Incidence of bloodstream infection among patients on hemodialysis by central venous catheter.

Abstract:

:This study evaluated the incidence and risk factors of bloodstream infection (BSI) among patients with a double-lumen central venous catheter (CVC) for hemodialysis (HD) and identified the microorganisms isolated from the bloodstream. A follow-up included all patients (n=156) who underwent hemodialysis by double-lumen CVC at the Federal University of São Paulo-UNIFESP, Brazil, over a one-year period. From the group of patients, 94 presented BSI, of whom 39 had positive cultures at the central venous catheter insertion location. Of the 128 microorganisms isolated from the bloodstream, 53 were S. aureus, 30 were methicillin-sensitive and 23 were methicillin-resistant. Complications related to BSI included 35 cases of septicemia and 27 cases of endocarditis, of which 15 cases progressed to death. The incidence of BSI among these patients was shown to be very high, and this BSI progressed rapidly to the condition of severe infection with a high mortality rate.

journal_name

Rev Lat Am Enfermagem

authors

Grothe C,da Silva Belasco AG,de Cássia Bittencourt AR,Vianna LA,de Castro Cintra Sesso R,Barbosa DA

doi

10.1590/s0104-11692010000100012

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

73-80

issue

1

eissn

0104-1169

issn

1518-8345

pii

S0104-11692010000100012

journal_volume

18

pub_type

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