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Epidemiology hemodialysis catheters

Yueh-An Lu, Wei-Chiao Sun, George Kuo, Chao-Yu Chen, Huang-Kai Kao, YuJr Lin, Chia-Hui Lee, Cheng-Chieh Hung, Ya-Chung Tian, Yu-Shien Ko, Hsiang-Hao Hsu
STUDY DESIGN: A retrospective study of patients who were hospitalized for infectious spondylodiscitis over a 13 year period. OBJECTIVE: To elucidate the epidemiology and prognostic factors of infectious spondylodiscitis in hemodialysis (HD) patients and to identify the impact of HD on infectious spondylodiscitis. SUMMARY OF BACKGROUND DATA: Only a few case studies of infectious spondylodiscitis in HD patients can be found in the literature...
October 9, 2017: Spine
Mehrdad Ghahremani-Ghajar, Anna Jin, Peyman Borghei, Joline L T Chen
Hemodialysis catheters are associated with higher risks of complications compared to arteriovenous fistulas and grafts. Some common complications of dialysis catheters include infection, thrombus formation, central venous stenosis, and mechanical dysfunction. Rarely, catheters can become firmly adhered to a vessel wall. Catheter adhesion is a serious complication that can impact the delivery of safe and effective dialysis to affected patients. Adherent catheters commonly present insidiously with no overt diagnostic signs and symptoms or antecedent catheter malfunction...
August 30, 2017: Hemodialysis International
Nan Hong, Min Chen, Wenjie Fang, Abdullah M S Al-Hatmi, Teun Boekhout, Jianping Xu, Lei Zhang, Jia Liu, Weihua Pan, Wanqing Liao
Cryptococcosis is a lethal fungal infection mainly caused by Cryptococcus neoformans/C. gattii species. Currently, our understanding of cryptococcosis episodes in HIV-negative patients during renal dialysis remains scarce and fragmented. Here, we performed an analysis of pooled cases to systemically summarize the epidemiology and clinical characteristics of cryptococcosis among HIV-negative patients with renal dialysis. Using pooled data from our hospital and studies identified in four medical databases, 18 cases were identified and analyzed...
October 2017: Mycopathologia
Duc B Nguyen, Alicia Shugart, Christi Lines, Ami B Shah, Jonathan Edwards, Daniel Pollock, Dawn Sievert, Priti R Patel
BACKGROUND AND OBJECTIVES: Persons receiving outpatient hemodialysis are at risk for bloodstream and vascular access infections. The Centers for Disease Control and Prevention conducts surveillance for these infections through the National Healthcare Safety Network. We summarize 2014 data submitted to National Healthcare Safety Network Dialysis Event Surveillance. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS: Dialysis facilities report three types of dialysis events (bloodstream infections; intravenous antimicrobial starts; and pus, redness, or increased swelling at the hemodialysis vascular access site)...
July 7, 2017: Clinical Journal of the American Society of Nephrology: CJASN
Manel Jellouli, Meriem Ferjani, Amal Oueslati, Kamel Abidi, Ouns Naija, Yousra Hammi, Taieb Ben Abdallah, Tahar Gargah
Introduction Peritoneal dialysis (PD) is still the most common modality used in treatment for children with End Stage Renal Disease (ESRD). The objective of this study was to identify the epidemiological, clinical, and microbiological factors affecting the outcome of PD. Methods In this study, we retrospectively reviewed the records of 85 patients who were treated with DP for the last ten years (from January 2004 to December 2013) in the Department of Pediatrics in Charles Nicolle hospital, Tunis. Results The mean duration of PD was 18...
May 2016: La Tunisie Médicale
Ana Paula Jafet Ourives, Sarah Santos Gonçalves, Ricardo Andreotti Siqueira, Ana Carolina Remondi Souza, Maria Eugenia F Canziani, Silvia Regina Manfredi, Luci Correa, Arnaldo Lopes Colombo
BACKGROUND: Hemodialysis has been described as an important risk factor for the development of candidemia in patients suffering from chronic renal failure. AIMS: The aim of this study was to evaluate the epidemiology of candidemia in outpatients with renal replacement therapy (RRT) by hemodialysis where the fungemia clearly represents a healthcare-associated infection. METHODS: We retrospectively collected clinical and laboratory data from patients undergoing at least 3 months of RRT by hemodialysis who developed candidemia within 48h of hospital admission...
