamil Hospital Padang

Cited by 2 publications

References 9 publications

Characteristic Of Catheter Double Lumen Infection In Chronic Kidney Disease Patients At Dr. Mohammad Hoesin Hospital Palembang

Characteristic Of Catheter Double Lumen Infection In Chronic Kidney Disease Patients At Dr. Mohammad Hoesin Hospital Palembang

Catheter-Related Blood Stream Infections and Associated Factors Among Hemodialysis Patients in a Tertiary Care Hospital

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