Prevalencia de bacteriemias relacionadas con el catéter de hemodiálisis en una unidad hospitalaria

Abstract

Currently has increased the use of tunneled catheters as permanent vascular access for hemodialysis patients despite having associated complications, such as bacteremia. The aim of this work is to show the incidence of catheter-related bacteremia for hemodialysis obtained with the strict implementation of a protocol tunneled catheter care by well-trained personnel in the Hemodialysis Unit of University Hospital Infanta Leonor between April 2008 and April 2013, and to describe possible causes of bacteremia, the relationship with any of the variables and their evolution in recent years. During 5 years of study there had been 9 episodes of catheter-related bacteremia which is an overall incidence rate of 0.25 / 1000 catheter days. The fee for each of the years was less than 1/1000 catheter days. Patients who had bacteremia had catheters implanted more than those who had not, and this difference was significant (p = 0.027). No differences were found with respect to age, sex, diabetes mellitus, the Charlson comorbidity index and location of catheters among patients who developed bacteremia from those without.