The evaluation of catheter infections in kidney disease patients

Authors : Pervin ÖZKAN, İbrahim GÜNEY, Suleyman KARAKOSE, Mustafa TOPAL, Edip ERKUŞ, Arzu TARAKCI

Pages : 69-74

Doi:10.16899/jcm.734057

View : 14 | Download : 7

Publication Date : 2021-01-30

Article Type : Research Paper

Abstract :Aim: In our study, we aimed to review the factors retrospectively that may be related to catheter infection insert ignore into journalissuearticles values(CI); in patients who received hemodialysis insert ignore into journalissuearticles values(HD); treatment in our clinic and followed up due to CI. Materials and Methods: The files of 105 patients who were hospitalized in the Nephrology clinic or Intensıve Care Unıt insert ignore into journalissuearticles values(ICU); and who were diagnosed as CI while on HD treatment were analyzed retrospectively. Results: Forty-seven insert ignore into journalissuearticles values(44.8%); of the patients were male, 58 insert ignore into journalissuearticles values(55.2%); were female and the mean age was 62.3 ± 17.6 insert ignore into journalissuearticles values(19-90);. The average length of hospital stay of the patients was 16 insert ignore into journalissuearticles values(2-60); days and the infection was mortal in 16 insert ignore into journalissuearticles values(15.2%); patients. In the cultures taken from the catheters, in 51 insert ignore into journalissuearticles values(48.6%); patients Gr insert ignore into journalissuearticles values(+); bacteria, in 24 insert ignore into journalissuearticles values(22.9%); patients Gr insert ignore into journalissuearticles values(-); bacteria and in 2 insert ignore into journalissuearticles values(1.9%); patients fungi were detected. There was no reproduction in 26 insert ignore into journalissuearticles values(24.8%); catheter cultures. The methicillin resistance insert ignore into journalissuearticles values(MR); was 87.6% and the highest resistance was detected in Coagulase Negative Staphylococcus insert ignore into journalissuearticles values(CNS); and S. aureus culture samples. 43 insert ignore into journalissuearticles values(41.0%); of the patients didn`t respond to antibiotics during treatment and catheter exchange was required in these patients. Catheter replacement requirement was significantly higher in the Gr insert ignore into journalissuearticles values(-); bacterial group insert ignore into journalissuearticles values(14 patients, 58.3%); insert ignore into journalissuearticles values(p = 0.050);. Conclusion: To prevent CI, it is important to reveal the factors related to infection. Microbiological agent distribution and resistance rate of each clinic and HD unit are different. Antibiotherapy should be planned according to this agent distribution to decrease antibiotic resistance.
Keywords : Kidney disease, catheter infections, , gram negative bacteria