Catheter related blood stream infections; the incidence and risk factors in Iranian hemodialysis patients

2Citations
Citations of this article
17Readers
Mendeley users who have this article in their library.

Abstract

Introduction: Patients with end-stage renal disease (ESRD) are routinely managed by hemodialysis. The catheter-related blood stream infections (CRBSIs) are important complications with high risk of mortality and morbidity in patients undergoing hemodialysis. Objectives: To determine the incidence of CRBSIs in patients undergoing hemodialysis in a single center in Iran. Patients and Methods: In this cross-sectional study, we evaluated the incidence of CRBSIs in 50 hemodialysis patients hospitalized at the Shahid-Modarres hospital of Tehran from March 2017 until March 2018. The data was collected from patients’ medical archives. The CRBSI was established by blood culture. Results: Of 50 hemodialysis patients enrolled in the study, 27 were males (54%). The mean age was 49.7 ±11. 8 years old. Positive blood culture was observed in 64% of patients. The most common causative organism was coagulase-negative staphylococci (24%). The most common comorbidity and systemic clinical symptom included hypertension (84%) and fever (92%) respectively. In most patients (74%), the length of catheter indwelling was less than one year. Echocardiography showed that 24% of the patients had vegetation. Conclusion: The coagulase-negative staphylococci were the most frequent organisms responsible for CRBSIs among hemodialysis patients. These findings might be helpful in early diagnosis and choose the best antibiotics for treatment.

Cite

CITATION STYLE

APA

Alirezaei, A., Massoudi, N., Zare, E., & Nouri, Y. (2019). Catheter related blood stream infections; the incidence and risk factors in Iranian hemodialysis patients. Journal of Nephropharmacology, 8(2). https://doi.org/10.15171/npj.2019.17

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free