Central Venous Catheters as a Source of Hemodialysis-Related Bacteremia

Taylor, Geoffrey; McKenzie, Marg; Buchanan-Chell, Maureen; Caballo, Louise; Chui, Linda; Kowalewska-Grochowska, Kinga

doi:10.1086/647891

Cited by 32 publications

(37 citation statements)

References 13 publications

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“…These results proved to be robust-consistent in both standard and time-dependent Cox models-supporting recommendations for minimizing or avoiding exposure to HD catheters, even as caregivers strive to increase the fistula use (4 -8). Hospitalization risk from sepsis or bacteremia for grafts was closer to that of fistulas, with catheters exhibiting the highest risk, findings consistent with known associations between catheters and infections (27)(28)(29)(30); however, the hospitalization risk associated with vascular access-related issues for grafts were closer to that of catheters-not surprising because grafts have been shown to have greater dysfunction rates and require more interventions relative to fistulas (31,32).…”

Section: Discussionsupporting

confidence: 73%

Change in Vascular Access and Hospitalization Risk in Long-Term Hemodialysis Patients

Lacson

Wang

Lazarus

et al. 2010

Clinical Journal of the American Society of Nephrology

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Section: Discussionsupporting

confidence: 73%

Change in Vascular Access and Hospitalization Risk in Long-Term Hemodialysis Patients

Lacson

Wang

Lazarus

et al. 2010

Clinical Journal of the American Society of Nephrology

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“…AVF patients are less likely to experience vascular access morbidity, whereas CVC patients experience the daily challenge of keeping the CVC site dry, the cosmetic effect and imposition of the catheter, and greater CVC-related morbidity (16,17,26).…”

Section: Discussionmentioning

confidence: 99%

Association of Initial Hemodialysis Vascular Access with Patient-Reported Health Status and Quality of Life

Wasse¹,

Kutner²,

Zhang³

et al. 2007

Clinical Journal of the American Society of Nephrology

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Background: Although the arteriovenous fistula (AVF) is the recommended form of vascular access for patients with ESRD, its impact on patient perception of health status, quality of life (QOL), or satisfaction is unknown.Design, setting, participants, and measurements: This study compared patient-reported health status and QOL scores and vascular access type among a national random sample of 1563 patients at dialysis initiation and day 60 of ESRD during 1996 to 1997. Patients were stratified into five categories: AVF at first dialysis and day 60 of ESRD, arteriovenous graft (AVG) at first dialysis and day 60, central venous catheter (CVC) at first dialysis and AVF at day 60, CVC at first dialysis and AVG at day 60, and CVC at first dialysis and day 60.Results: Ten percent (n ‫؍‬ 154) of patients had an AVF, 21% (n ‫؍‬ 326) had an AVG, and 69% (n ‫؍‬ 1083) had a CVC at dialysis initiation; those who were most likely to use an AVF were white and male. After statistical adjustment, patients with persistent AVF use reported greater physical activity and energy, better emotional and social well-being, fewer symptoms, less effect of dialysis and burden of kidney disease, and better sleep compared with patients with persistent CVC use, whereas measures such as cognitive and sexual function did not differ by access type.Conclusions: Compared with persistent CVC use, early persistent AVF use is associated with the perception of improved health status and QOL among patients with ESRD. Future longitudinal studies may help to clarify further the association between QOL and vascular access.

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“…This may relate to lower infection rates and increased long term patency with fistulae. 26,27 Our study has limitations. Caution must be used in generalising our findings due to a relatively low response rate and over representation from those aged over 65, those more recently started RRT and those resident in less deprived areas.…”

Section: Transplant Datamentioning

confidence: 93%

“…60 (24) 55 (26) 30 (27) 28 (12) 38 (17) 2 (n=174) 65 (20) 57 (24) 34 (27) 30 (13) 41 (17) 3 (n=144) 67 (23) 60 (24) 38 (29) 29 (13) 42 (18) 4 (n=161) 70 (20) 63 (27) 42 (29) 32 (13) Hb<100 (n=111) 66 (22) 60 (25) 33 (26) 27 (14) 39 (18) Hb 100-120 (n=441) 67 (21) 61 (25) 37 (28) 30 (12) 42 (17) Hb>120 (n=167) 64 (24) 57 (27) 36 (29) 30 (13) 42 (17) One …”

Section: (N=172)unclassified

Collection and determinants of patient reported outcome measures in haemodialysis patients in Scotland

Nimmo

Bell

Brunton

et al. 2017

QJM: An International Journal of Medicine

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Collection and determinants of patient reported outcome measures in haemodialysis patients in ScotlandNimmo, A.; Bell, S.; Brunton, C.; Campbell, J.; Doyle, A.; Mackinnon, B.; Peel, R. K.; Robertson, S.; Shilliday, I.; Spalding, E.; Traynor, J. P.; Metcalfe, W.; On behalf of the Scottish Renal Registry General rights Copyright and moral rights for the publications made accessible in Discovery Research Portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights.• Users may download and print one copy of any publication from Discovery Research Portal for the purpose of private study or research.• You may not further distribute the material or use it for any profit-making activity or commercial gain.• You may freely distribute the URL identifying the publication in the public portal. There were significant differences in PROMs with age, SIMD quintile and primary renal diagnosis. Achieving a urea reduction ratio of >65% and dialysing through arteriovenous access were associated with significantly higher PROMs. PROMs were not affected by haemoglobin or phosphate concentration. Conclusions:Routine collection of PROMs is feasible and can identify potentially under-recognised and treatable determinants to quality of life. The association between attaining recommended standards of care and improved PROMs is striking. Individual and population-wide strategies are required to improve PROMs.

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Central Venous Catheters as a Source of Hemodialysis-Related Bacteremia

Abstract: A marked increase in hemodialysis bacteremia occurred in 1996, associated with increased reliance on CVCs for vascular access in hemodialysis patients during a period of healthcare restructuring.

Cited by 32 publications

References 13 publications

Change in Vascular Access and Hospitalization Risk in Long-Term Hemodialysis Patients

Change in Vascular Access and Hospitalization Risk in Long-Term Hemodialysis Patients

Association of Initial Hemodialysis Vascular Access with Patient-Reported Health Status and Quality of Life

Collection and determinants of patient reported outcome measures in haemodialysis patients in Scotland

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