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Catheter-Related Bloodstream Infection

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Abstract

Hemodialysis access-related bloodstream infections are a significant cause of morbidity and mortality in children maintained on hemodialysis. The rates of these infections are highly variable in large part due to the inconsistent definitions used to diagnose these infections and the failure to clearly delineate between primary and access-related bloodstream infections. Although standard treatment of catheter-related bloodstream infections routinely includes removal of the catheter, this therapeutic maneuver is difficult to implement in hemodialysis patients who require that access for life-sustaining dialysis and in children in whom sites for vascular access may be limited. The following case seeks to highlight the importance of this distinction as well as the unique aspects of treating access-related infections in pediatric hemodialysis patients. The case discussion will also review efforts to minimize the risk for these infections.

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Authors and Affiliations

  1. Department of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Rebecca L. Ruebner & Alicia M. Neu

Authors
  1. Rebecca L. Ruebner
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  2. Alicia M. Neu
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Corresponding author

Correspondence to Rebecca L. Ruebner .

Editor information

Editors and Affiliations

  1. Division of Pediatric Nephrology, University of Missouri, Kansas City School of Medicine, Children’s Mercy Hospital, Kansas City, Missouri, USA

    Bradley A Warady

  2. Division of Pediatric Nephrology, Center for Pediatrics and Adolescent Medicine, University of Heidelberg, Heidelberg, Germany

    Franz Schaefer

  3. Division of Pediatric Nephrology, Department of Pediatrics, Stanford University School of Medicine, Lucile Packard Children’s Hospital Stanford, Stanford, California, USA

    Steven R. Alexander

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© 2017 Springer International Publishing AG

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Ruebner, R.L., Neu, A.M. (2017). Catheter-Related Bloodstream Infection. In: Warady, B., Schaefer, F., Alexander, S. (eds) Pediatric Dialysis Case Studies. Springer, Cham. https://doi.org/10.1007/978-3-319-55147-0_18

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  • DOI: https://doi.org/10.1007/978-3-319-55147-0_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-55145-6

  • Online ISBN: 978-3-319-55147-0

  • eBook Packages: MedicineMedicine (R0)

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