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Non access related infections in chronic dialysis

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https://www.readbyqxmd.com/read/25725239/hiv-and-chronic-kidney-disease
#1
REVIEW
Saraladevi Naicker, Sadaf Rahmanian, Jeffrey B Kopp
Chronic kidney disease (CKD) is a frequent complication of HIV infection, occurring in 3.5 - 48.5%, and occurs as a complication of HIV infection, other co-morbid disease and infections and as a consequence of therapy of HIV infection and its complications. The classic involvement of the kidney by HIV infection is HIV-associated nephropathy (HIVAN), occurring typically in young adults of African ancestry with advanced HIV disease in association with APOL1 high-risk variants. HIV-immune complex disease is the second most common diagnosis obtained from biopsies of patients with HIV-CKD...
2015: Clinical Nephrology
https://www.readbyqxmd.com/read/25110302/buttonhole-versus-rope-ladder-cannulation-of-arteriovenous-fistulas-for-hemodialysis-a-systematic-review
#2
REVIEW
Ben Wong, Maliha Muneer, Natasha Wiebe, Dale Storie, Sabin Shurraw, Neesh Pannu, Scott Klarenbach, Alexa Grudzinski, Gihad Nesrallah, Robert P Pauly
BACKGROUND: The buttonhole technique is an alternative method of cannulating the arteriovenous fistula (AVF) in hemodialysis (HD), frequently used for home HD patients. However, the balance of risks and benefits of the buttonhole compared with the rope-ladder technique is uncertain. STUDY DESIGN: A systematic review of randomized trials and observational studies (case reports, case series, studies without a control group, non-English studies, and abstracts were excluded)...
December 2014: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/24388672/clinical-presentation-and-outcomes-of-cardiovascular-implantable-electronic-device-infections-in-hemodialysis%C3%A2-patients
#3
LaTonya J Hickson, Janelle Y Gooden, Katherine Y Le, Larry M Baddour, Paul A Friedman, David L Hayes, Walter R Wilson, James M Steckelberg, M Rizwan Sohail
BACKGROUND: Infection is a serious complication of cardiovascular implantable electronic device (CIED) implantation. Kidney failure is as an independent risk factor for CIED infection and associated mortality. The presence of multiple comorbid conditions may contribute to varied clinical presentations and poor outcomes in hemodialysis (HD)-dependent patients with cardiac device infection. STUDY DESIGN: Case series. SETTING & PARTICIPANTS: CIED infections in HD patients (n=17) and non-HD patients (n=398) at Mayo Clinic in Rochester, MN, between 1991 and 2008...
July 2014: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/23877664/a-single-institutional-experience-of-conversion-of-non-tunneled-to-tunneled-hemodialysis-catheters-a-comparison-to-de-novo-placement
#4
COMPARATIVE STUDY
Sunil Kumar Bajaj, Joseph Ciacci, Matthias Kirsch, John D Ebersole
PURPOSE: To compare the outcomes of conversion of non-tunneled to tunneled hemodialysis catheters with de novo placement of tunneled catheters and to determine the effect of time to conversion of non-tunneled to tunneled catheters on the incidence of complications. MATERIALS AND METHODS: A retrospective data analyses was performed on 1,154 patients who had de novo placement of tunneled hemodialysis catheters (control group) and 254 patients who underwent conversion of non-tunneled to tunneled catheters (study group)...
December 2013: International Urology and Nephrology
https://www.readbyqxmd.com/read/23724178/outcome-of-immediate-use-of-the-permanent-peritoneal-dialysis-catheter-in-children-with-acute-and-chronic-renal-failure
#5
Ahmad-Ali Nikibakhsh, Hashem Mahmoodzadeh, Mohamad Vali, Ali Enashaei, Abdolreza Asem, Zahra Yekta
OBJECTIVE: Peritoneal dialysis remains the only available option for patients which need immediate dialysis and it could be a bridge between end-stage renal failure (ESRD) and transplantation. There is a paucity of published experience of children with immediate use of permanent Tenckhoff Catheter for peritoneal dialysis from developing countries. In this study we report our experience on immediate use of permanent peritoneal access and continued peritoneal dialysis for a prolonged time...
