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211924

Hemodialysis Catheter-Related Infections among Pediatric Patients in Mansoura University Children Hospital

Article

Last updated: 28 Dec 2024

OverviewSimilar Items

Subjects

-

Tags

prevention of hospital infections

Abstract

Background: Infection is the second leading cause of death in patients on hemodialysis (HD) after cardiovascular disease. Using a central venous catheter (CVC) is the most important risk factor for blood stream infection in HD patients, which can lead to life-threatening complications. Central venous catheter related infections (CVC-RI) may be local access site infection (LASI) or access related blood stream infection (ARBSI). Objectives: We performed a descriptive longitudinal (prospective) study to detect incidence of hemodialysis CVC-RI in Mansoura University Children Hospital (MUCH), determine risk factors and provide appropriate infection control interventions. Methodology: A total of 114 hemodialysis catheters were collected from 100 patients with CVC inserted more than 48 hours. Results: From the 114 collected, 27 (23.7%) CVC-RI were documented with incidence of 8.6 per 1000 CVC-days. Among these CVC-RI, 24 were LASI (21.1%, 7.7 per 1000 CVC-days) and 3 were ARBSI (2.6%, 0.9 per 1000 CVC-days). The commonest micro-organism detected causing CVC-RI was staphylococcus aureus. Conclusions: Femoral catheters, associated co-morbidities as D.M and immunosuppression and low compliance to preventive measures of infection during maintenance of the catheters were significant risk factors for CVC-RIs. 

DOI

10.21608/ejmm.2022.211924

Keywords

Hemodialysis, CVC-RI, Incidence, Infection control

Authors

First Name

Amira

Last Name

Yahia

MiddleName

-

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Mansoura University, Mansoura, Egypt

Email

-

City

-

Orcid

-

First Name

Medhat

Last Name

Ali

MiddleName

M.

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Mansoura University, Mansoura, Egypt

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Zedan

MiddleName

M.

Affiliation

Department of Pediatrics, Faculty of medicine, Mansoura University, Mansoura, Egypt

Email

-

City

-

Orcid

-

First Name

Dalia

Last Name

Moemen

MiddleName

-

Affiliation

Department of Medical Microbiology and Immunology

Email

dr_daliamoemen@yahoo.com

City

Mansoura

Orcid

0000-0002-4103-3840

Volume

31

Article Issue

1

Related Issue

29807

Issue Date

2022-01-01

Receive Date

2021-11-04

Publish Date

2022-01-01

Page Start

7

Page End

14

Print ISSN

1110-2179

Online ISSN

2537-0979

Article File

EJMM_Volume 31_Issue 1_Pages 7-14.pdf

PDF . 394.1kB

Link

https://ejmm.journals.ekb.eg/article_211924.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=211924

Order

2

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

Hemodialysis Catheter-Related Infections among Pediatric Patients in Mansoura University Children Hospital

Details

Type

Article

Created At

23 Jan 2023