Central venous catheters in hemodialysis: To accept recommendations or to stick to own experience

Abstract

Unconvincing rate of infections and a smaller percent of serious complications associated with the placement and use of central vein catheters instilled into the femoral vein, indicate that personal experience is sufficient recommendation to convince us that femoral vein does not represent a region with an increased risk for insertion of hemodialysis catheters.

Virulence Markers in <i>Staphylococcus aureus</i> Strains Isolated from Hemodialysis Catheters of Mexican Patients

“…This high incidence of S. aureus-positive catheters may be due to a deficiency in the management of patients within the different hospital settings and/or the high rate of autoinfection by the patients' own indigenous S. aureus, which is present in their anterior nares [27]. Despite reports of severe catheter-related S. aureus infections [21][22][23]28], the S. aureus strains responsible for these infections have not been genetically characterized. While the genotype of S. aureus has been suggested to contribute to the severity of the infection [29], the S. aureus virulence factors that are involved in catheter colonization and the subsequent bacteremia are not known.…”

Laceration of the Iliac Vein in a Patient with a Femoral Catheter for Hemodialysis

“…The femoral region is recommended as a last resort, but only in hospital conditions for no longer than five days, because the potentially dirty region allows greater opportunities for the development of infection [ 5 ]. However, there are different experiences, and a significant number of patients use a femoral vein catheter for hemodialysis [ 6 , 7 ].…”