April 2013: Iranian Journal of Pediatrics
https://www.readbyqxmd.com/read/22911269/-central-venous-catheters-as-access-for-acute-and-long-term-dialysis
#6
M Hollenbeck, A Niehuus, G Wozniak, S Hennigs
Central venous dialysis catheters are indispensible as a rapid large lumen access to the blood compartment. If such a central venous catheter is necessary for longer than 2-3 weeks it is better to implant a tunnelled cuffed catheter initially or to switch early from the non-tunnelled acute catheter to a tunnelled cuffed catheter. Tunnelled cuffed catheters can be used for many weeks or even years and the complication rate is less than that of non-tunnelled acute catheters. The proportion of dialysis patients with long-term dialysis using tunnelled cuffed catheters has increased rapidly in recent years and now stands at approximately 20 % in Germany...
September 2012: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/22019332/urgent-start-peritoneal-dialysis-a-quality-improvement-report
#7
Arshia Ghaffari
BACKGROUND: Compared with hemodialysis, peritoneal dialysis (PD) is a cost-effective and patient-centered option with an early survival advantage, yet only 7% of patients with end-stage renal disease in the United States receive PD. PD underutilization is due in part to nephrologists' unfamiliarity with directly starting PD in patients who present with kidney failure requiring urgent initiation of dialysis. DESIGN: Quality improvement report. SETTING & PARTICIPANTS: Single-center study whereby 18 patients who presented urgently with chronic kidney disease stage 5 without a plan for dialysis modality were offered PD as the initial modality of dialysis...
March 2012: American Journal of Kidney Diseases: the Official Journal of the National Kidney Foundation
https://www.readbyqxmd.com/read/21624079/vascular-access-in-children-on-chronic-hemodialysis-a-slovenian-experience
#8
Rina R Rus, Gregor Novljan, Jadranka Buturović-Ponikvar, Janko Kovač, Vladimir Premru, Rafael Ponikvar
The aim of our study was to report our experience with arteriovenous fistulas (AVFs) and non-cuffed central venous catheters (CVCs) in children and adolescents with end-stage renal disease (ESRD) on hemodialysis (HD). The children with ESRD (18 years or younger) who were hemodialyzed at the Center of Dialysis and Transplantation, Children's Hospital, Ljubljana, in the period between December 1998 and December 2010 were included in our retrospective study. We recorded the data considering the CVCs and AVFs used for HD...
June 2011: Therapeutic Apheresis and Dialysis
https://www.readbyqxmd.com/read/21435000/perioperative-management-of-the-hemodialysis-patient
#9
REVIEW
Dominic Trainor, Emma Borthwick, Andrew Ferguson
Dialysis-dependent chronic kidney disease (CKD) is an expanding problem for healthcare systems worldwide. The prevalence of end-stage renal disease (ESRD) has increased by 20% since 2000 and stands at 1699 per million people in the USA. ESRD is associated with an increased risk of cardiovascular comorbidity, increased severity of cardiovascular disease, and an adjusted all-cause mortality rate that is 6.4-7.8-fold higher than the general population. These patients may present electively or emergently for surgery related to, or remote from, the CKD...
May 2011: Seminars in Dialysis
https://www.readbyqxmd.com/read/20881943/traditional-and-non-traditional-strategies-to-optimize-catheter-function-go-with-more-flow
#10
REVIEW
Michele H Mokrzycki, Charmaine E Lok
In the United States, over 340,000 patients have end-stage renal disease treated by hemodialysis (HD) and are dependent on a reliable vascular access. In over 80% of patients initiating HD, this access is the central venous catheter (CVC). Although the CVC has many advantages that make it desirable for dialysis initiation-ease of insertion, unnecessary maturation time, and availability for immediate use-it is not without significant disadvantages. The substantial morbidity and mortality associated with CVC use has been well documented in the literature...
