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Kateterle İlişkili Bakteriyemiden Korunmada Kateter Kapama Solüsyonlarının Kullanılması

Use of Catheter Lock Solutions to Prevent Catheter-Related Bacteremia

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Abstract (2. Language): 
Catheter-related bacteremia is a frequent complication and an important source of morbidity and mortality in hemodialysis patients. A number of well-designed, controlled, prospective trials using antimicrobial catheter lock solutions to prevent catheter-related bacteremia have shown a significant decrease in infection and infection related mortality. Despite evidence of significant benefit, these locks are not routinely used in our country. This review describes the epidemic problem of catheter-related bacteremia and discusses current options for using catheter lock solutions in the hemodialysis population.
Abstract (Original Language): 
Kateterle ilişkili bakteriyemi (KİB) hemodiyaliz hastalarında sık bir komplikasyon olmakla birlikte morbidite ve mortalitenin de önemli bir nedenidir. KİB’den korunmada antimikrobiyal kateter kapama solüsyonlarının kullanılması ile ilgili yapılan iyi dizayn edilmiş, kontrollü, prospektif klinik çalışmalar bu hastalarda infeksiyon ve infeksiyon ile ilişkili mortaliteyi azalttıkları gösterilmiştir. Tüm bu yararlı etkilerine rağmen bu solüsyonlar ülkemizde rutin olarak kullanılmamaktadır. Bu derleme hemodiyaliz hastalarında KİB ile ilgili epidemik problemleri tarif etmekte ve bu amaçla kullanılabilecek kateter kapama solusyonları hakkında güncel bilgileri içermektedir.
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