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Infectious Complications of Hemodialysis Tunneled Catheters—Types, Diagnosis, and Treatment Strategies

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Abstract

The number of patients with end-stage renal disease (ESRD) treated with hemodialysis (HD) increases annually globally. One of the main factors determining the quality of their lives is the type of vascular access used. Tunnel catheters have entered the medical practice since 1987. Regardless of the recommendations for their use in up to 10% of hemodialysis patients, their relative share has risen in the last two decades two to three times in the countries of Europe, and in the USA and Canada, they represent over 40% of the access for hemodialysis treatment. The current literature review aims to present the main complication in their use—catheter-related infections. The different types of infectious complications, their pathogenesis, their laboratory diagnostics, and practical guidelines for the behavior of each of them are examined.

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Authors and Affiliations

  1. Department of Nephrology and Dialysis, Medical University, Pleven, Bulgaria

    Biser Borisov & Stela Linkova

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  1. Biser Borisov
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  2. Stela Linkova
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Correspondence to Biser Borisov.

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Borisov, B., Linkova, S. Infectious Complications of Hemodialysis Tunneled Catheters—Types, Diagnosis, and Treatment Strategies. Indian J Surg 82, 460–464 (2020). https://doi.org/10.1007/s12262-020-02095-0

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  • DOI: https://doi.org/10.1007/s12262-020-02095-0

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