Intravascular Catheter-Related Infections in Haemodialysis Patients in an Indian Tertiary Care Hospital
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 3
Abstract
Introduction: Haemodialysis patients are more vulnerable to infections. Compared to permanent vascular access that is arterio-venous fistula or graft, intravenous Catheter related infections are more common. So we analysed in this study the incidence of access related infection in these groups of patients and also evaluated other non access related infections. The clinical manifestation of these infections, the etiological microorganism and antibiotic sensitivity in these patients were also analysed. Materials and Methods: It is a case control study, haemodialysis’ patients with intravascular catheters were considered as cases and with permanent vascular access as controls. Patients on haemodialysis in our center were analysed for a duration of 1 year these included patients with permanent vascular access and patients with temporary vascular access that is intravascular catheters. We have analysed the access related infection in these patients, other infections, spectrum of microorganisms isolated in these patients and antibiotic sensitive pattern in them. Results: Haemodialysis Access related Infection was clinically considered in 17 % of subjects in whom intravascular catheter was inserted and 5 % in permanent vascular access. Confirmed infection in intravascular catheters in 80%. Other infections in patients with permanent vascular access included respiratory tract infection in 25%, Urinary tract infection in 5 %, tuberculosis in one patient. Other Infection in patients with temporary vascular access catheter included respiratory tract infection in 20%, Urinary tract infection in 25 %. Conclusions: Compared to patients with permanent vascular access, patients with intravenous central vascular access had more incidence of infections. Hence Catheter-dependent patients have a high burden of infection and it is crucial to evaluate these patients with suspected infection for various access-related and nonaccess-related infections.
Authors and Affiliations
Himamani S, Suneetha D. K, Shashank M. S. , Mahantesh . , Vinay K. S.
Keywords
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