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Epidemiology hemodialysis catheters infections

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...
January 2018: 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
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
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
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
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
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
Lisa Crowley, Jennie Wilson, Rebecca Guy, David Pitcher, Richard Fluck
INTRODUCTION: Infection remains one of the leading causes of death in patients with end-stage renal failure (ESRF) receiving dialysis. Since April 2007, all centres providing renal replacement therapy in England have been required to provide additional data on patients with Methicillin Resistant Staphylococcus Aureus (MRSA) infection. From January 2011 this has also been required for patients with Methicillin Sensitive Staphylococcus Aureus (MSSA). MRSA data for 2009-2011 and the first 6 months of MSSA data are reported...
2012: Nephron. Clinical Practice
Rosana T Ramos, Gisela M Leite, Hilton V Martinez, Kátia C Sibin, Almir Germano, Terezinha Svidzinski
Among others complications due central venous catheters (CVCs), the blood infection (BI) deserves particular attention. The purposes of this study were to analyze the clinical and epidemiological characteristics of adult patients using CVC; to know the yeast colonization index; and to link it to risk factors for BI. Yeasts were investigated in 156 CVCs removed from 91 patients of the Regional University Hospital of Maringá from February to August, 2008. Yeast colonization was detected in 10.89% of the catheters, which were removed from 15 patients, three of them had a fatal hospital yeast infection due to catheter...
December 2011: Acta Médica Portuguesa
Natasha Bagdasarian, Michael Heung, Preeti N Malani
Infectious complications remain a major source of morbidity and mortality for patients with end-stage renal disease on dialysis. The majority of these complications are related to dialysis access devices, and as such represent a potentially modifiable risk factor. This article reviews the important infectious complications associated with dialysis access, including both hemodialysis and peritoneal dialysis. The discussion highlights the epidemiology, management, and prevention of dialysis access infections.
March 2012: Infectious Disease Clinics of North America
Almudena Martín-Peña, Rafael Luque Márquez, M José Marco Guerrero, Nuria Espinosa, Yolanda Blanco, José Ibeas, Ma José Ríos-Villegas, José Miguel Cisneros
PURPOSE: Catheter-related bloodstream infections (CRBSI) are common among patients undergoing long-term hemodialysis (HD) worldwide. The aim of this study was look into the incidence, epidemiology, and risk factors for CRBSI in four medical centers and Spanish dialysis facilities following a common protocol for insertion and management of tunneled hemodialysis catheters (THCs). METHODS: Prospective study including all THCs inserted from September-04 to October-05...
April 2012: Journal of Vascular Access
M M Cisse, E Ka, S Gueye, S M Seck, A Tall, A Niang, B Diouf
INTRODUCTION: Chronic kidney disease is now regarded as amajor public health concern. This is especially true in developing countries where it accounts for significant morbidity, mortality and decreased life expectancy. The main problem for developing countries is the cost of dialysis. Indeed, the availability of peritoneal dialysis for renal replacement therapy is low in sub-Saharan Africa. Since March 2004 peritoneal dialysis has been available to some patients with end-stage renal disease in Senegal...
October 2011: Médecine Tropicale: Revue du Corps de Santé Colonial
Philip Kam-Tao Li, Kai Ming Chow
This Review focuses on the changing epidemiology of infections among patients with end-stage renal disease who are undergoing dialysis. In particular, bloodstream infections related to vascular access in patients undergoing hemodialysis, and peritonitis in patients undergoing peritoneal dialysis, are highlighted. Gram-positive (staphylococcal and enterococcal) bloodstream infections and Gram-negative peritonitis (especially extended-spectrum β-lactamase-producing organisms) contribute substantially to excess health-care use owing to infection caused by dialysis access...
December 20, 2011: Nature Reviews. Nephrology
Gopi Patel, Stephen G Jenkins, José R Mediavilla, Barry N Kreiswirth, Brian Radbill, Cassandra D Salgado, David P Calfee
OBJECTIVE: To describe the epidemiology of methicillin-resistant Staphylococcus aureus (MRSA) carriage and transmission in an ambulatory hemodialysis population. DESIGN: Prospective cohort study. SETTING: Outpatient hemodialysis facility affiliated with a large academic medical center. PARTICIPANTS: Of the 170 facility patients, 103 (61%) participated in the study. METHODS: Swab specimens of the nares, axillae, and vascular access site were collected from participants weekly for 3 weeks and then monthly for 5 months...
September 2011: Infection Control and Hospital Epidemiology
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