The predictors of catheter-related bloodstream infections in patients undergoing hemodialysis: A single center experience

被引:5
|
作者
Demirci, Recep [1 ]
Sahtiyanci, Berrak [1 ]
Bakan, Ali [1 ]
Akyuz, Okan [2 ]
机构
[1] Univ Hlth Sci, Dept Nephrol, Kanuni Sultan Suleyman Training & Res Hosp, TR-34303 Kucukcekmece Istanbul, Turkey
[2] Bilecik State Hosp, Dept Nephrol, Bilecik, Turkey
来源
JOURNAL OF VASCULAR ACCESS | 2023年 / 24卷 / 01期
关键词
Catheter-related bloodstream infection; catheter duration; hemodialysis; mean platelet volume; albumin; MEAN PLATELET VOLUME; VASCULAR ACCESS; RISK-FACTORS; MULTICENTER; MALNUTRITION; GUIDELINES; IMPACT;
D O I
10.1177/1129729821998836
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Background: Here we aimed to investigate the predictors of catheter-related bloodstream infections (CRBSI) in patients with acute kidney injury or chronic kidney disease who required renal replacement therapy through a non-tunneled hemodialysis catheter. Methods: A total of 111 patients who received non-tunneled hemodialysis catheters were retrospectively evaluated. Patients were divided into two groups; those who developed CRBSI and those who did not. Patient's demographic data, laboratory results at admission, information regarding catheter infections, and culture results were obtained from electronic medical records. Results: The mean age of the patients was 64 +/- 16 years, and 51 of them were male. CRBSI occurred in 14 patients (12.6%). Admission serum albumin level (OR: 0.119, 95% CI: 0.019-0.756, p = 0.024), admission mean platelet volume (OR: 2.207, 95% CI: 1.188-4.100, p = 0.012) and catheter duration (OR: 1.580, 95% CI: 1.210-2.064, p = 0.001) were independent predictors for the CRBSI development. ROC curve analysis demonstrated that a catheter duration of 22 days was predictive for presence of CRBSI (78% sensitivity, 76% specificity, AUC: 0.825, 95% CI: 0.724-0.925, p < 0.001). Conclusions: Prolonged catheter duration, low serum albumin, and high mean platelet volume independently predict the development of CRBSI in patients undergoing hemodialysis for acute kidney injury or chronic kidney disease.
引用
收藏
页码:76 / 81
页数:6
相关论文
共 50 条
  • [21] Reducing Catheter-Related Infections in Hemodialysis Patients
    Landry, Daniel
    Braden, Gregory
    CLINICAL JOURNAL OF THE AMERICAN SOCIETY OF NEPHROLOGY, 2014, 9 (07): : 1156 - 1159
  • [22] Risk factors for catheter-related bloodstream infections in patients with intestinal failure undergoing home parenteral nutrition: a single-center study
    Tsuyoshi Sakurai
    Megumi Nakamura
    Hideyuki Sasaki
    Taichi Fukuzawa
    Hironori Kudo
    Ryo Ando
    Ryuji Okubo
    Masatoshi Hashimoto
    Kesuke Tada
    Motoshi Wada
    Pediatric Surgery International, 39
  • [23] Prevention of Catheter-Related Bloodstream Infections in Patients on Hemodiaylsis
    Fram, Dayana Souza
    Taminato, Monica
    Ferreira, Daniela
    Neves, Luciana
    Silva Belasco, Angelica Goncalves
    Barbosa, Dulce Aparecida
    ACTA PAULISTA DE ENFERMAGEM, 2009, 22 : 564 - 568
  • [24] Risk factors for catheter-related bloodstream infections in patients with intestinal failure undergoing home parenteral nutrition: a single-center study
    Sakurai, Tsuyoshi
    Nakamura, Megumi
    Sasaki, Hideyuki
    Fukuzawa, Taichi
    Kudo, Hironori
    Ando, Ryo
    Okubo, Ryuji
    Hashimoto, Masatoshi
    Tada, Kesuke
    Wada, Motoshi
    PEDIATRIC SURGERY INTERNATIONAL, 2023, 39 (01)
  • [25] Catheter-related bloodstream infections in patients with oncohaematological malignancies
    Carmona-Torre, Francisco
    Yuste, Jose R.
    Castejon, Sandra
    Ramos, Ana
    Del Pozo, Jose L.
    LANCET INFECTIOUS DISEASES, 2017, 17 (02): : 139 - 140
  • [26] Intravascular Catheter-Related Bloodstream Infections
    Rupp, Mark E.
    Karnatak, Rajendra
    INFECTIOUS DISEASE CLINICS OF NORTH AMERICA, 2018, 32 (04) : 765 - +
  • [27] Catheter-related bloodstream infections - Reply
    Pronovost, Peter J.
    Needham, Dale M.
    Berenholtz, Sean
    NEW ENGLAND JOURNAL OF MEDICINE, 2007, 356 (12): : 1268 - 1268
  • [28] Catheter-Related Bloodstream Infections Review
    Abebe, Abebe
    Tener, Mitch
    Waller, Stephen
    el Atrouni, Wissam
    HOSPITAL MEDICINE CLINICS, 2014, 3 (01) : E32 - E49
  • [29] Central Venous Catheter-Related Bacteremia in Chronic Hemodialysis Patients: Saudi Single Center Experience
    Al Saran, Khalid
    Sabry, Alaa
    Alghareeb, Abdalrazak
    Molhem, Azeb
    EUROPEAN JOURNAL OF GENERAL MEDICINE, 2013, 10 (04): : 208 - 213
  • [30] Preventing Catheter-Related Bloodstream Infections
    Perl, T. M.
    INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES, 2008, 12 : E15 - E15