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Replacement of Renal Function by Dialysis pp 646–658Cite as

Host Defenses and Infectious Complications in Maintenance Hemodialysis Patients

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Abstract

Prior to the advent of chronic hemodialysis, infection was frequently a terminal or preterminal event in patients with end-stage renal failure. During the last decade, better hemodialysis techniques coupled with general advances in medical therapy have improved the prognosis (1–3). Nevertheless, infectious complications continue to be a major medical threat to patients receiving maintenance hemodialysis (4–10). It is unquestionable that the most common type of infections are those related to the blood access device. In this chapter we will review incidence and type of infectious complications that occur in patients undergoing chronic hemodialysis. It seems important to emphasize at the beginning that most of the infections seen in patients with severe renal failure can be accounted for by commonly occurring bacteria and not by unusual or opportunistic organisms. The repetitive exposure of these patients to infectious risk factors during hemodialysis appears of major importance in determining the infectious complications observed.

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Authors
  1. William F. Keane
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  2. Leopoldo R Raij
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Editor information

Editors and Affiliations

  1. Department of Medicine Queen Wilhelmina University Hospital, Amsterdam, The Netherlands

    William Drukker M.D. (Formerly Reader in Dialysis, Emeritus Director Department of Nephrology and Dialysis) (Formerly Reader in Dialysis, Emeritus Director Department of Nephrology and Dialysis)

  2. St. Lucas Hospital, Amsterdam, Netherlands

    William Drukker M.D. (Formerly Reader in Dialysis, Emeritus Director Department of Nephrology and Dialysis) (Formerly Reader in Dialysis, Emeritus Director Department of Nephrology and Dialysis)

  3. De Lairessestraat 75, 1071 NV, Amsterdam, The Netherlands

    William Drukker M.D. (Formerly Reader in Dialysis, Emeritus Director Department of Nephrology and Dialysis) (Formerly Reader in Dialysis, Emeritus Director Department of Nephrology and Dialysis)

  4. Renal Research Unit, Wellcome Wing, The General Infirmary at Leeds, LS1 3EX, Leeds, England

    Frank M. Parsons B.Sc., M.D., F.R.C.P. Ed. (Consultant Physician in Clinical Renal Physiology, Senior Clinical Lecturer in Medicine) (Consultant Physician in Clinical Renal Physiology, Senior Clinical Lecturer in Medicine)

  5. University of Leeds, England

    Frank M. Parsons B.Sc., M.D., F.R.C.P. Ed. (Consultant Physician in Clinical Renal Physiology, Senior Clinical Lecturer in Medicine) (Consultant Physician in Clinical Renal Physiology, Senior Clinical Lecturer in Medicine)

  6. Nephrology Division, Uniformed Services University of the Health Sciences School of Medicine, 4301 Jones Bridge Road, Bethesda, MD, 20814, USA

    John F. Maher M.D. (Professor of Medicine, Director) (Professor of Medicine, Director)

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© 1983 Martinus Nijhoff Publishers, Dordrecht

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Keane, W.F., Raij, L.R. (1983). Host Defenses and Infectious Complications in Maintenance Hemodialysis Patients. In: Drukker, W., Parsons, F.M., Maher, J.F. (eds) Replacement of Renal Function by Dialysis. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-6768-7_33

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  • DOI: https://doi.org/10.1007/978-94-009-6768-7_33

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-0-89838-770-4

  • Online ISBN: 978-94-009-6768-7

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