Avaliação do acesso vascular para hemodiálise em crianças e adolescentes: um estudo de coorte retrospectivo de 10 anos

“…In terms of the planned VA treating, the risk of catheter-related bacterial infections increases 2.21 times in urgent cases when it is necessary to place or replace a catheter within 24 hours 20 . In 37.6% of catheters that were urgently placed (with or without AVF/AVG in maturation), we did not diagnosed significantly more infections, which is a slightly lower percentage in relation to the same results of other studies 14,32,33 .…”

Section: Avf -Arteriovenous Fistula; Avg-arteriovenous Graft; а Permasupporting

confidence: 83%

Risk factors for catheter-related infections in patients on hemodialysis

et al. 2018

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Background/Aim. Catheter-related infections are a significant morbidity and mortality cause in patients on hemodialysis. The objective of this study was to determine the incidence, to analyze risk factors and to identify etiological causes of catheter-related infections in these patients. Methods. The study was carried out at the Clinic for Nephrology and Clinical Immunology of the Clinical Centre of Vojvodina, from August, 2012 to May, 2015. One hundred and thirteen patients on chronic hemodialysis participated in the study. The risk factors of catheterrelated infections in the infected patients were to those in the control group, as follows: demographic and laboratory parameters, co-morbidities and the use of immunosuppressive therapy, the length of hemodialysis treatment, urgent catheter placement, the position and placement difficulties, the number of insertions and catheter maneuvering, the existence of permanent vascular access in maturation or without a vascular access in the course of catheter positioning, catheter life, surgical procedures (≤ 30 days from catheter placing), the length of hospitalization and isolated infection causes. Results. One hundred and Key words: renal dialysis; catheter-related infections; risk factors.Apstrakt Uvod/Cilj. Infekcije povezane sa kateterom i dalje predstavljaju značajan uzrok morbiditeta i mortaliteta kod bolesnika na hemodijalizi. Cilj ovog ispitivanja je bio da se utvrdi incidencija, analiziraju faktori rizika i identifikuju etiološki uzročnici kateter infekcija kod ovih bolesnika. Metode. Ispitivanje je sprovedeno na Klinici za nefrologiju i kliničku imunologiju Kliničkog centra Vojvodine u periodu od avgusta 2012. do maja 2015. godine. Ispitivanjem je bilo obuhvaćeno 113 bolesnika lečenih hroničnim hemodijalizama. Upoređivani su faktori rizika od infekcija povezanih sa kateterom kod bolesnika sa dokazanom infekcijom u odnosu na kontrolnu grupu. Analizirani su demografski i laboratorijski parametri, komorbiditeti i upotreba imunosupresivne terapije, dužina dijaliziranja, urgent-no plasiranje, pozicija i otežano plasiranje katetera, broj mesta insercije i manipulacija kateterom, postojanje trajnog vaskularnog pristupa u maturaciji ili bez vaskularnog pristupa tokom plasiranja katetera, dužina trajanja katetera, hiruške intervencije (≤ 30 dana od plasiranog katetera), dužina hospitalizacije i izolovani uzročnici infekcija. Rezultati. Kod 113 bolesnika plasirano je 197 katetera, od kojih su 182 bila privremena. Ukupni broj dana katetera iznosio je 17,842, a incidencija infekcija je bila 3.53 slučajeva na 1,000 kateter dana. Tokom perioda praćenja potvrđene su 63 kateter-povezane infekcije, 54 (85.7%) privremenih i 9 (14.3%) trajnih katetera. Multivarijantnom logistističkom regresionom analizom (granične vrednosti određene receiver operating curve -ROC analizom), kao nezavisni prediktori kateter-povezanih infekcija dobijeni su: vrednost hemoglobina < 95 g/l (p < 0.001) i albumina < VOJNOSANITETSKI PREGLED Vol. 75,No 2 33g/l (p = 0.041), trajanje katetera > 90 dana (p...