December 2010: Kidney International
https://www.readbyqxmd.com/read/20237055/bismuth-coating-of-non-tunneled-haemodialysis-catheters-reduces-bacterial-colonization-a-randomized-controlled-trial
#11
RANDOMIZED CONTROLLED TRIAL
Ralf Schindler, Uwe Heemann, Ulrike Haug, Benjamin Stoelck, Aysun Karatas, Cosima Pohle, Reinhold Deppisch, Werner Beck, Markus Hollenbeck
BACKGROUND: Haemodialysis (HD) catheter-related blood stream infections are a major cause of morbidity and mortality in patients with acute and chronic renal failure. METHODS: We conducted a randomized, prospective, double-blinded trial investigating the clinical value of bismuth-coated non-tunneled HD catheters in patients in need of temporary short-term vascular access. A standard catheter (SC) was compared to a surface-modified, bismuth-film-coated catheter (FCC)...
August 2010: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/20054025/a-prospective-observational-study-of-catheter-related-bacteraemia-and-thrombosis-in-a-haemodialysis-cohort-univariate-and-multivariate-analyses-of-risk-association
#12
Peter Thomson, Catherine Stirling, Jamie Traynor, Scott Morris, Robert Mactier
BACKGROUND: Central venous catheterization is a fundamental component in delivering haemodialysis yet is associated with significantly higher complication rates than other methods of vascular access. In this study, we report results of univariate and multivariate analyses designed to identify and quantify independent risk association for catheterization type, clinical variables and laboratory variables with regard to the development of catheter-related bacteraemia (CRB) and catheter failure due to poor haemodialysis flow...
May 2010: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/19695074/vascular-access-in-patients-treated-with-chronic-hemodialysis-for-30-years-or-more
#13
Jadranka Buturović-Ponikvar, Vanja Persic, Marko Malovrh, Rafael Ponikvar
The aim of our study was to evaluate vascular access in patients treated with chronic hemodialysis for 30 years or more. Patients who had started dialysis in 1978 or earlier were identified from the Slovenian Renal Replacement Therapy Registry. The data on vascular access on April 2008 are presented. Sixteen patients were still alive, seven men and nine women aged 62 +/- 12 years (46-84), and they had been treated for 32 +/- 1.7 years (30-35), mainly with chronic HD. They had started HD at the age of 30 +/- 12 years (13-50), and none had diabetes...
August 2009: Therapeutic Apheresis and Dialysis
https://www.readbyqxmd.com/read/19484871/current-status-of-end-stage-renal-disease-care-in-south-asia
#14
Vivekanand Jha
Of the 1.5 million people of South Asia, a large number live in extreme poverty in rural urban areas and have limited access to health care. End-stage renal disease (ESRD) is a devastating medical, social, and economic problem. Lack of registries prevent an accurate assessment of the incidence or prevalence of ESRD, but a recent population-based study assessed the age-adjusted incidence at 232 cases per million population per year. ESRD treatment facilities are available only in major cities, requiring many patients to travel long distances to seek care...
2009: Ethnicity & Disease
https://www.readbyqxmd.com/read/17638264/implantation-of-permanent-jugular-catheters-in-patients-on-regular-dialysis-treatment-ten-years-experience
#15
S Ervo, F Cavatorta, A Zollo
Dual-lumen cuffed central venous catheter proved an important alternative vascular access compared to conventional arteriovenous (Cimino-Brescia) shunt in a selected group of patients on regular dialysis treatment. Typically, these catheters are used as bridging access, until fistula or graft is ready for use, or as permanent access when an arteriovenous fistula or graft is not planned (NKF-DOQI). We conducted a prospective study on IJV permanent catheter insertion and its related earlier and long-term complications...
April 2001: Journal of Vascular Access
https://www.readbyqxmd.com/read/17099304/effectiveness-of-sodium-hypochlorite-in-the-prevention-of-catheter-related-infections
#16
Dinna N Cruz, Catalina Ocampo, Alessandra Brendolan, Giuliano Menara, Valentina Corradi, Massimo de Cal, Natalia Polanco, Dingwei Kuang, Federico Nalesso, Carlo Crepaldi, Claudio Ronco
Vascular access in hemodialysis is a major point of concern in the management of chronic patients. Although arteriovenous fistula remains as the access of first choice, tunneled central venous catheters are still commonly used. Infection remains the principal cause of catheter dysfunction or loss. Many protocols have been used in order to prevent exit site infections and bacteremia. We describe our experience with the use of sodium hypochlorite, an electrolytic chloroxidizer used as a topical disinfectant. It has been shown to be active against a broad spectrum of potential pathogens and has other specific advantages compared to other cleansing agents, including its non-toxic, non-irritating nature and its low cost...
