Abstract
Bloodstream catheter-related infections (BCRIs) are the most common complications of temporary catheters in hemodialysis (HD) patients. This study was designed to evaluate the incidence and risk factors of bloodstream catheter-related infections in hemodialysis patients. Also, we aimed to identify the microorganisms isolated from the bloodstream and catheter of patients. From March 2012 to April 2013, this cross-sectional descriptive study was performed. A questionnaire that included demographic and medical data was completed for each case. Also, laboratory data, including catheter and blood cultures, were collected for each case. The collected data were analyzed using SPSS software. A P value <0.05 was considered significant. A total of 236 temporary hemodialysis catheters were inserted in 220 patients. A total of 44 BCRIs were found during the study period. Staphylococcus aureus was a common pathogenic organism in BCRIs. BCRIs rate was 11.4/1,000 catheter-days and 15.1/1,000 dialysis sessions. Our analysis indicated that poor patient hygiene and poor hygiene of the medical staff, duration of catheterization, and high number of catheter manipulation were associated with BCRIs. The most effective method of prevention seems to be the promotion of the infection control precautions that should be emphasized by educating and training the health providers. We still need to adopt measures to minimize the use of temporary vascular accesses by creation of fistulas in a timely fashion.
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References
Band DJ (2013) Diagnosis and management of central venous catheter-related infections. Up to Date 13.1–2005; (800) 998–6374. (781) 237–4788.
Band DJ (2013) Prevention of central venous catheter-related infections. Up to Date 13.1, 2005
Beathard GA (1999) Management of bacteremia associated with tunneled-cuffed hemodialysis catheters. J Am Soc Nephrol 10:1045–1049
Bischoff WE, Reynolds TM, Sessler CN, Edmond MB, Wenzel RP (2000) Handwashing compliance by health care workers: the impact of introducing an accessible, alcohol-based hand antiseptic. Arch Intern Med 160:1017–1021
CDC. National Nosocomial Infections (NNIS) system report, data summary from January 1990, issued june 1999. Am J infect control 1999; 27:520
Chatzinikolaou I, Finkel K, Hana H, Boktour M, Foringer J, Ho T et al (2003) Antibiotic-coated hemodialysis catheters for the prevention of vascular catheter-related infections: a prospective, randomized study. Am J Med 115:352–357
Contreras G, Liu PY, Elzinga L, Anger MS, Lee J, Robert N et al (2003) A multicenter, prospective, randomized, comparative evaluation of dual- versus triple-lumen catheters for hemodialysis and apheresis in 485 patients. Am J Kidney Dis 42:315–324
Eggimann P, Pittet D (2002) Overview of catheter-related infections with special emphasis on prevention based on educational programs. Clin Microbiol Infect 8:295–309
Gonçalves EA, Andreoli MC, Watanabe R, Freitas MC, Pedrosa AC, Manfred SR et al (2004) Effect of temporary catheter and later referral on hospitalization and mortality during the first year of hemodialysis treatment. Artf Organs 28(11):1043–1049
Gray ED, Peters G, Verstegen M, Regeimann WE (1984) Effect of extra cellular slime substance from Staphylococcus epidermidis on the human cellular immune response. Lancet 1:365
Kairaitis LK, Gottlieb T (1999) Outcome and complications of temporary haemodialysis catheters. Nephrol Dial Transplant 14:1710–1714
Marr KA, Sexton DJ, Conlon PJ, Corey GR, Schwab SJ, Kirkland KB (1997) Catheter-related bacteremia and outcome of attempted catheter salvage in patients undergoing hemodialysis. Ann Intern Med 127:275–280
Nabi Z, Anwar S, Barhamein M, Al Mukdad H, El Nassri A (2009) Catheter related infection in hemodialysis patients. Saudi J Kidney Dis Transplant 20:1091–1095
Nassar GM, Ayus JC (2001) Infectious complications of the hemodialysis access. Kidney Int 60:1–13
O'Grady NP, Alexander M, Dellinger EP, Gerberding JL, Heard SO, Maki DG et al (2002) Guidelines for the prevention of intravascular catheter-related infections. Centers for disease control and prevention. MMWR Recomm Rep 51:1–29
Pearson ML (1996) Guideline for prevention of intravascular device-related infections. Part I. Intravascular device-related infections: an overview. The Hospital Infection Control Practices Advisory Committee. Am J Infect Control 24:262–277
Pisoni RL, Young EW, Dykstra DM et al (2002) Vascular access use in Europe and in the United States: results from the DOPPS. Kidney Int 61:305–316
Polderman KH, Girbes AR (2002) Central venous catheter use. Part 2: infectious complications. Intensive Care Med 28:18–28
Saad TF (1999) Bacteremia associated with tunneled, cuffed hemodialysis catheters. Am J Kidney Dis 34:1114–1124
Saxena AK, Panbotra BR (2005) Haemodialysis catheter-related bloodstream infections: current treatment options and strategies for prevention. Swiss Med Wkly 135:127–138
Sherertz RJ, Raad II, Belani A, Koo LC, Rand KH, Pickett DL et al (1990) Three-year experience with sonicated vascular catheter cultures in a clinical microbiology laboratory. J Clin Microbiol 28:76–82
Von Eiff C, Becker K, Machka K, Stammer H, Peters G (2001) Nasal carriage as a source of Staphylococcus aureus bacteremia. N Engl J Med 344:11–16
Yilmaz G, Caylan R, Aydin K, Topbas M, Koksal I (2007) Effect of education on the rate of and the understanding of risk factors for intravascular catheter-related infections. Infect Control Hosp Epidemiol 28:689–694
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Samani, S., Saffari, M., Charkhchian, M. et al. Incidence and risk factors of bloodstream catheter-related infections in hemodialysis patients. Comp Clin Pathol 24, 275–279 (2015). https://doi.org/10.1007/s00580-014-1890-1
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DOI: https://doi.org/10.1007/s00580-014-1890-1