April 2016: Revista Iberoamericana de Micología
Lucile Mercadal, Jeanna-Eve Franck, Marie Metzger, Pablo Urena Torres, François de Cornelissen, Stéphane Edet, Clémence Béchade, Cécile Vigneau, Tilman Drüeke, Christian Jacquelinet, Bénédicte Stengel
BACKGROUND: Recent randomized trials report that mortality is lower with high-convection-volume hemodiafiltration (HDF) than with hemodialysis (HD). STUDY DESIGN: We used data from the French national Renal Epidemiology and Information Network (REIN) registry to investigate trends in HDF use and its relationship with mortality in the total population of incident dialysis patients. SETTING & PARTICIPANTS: The study included those who initiated HD therapy from January 1, 2008, through December 31, 2011, and were dialyzed for more than 3 months; follow-up extended to the end of 2012...
August 2016: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
Christian A Rojas-Moreno, Daniel Spiegel, Venkata Yalamanchili, Elizabeth Kuo, Henry Quinones, Pranavi V Sreeramoju, James P Luby
OBJECTIVE: This study had 2 objectives: (1) to describe the epidemiology of catheter-related bloodstream infections (CRBSI) in patients with end-stage renal disease (ESRD) who have no access to scheduled dialysis and (2) to evaluate whether a positive culture of the heparin-lock solution is associated with subsequent development of bacteremia. DESIGN: Retrospective observational cohort design for objective 1; and prospective cohort design for objective 2. SETTING AND PARTICIPANTS: The study was conducted in a 770-bed public academic tertiary hospital in Dallas, Texas...
March 2016: Infection Control and Hospital Epidemiology
Henrique Diegoli, Marcelo Castro Gonçalves Silva, Diogo Spengler Barcelos Machado, Carlos Eduardo Rilling da Nova Cruz
INTRODUCTION: Chronic kidney disease is defined by the progressive loss of renal function. Interventions in early stages significantly improve the prognosis of patients with chronic kidney disease, reducing the mortality, and many studies show that early nephrologist referral reduces the mortality rate. OBJECTIVE: To analyze the characteristics of the patients in dialysis and the time between the first consultation in the dialysis clinic and the beginning of the dialytic program...
January 2015: Jornal Brasileiro de Nefrologia: ʹorgão Oficial de Sociedades Brasileira e Latino-Americana de Nefrologia
Adil Maleb, Mohammed Ghazouani, Mariama Chadli, Mostafa Elouennass
BACKGROUND: Catheter-related infections are the sixth leading cause of nosocomial infections with approximately 7% of cases. AIM: The aim of this work was to establish the bacterial epidemiology of the catheter and TIC culture (totally implantable catheter) at the Mohamed V Military Teaching Hospital (MVHMI), and to study the antibiotic susceptibility of bacteria isolated. METHODS: this is a retrospective study over 24 months, including the venous and arterial catheters as well as the TIC treated at the Microbiology laboratory of the MVHMI...
August 2014: La Tunisie Médicale
Ashish Gupta, Anu Gupta, Amit Varma
BACKGROUND: Candidemia is an important nosocomial blood stream infection in critically ill patients. Although several studies have addressed candidemia, very few have reviewed the impact of Candida glabrata candidemia in Intensive Care Unit (ICU) patients. MATERIALS AND METHODS: The medical records of ICU patients between 2006 and 2010 were reviewed retrospectively. The epidemiology, clinical features and mortality related risk factors among our adult ICU patients were seen...
March 2015: Indian Journal of Critical Care Medicine
Xiaohua Zhang, Lihua Wang, Jing Li, Rongshan Li
OBJECTIVE: To retrieve the epidemiological literature of end stage renal hemodialysis patients. METHODS: A total of 8 108 chronic renal failure (CRF) patients on first-time dialysis in Shanxi province during January 2010 and December 2013 were surveyed. Their clinical data were registered into the Chinese national renal data system. RESULTS: In Shanxi province, the number of hemodialysis patients increased annually. The incidence rate between 2010 and 2013 was 46...
June 10, 2014: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Jaroslav Rosenberger, Viera Kissova, Maria Majernikova, Zuzana Straussova, Jan Boldizsar
OBJECTIVE: Malnutrition is a known predictor of mortality in the general and hemodialysis populations. However, diagnosing malnutrition in dialysis patients remains problematic. Body composition monitoring (BCM) is currently used mainly for assessing overhydratation in hemodialysis patients, but it also offers the possibility of evaluating nutrition status. This study explored whether malnutrition diagnosed by BCM predicts mortality at up to 54 months follow-up in prevalent hemodialysis patients...
