Subclavian Hemodialysis Catheter Infections
| Autor: | Philip J. Dahlberg, Kermit L. Newcomer, Wilfrido R. Yutuc |
|---|---|
| Rok vydání: | 1986 |
| Předmět: |
Adult
medicine.medical_specialty Fever medicine.medical_treatment Hemodialysis Catheter Subclavian Vein Catheterization Random Allocation Catheters Indwelling Renal Dialysis Sepsis medicine Humans Infection control Aged Clinical Trials as Topic business.industry Incidence (epidemiology) Significant difference Bacterial Infections Middle Aged medicine.disease Surgery Catheter Nephrology Bacteremia Hemodialysis business Subclavian vein |
| Zdroj: | American Journal of Kidney Diseases. 7:421-427 |
| ISSN: | 0272-6386 |
| DOI: | 10.1016/s0272-6386(86)80092-0 |
| Popis: | One hundred sixteen subclavian hemodialysis catheter placements in 88 patients were prospectively evaluated for catheter-related infections. Semiquantitative culture techniques and a rigid infection control protocol were used. The overall catheter colonization rate was 21.6% and catheter-associated bacteremia occurred in 9.4%. Catheters removed from febrile patients had much higher colonization (48.3%) and bacteremia (34.5%) rates. In a randomized study comparing infection rates in catheters tunneled subcutaneously or not tunneled, there was no significant difference in the incidence of infection. Catheters inserted over a guidewire to replace clotted or malfunctioning catheters were not associated with higher infection rates. |
| Databáze: | OpenAIRE |
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