Risk factors for the infections caused by temporary double-lumen hemodialysis catheters

Arch Med Res. 2006 Apr;37(3):348-52. doi: 10.1016/j.arcmed.2005.07.010.

Abstract

Background: Temporary hemodialysis catheters are important devices used in dialysis practice but may be the source of infection in hemodialysis patients.

Methods: We investigated the infectious complications in 70 hemodialysis patients using 113 hemodialysis catheters.

Results: The frequency of catheter-related bacteremia was 23.9%, of which Staphylococci were the most frequently growing organism (96.3%). Exit-site infection was observed in one patient. No cases were lost due to the infectious complications. The risk for the development of catheter-related bacteremia was increased after the 24th day of catheterization and after the second venous puncture.

Conclusions: There was a positive correlation between hypoalbuminemia and bacteremia. Internal jugular venous catheterization and hypoalbuminemia were determined as risk factors for the development of catheter-related bacteremia. The risk factors for catheter-related bacteremia in patients with hemodialysis catheter should be determined and modified in order to decrease infectious complications.

Publication types

  • Clinical Trial

MeSH terms

  • Bacterial Infections / etiology*
  • Bacterial Infections / pathology
  • Catheterization / adverse effects*
  • Female
  • Follow-Up Studies
  • Humans
  • Middle Aged
  • Renal Dialysis / adverse effects*
  • Renal Insufficiency / complications*
  • Renal Insufficiency / therapy*
  • Risk Factors