May 2014: Journal of Renal Nutrition
Joy P Walker, Jade S Hiramoto, Warren J Gasper, Philip Auyang, Michael S Conte, Joseph H Rapp, David H Lovett, Christopher D Owens
BACKGROUND: Plasma 25 hydroxycholecalciferol (vitamin D) deficiency has been associated with adverse cardiovascular outcomes in epidemiologic studies. Chronic kidney disease is associated with loss of 1α-hydroxylase and consequently vitamin D deficiency. We hypothesized that vitamin D deficiency was associated with increased mortality and increased vascular access failure in patients undergoing permanent vascular access for end-stage renal disease. METHODS: This retrospective cohort study analyzed 128 patients undergoing permanent vascular access surgery between 2003 and 2012 for whom concurrent plasma vitamin D levels were also available...
July 2014: Journal of Vascular Surgery
Murat Dizbay, Ozlem Guzel Tunccan, Omer Karasahin, Firdevs Aktas
INTRODUCTION: Risk factors for nosocomial carbapenem-resistant Klebsiella spp. (CRK) infections were analyzed in this study. METHODOLOGY: The incidence, clinical characteristics, risk factors, antimicrobial susceptibility, and outcomes of CRK infections during a seven-year period (2004-2010) were retrospectively analyzed. RESULTS: A total of 720 patients were included in the study. Carbapenem resistance among Klebsiella spp. were significantly increased between 2003 and 2007 (p<0...
January 2014: Journal of Infection in Developing Countries
Hyun Kyung Kim, Yong Keun Park, Hee-Jung Wang, Bong Wan Kim, So Youn Shin, Seung-Kwan Lim, Young Hwa Choi
BACKGROUND: Bloodstream infection (BSI) is a significant cause of morbidity and mortality in liver transplant (LT) recipients. This study aimed to investigate the epidemiology and clinical features of post-transplant BSI in LT recipients. MATERIALS AND METHODS: The microbiology, frequency, and outcome of post-transplant BSI in the first year after LT were retrospectively analyzed in 222 consecutive patients who had received liver transplants at a single center between 2005 and 2011...
September 2013: Infection & Chemotherapy
Sérgio Adriano Loureiro Bersan, Carlos Faria Santos Amaral, Isabel Cristina Gomes, Mariângela Leal Cherchiglia
OBJECTIVE: To analyze clinical outcomes of patients on hemodialysis linked to health care plan provider. METHODS: Cohort study of hemodialysis events in Belo Horizonte, MG, Southeastern Brazil, between 2004 and 2008, based on records from health care plan provider databases. The independent variables were: sex, age, time between first appointment with nephrologist and starting hemodialysis, type of first vascular access, diabetes mellitus, length of time spent in hospital/year of treatment and death...
June 2013: Revista de Saúde Pública
Silvia Eduara Kennerly de Albuquerque, Ricardo de Souza Cavalcante, Daniela Ponce, Carlos Magno Castelo Branco Fortaleza
Patients submitted to hemodialysis are at a high risk for healthcare-associated infections (HAI). Presently there are scarce data to allow benchmarking of HAI rates in developing countries. Also, most studies focus only on bloodstream infections (BSI) or local access infections (LAI). Our study aimed to provide a wide overview of HAI epidemiology in a hemodialysis unit in southeastern Brazil. We present data from prospective surveillance carried out from March 2010 through May 2012. Rates were compared (mid-p exact test) and temporally analyzed in Shewhart control charts for Poisson distributions...
May 2014: Brazilian Journal of Infectious Diseases
Vineet Gupta, Mohamed H Yassin
The incidence of end-stage renal disease (ESRD) has almost doubled over past 2 decades. Despite decreasing overall hospital admission rates for ESRD population, the rate of infection-related hospitalizations has steadily increased. Infection remains the second most common cause of mortality in this patient population. Specifically, in the hemodialysis (HD) patients, the vascular access related infections are the most common identifiable source of infection. This concise review provides an update on the bacteremia related to vascular access primarily the catheters (Catheter Related Blood Stream Infection- CRBSI) in HD patients emphasizing on the determinants ranging from the epidemiology to pathogenesis, risk factors, cost implications and prevention...
June 2013: Infectious Disorders Drug Targets
Duc B Nguyen, Fernanda C Lessa, Ruth Belflower, Yi Mu, Matthew Wise, Joelle Nadle, Wendy M Bamberg, Susan Petit, Susan M Ray, Lee H Harrison, Ruth Lynfield, Ghinwa Dumyati, Jamie Thompson, William Schaffner, Priti R Patel
BACKGROUND: Approximately 15 700 invasive methicillin-resistant Staphylococcus aureus (MRSA) infections occurred in US dialysis patients in 2010. Frequent hospital visits and prolonged bloodstream access, especially via central venous catheters (CVCs), are risk factors among hemodialysis patients. We describe the epidemiology of and recent trends in invasive MRSA infections among dialysis patients. METHODS: We analyzed population-based data from 9 US metropolitan areas from 2005 to 2011...
November 2013: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
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