2007: Contributions to Nephrology
https://www.readbyqxmd.com/read/16792137/antibiotic-lock-technique-reduces-the-incidence-of-temporary-catheter-related-infections
#17
COMPARATIVE STUDY
P F Chiou, C C Chang, Y K Wen, Y Yang
BACKGROUND: In the hemodialytic population, infections are the second leading cause of death; access infections account for a large proportion of this mortality. The antibiotic lock technique has been applied to infected tunneled catheters as rescue or prophylaxis medication to reduce infection rates. In addition, application of topical antibiotic ointments to tunneled and non-tunneled catheters also prevents exit site infections. METHODS: 17 patients with 25 catheters participated in our study from March 2004 - February 2005...
June 2006: Clinical Nephrology
https://www.readbyqxmd.com/read/16644778/mortality-risk-factors-in-chronic-haemodialysis-patients-with-infective-endocarditis
#18
Uday S Nori, Anup Manoharan, John I Thornby, Jerry Yee, Ravi Parasuraman, Venkataraman Ramanathan
BACKGROUND: It is well documented that infective endocarditis (IE) is strongly associated with morbidity and mortality in haemodialysis (HD) patients. Less clear are the mortality risk factors for IE, particularly in an urban African-American dialysis population. METHODS: IE patients were identified from the medical records for the period from January 1999 to February 2004 and confirmed by Duke criteria. The patients were classified as 'survivors' and 'non-survivors' depending on in-hospital mortality, and risk factors for IE mortality were determined by comparing the two cohorts...
August 2006: Nephrology, Dialysis, Transplantation
https://www.readbyqxmd.com/read/16567674/efficacy-and-safety-results-with-the-lifesite-hemodialysis-access-system-versus-the-tesio-cath-hemodialysis-catheter-at-12-months
#19
RANDOMIZED CONTROLLED TRIAL
Melvin Rosenblatt, James G Caridi, Faris Z Hakki, Jerry Jackson, Toros Kapoian, Samuel P Martin, John Moran, Alexander Pedan, Woody J Reese, John P Ross, Jamie Ross, Fred Rushton, Steven J Schwab, Ramesh Soundararajan, Brian Stainken, Mark A Weiss, Jack Work, James Yegge
PURPOSE: To compare the performance and safety of a fully subcutaneous vascular access device, the LifeSite hemodialysis access system, versus a tunneled hemodialysis catheter, the Tesio-Cath, at 1 year after implantation. MATERIALS AND METHODS: Sixty-eight patients who required hemodialysis received implantation of the LifeSite device or a Tesio-Cath device as a part of this multicenter study. Thirty-four patients were treated in each group. The endpoints observed included blood flow rates and associated venous pressures, overall and device-related adverse events, the need for thrombolytic infusions, device-related infections (DRIs) and associated hospitalizations, and technical device survival...
March 2006: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/16358235/the-impact-of-catheter-restricted-filling-with-cefotaxime-and-heparin-on-the-lifespan-of-temporary-hemodialysis-catheters-a-case-controlled-study
#20
RANDOMIZED CONTROLLED TRIAL
Anil K Saxena, Bodh R Panhotra
BACKGROUND: Reduction in the rates of major complications such as infection and thrombosis that limit the lifespan of hemodialysis (HD) catheters could conceivably lead to improved survival of "temporary" non-tunneled HD catheters (NTCs). This study was designed to evaluate the impact of the "locking"' of a broad-spectrum antibiotic-cefotaxime with heparin, on the incidence of catheter thrombosis, catheter-related bloodstream infections (CRBSI) and the NTC lifespan. METHODS: This prospective study included 208 (109 males and 99 females) end-stage renal disease (ESRD) patients of diverse etiology enrolled for long-term HD from July 2002 to June 2003 at our tertiary care hospital...
November 2005: Journal of Nephrology
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