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GEÇÎCÎ HEMODİYALİZ KATETERLERİNE AİT ENFEKSÎYÖZ KOMPLİKASYONLARIN ANALİZİ: PROSPEKTİF BİR ÇALIŞMA

ANALYSIS OF INFECTIOUS COMPLICATIONS OF TEMPORARY HEMODIALYSIS CATHETERS: A PROSPECTIVE STUDY

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2003

Key Words:

Keywords (Original Language):

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Abstract (2. Language): 
Temporary hemodialysis catheters are important devices used in dialysis practice. This study assessed the infectious complications associated with 113 hemodialysis catheters in 70 patients. The frequency of catheter-related bacteriaemia (CRB) was found 23.9 %. Staphylococci were the most frequent growing organism (96.3 %). The longer the catheters were remained in the body, the higher the frequency of CRB-development was significantly increased. Exit-site infection was observed in one patient. The development of CRB was significantly increased with the number of venous punctures. There was a positive correlation between hypoalbuminemia and bacteriaemia. Internal jugular venous catheterization, hypoalbuminemia and diabetes mellitus were determined as risk factors for the development of CRB. No cases were lost due to the complications. In order to decrease the rate of access infections, the first step is to increase the use of arterio-venous fistulae and the second step is to determine the risk factors for CRB.
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Abstract (Original Language): 
Geçici hemodiyaliz kateterleri hemodiyaliz pratiğinin önemli araçlarındandır. Bu çalışmada, 70 hastaya yerleştirilen 113 geçici hemodiyaliz kateterine ait enfeksiyöz komplikasyonlar araştırılmıştır. Kateterle ilişkili bakteriyemi (KİB) gelişme sıklığı %23.9 bulunmuştur. En sık stafilokoksik üreme saptanmıştır. Kateterlerin vücutta kalış süreleri arttıkça, KİB gelişme sıklığı anlamlı bir şekilde artmaktadır. Bir hastada çıkış yeri enfeksiyonu gözlenmiştir. Venöz ponksiyon sayısı arttıkça, KİB gelişimi de anlamlı olarak artmaktadır. Internal juguler ven kateterizasyonu, düşük serum albumin düzeyi ve diyabet, KİB gelişimi için risk faktörleri olarak tesbit edilmiştir. Hiç bir olgu komplikasyonlar nedeniyle kaybedilmemiştir. Son dönem böbrek yetmezliği hastalarında giriş nedenli enfeksiyon oranlarını azaltmanın ilk basamağı, arterio-venöz fıstül kullanımının artırılması, ikinci basamak, KİB için risk faktörlerinin belirlenmesidir.
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  • 3
158-163
  • Turkish

REFERENCES

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