Impact of Healthcare Associated Infections on Survival and Treatment Outcomes Among End Stage Renal Disease Patients on Renal Replacement Therapy
| Autor: | Soo Kun Lim, Ruwaida Nur Zainol Abidin, Raja Ahsan Aftab, Pauline Siew Mei Lai, Saad Hanif Abbasi |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Healthcare associated infections
Pharmacology medicine.medical_specialty business.industry medicine.medical_treatment end stage renal disease (ESRD) Treatment outcome Retrospective cohort study RM1-950 hemodialysis (HD) Treatment failure End stage renal disease renal replacement therapy (RRT) Internal medicine healthcare associated infections medicine treatment outcome Pharmacology (medical) Renal replacement therapy Therapeutics. Pharmacology Low hemoglobin business peritoneal dialysis (PD) Dialysis Original Research |
| Zdroj: | Frontiers in Pharmacology Frontiers in Pharmacology, Vol 12 (2021) |
| ISSN: | 1663-9812 |
| Popis: | Background: Due to frequent hospitalizations, complex dialysis procedures and immune compromising effects of end stage renal disease (ESRD), patients on dialysis are more prone to healthcare associated infections (HCAIs). Objective: To study the impact of HCAIs on survival and treatment outcomes among ESRD patients on renal replacement therapy (RRT). Methodology: A multicenter, retrospective study was conducted from June to December 2019 at two public hospitals of Malaysia. ESRD patients with minimum of 6 months on RRT were included, while pregnant patients and patients Results: A total of 670 records were examined, of which 400 patients were included as per the inclusion criteria. The mean survival time of patients without HCAIs [22.7 (95%CI:22.1–23.2)] was higher than the patients with HCAIs [19.9 (95%CI:18.8–20.9)]. Poor survival was seen in patients with >2 comorbidities, >60 years of age, low hemoglobin concentration and high C-reactive protein levels. The most frequent treatment outcome was cured [113 (64.9%)], followed by death [37 (21.3%)] and treatment failure [17 (9.8%)]. Advancing age, and low hemoglobin concentration were independent risk factors associated with death, while recurrent HCAIs, use of central venous catheters, and low serum sodium levels were risk factors for treatment failure. Conclusion: The high burden of HCAIs is a profound challenge faced by patients on RRT, which not only effects the treatment outcomes but also contributes substantially to the poor survival among these patients. |
| Databáze: | OpenAIRE |
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