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“…[16][17] The superiority of the hemodialysis temporary catheter insertion due to ARF was about five-fold higher compared with CRF, which was also observed in other studies. [18][19] This is possibly caused by the delay in the referral of these patients to the nephrologist, with a need for emergency hemodialysis and cases of ARF that is secondary to other diseases.…”

mentioning

confidence: 99%

Risk Factors Associated With Temporary Catheter-Related Infection in Patients on Dialysis Treatment

Borges¹,

Bedendo

2015

Texto contexto - enferm.

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ABSTRACT:This study aims to identify risk factors associated with temporary hemodialysis catheter-related infection, in patients on dialysis treatment in a teaching hospital. This is a prospective study performed from November of 2012 to May of 2013, with 129 patients. Sociodemographic, clinical and biochemical data were collected from patient charts. In patients with a catheter,, 48.8% had catheter-related infection, 65% were male, 65% were 60 years of age or older, 85.3% had the catheter because they were diagnosed with acute renal failure, and 88% were hospitalized in an intensive care unit. There was a significant correlation between the independent variables and the outcome of infection. The risk factors associated with temporary hemodialysis catheter-related infection were: length of time of catheter use, the change of device, death, and complications during a hemodialysis session. DESCRIPTORS:Risk factors. Catheter-related infections. Renal insufficiency. Renal dialysis. FATORES DE RISCO ASSOCIADOS À INFECÇÃO DE CATETER PROVISÓRIO EM PACIENTES SOB TRATAMENTO DIALÍTICORESUMO: Este estudo objetivou identificar os fatores de risco associados à infecção de cateter provisório para hemodiálise em pacientes em tratamento dialítico em um hospital escola. Trata-se de um estudo prospectivo, realizado no período de novembro de 2012 a maio de 2013, com 129 pacientes. Os dados sóciodemograficos, clínicos e bioquímicos dos participantes foram coletados dos prontuários. Entre os pacientes que foram submetidos à implantação do cateter, 48,8% apresentaram infecção relacionada ao cateter, 65% eram do sexo masculino, 65% possuíam idade igual ou superior a 60 anos, 85,3% utilizaram o cateter por terem sido diagnosticados com insuficiência renal aguda e 88% foram internados em unidade de terapia intensiva. Houve correlação significativa entre as variáveis independentes e o desfecho infecção. Os fatores de risco que se associaram à infecção relacionada à implantação do dispositivo foram: tempo de permanência do cateter, troca do dispositivo, óbito e intercorrências durante a sessão de hemodiálise. DESCRITORES: FACTORES DE RIESGO ASOCIADOS A LA INFECCIÓN DE CATÉTER PROVISORIO EN PACIENTES EN TRATAMIENTO DIALÍTICO RESUMEN:Este estudio tuvo como objetivo identificar los factores de riesgo asociados a la infección de catéter provisorio para hemodiálisis en pacientes en tratamiento dialítico en un hospital escuela. Se trata de un estudio prospectivo, realizado en el período entre noviembre de 2012 y mayo de 2013, con 129 pacientes. Fueron colectados: registros sociodemográficos, clínicos y bioquímicos de los participantes se obtuvieron de los registros médicos. Entre los pacientes que fueron sometidos a la implantación del catéter, el 48,8% presentaron infección relacionada con catéter, el 65% eran del sexo masculino, el 65% tenían edad igual a 60 años o más, el 85,3% utilizaron el catéter porque hubieran sido diagnosticados con insuficiencia renal aguda y el 88% fueron hospitalizados en la unidad de terapia intensiva. Hubo correl...

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Avaliação do acesso vascular para hemodiálise em crianças e adolescentes: um estudo de coorte retrospectivo de 10 anos

Abstract: ResumoIntrodução: As intercorrências do acesso vascular têm sido a maior causa de internação entre os pacientes com estágio V da doença renal crônica (DRC) em hemodiá-lise (HD

Cited by 19 publications

References 34 publications

Bloodstream infection in patients with end-stage renal disease in a teaching hospital in central-western Brazil

Bloodstream infection in patients with end-stage renal disease in a teaching hospital in central-western Brazil

Risk factors for catheter-related infections in patients on hemodialysis

Risk Factors Associated With Temporary Catheter-Related Infection in Patients on Dialysis Treatment

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