A meta-analysis of risk factors for a Dacron-cuffed catheter related infection in hemodialysis
Abstract Objective To provide theoretical basis for prevention of a Dacron-cuffed catheter related infection (CRI), the risk factors of CRI in hemodialysis patients were systematically evaluated. Methods Eight databases, including PubMed, Cochrane library, EMBASE, Web of Science, China National Know...
| Main Authors: | , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-04-01
|
| Series: | BMC Nephrology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12882-024-03568-0 |
| _version_ | 1797209465510952960 |
|---|---|
| author | Wen Chen Zaoju Wang Guoping Wang Chunyu Cao Bo Hong Jinying Liu Fuhua Xie Runxiu Wang |
| author_facet | Wen Chen Zaoju Wang Guoping Wang Chunyu Cao Bo Hong Jinying Liu Fuhua Xie Runxiu Wang |
| author_sort | Wen Chen |
| collection | DOAJ |
| description | Abstract Objective To provide theoretical basis for prevention of a Dacron-cuffed catheter related infection (CRI), the risk factors of CRI in hemodialysis patients were systematically evaluated. Methods Eight databases, including PubMed, Cochrane library, EMBASE, Web of Science, China National Knowledge Infrastructure (CNKI), Chinese Biomedical Database (CBM), Wanfang Database and Chinese Scientific Journal Database (VIP), were searched to screen out literatures related to the risk factors of long-term indwelling a Dacron-cuffed CRI in hemodialysis. Meta-analysis of risk factors for a Dacron-cuffed CRI in hemodialysis and publication bias test were performed using RevMan 5.4 software. Results After screening, 13 literatures involving a Dacron-cuffed CRI were included, with a total of 625 patients, and the infection rate was 11.7%. The combined OR value and 95% confidence interval (CI) of all factors were: Combined with Diabetes (1.94, 1.51 ~ 2.50), Hb (1.82, 1.35 ~ 2.44), age (2.38, 1.06 ~ 5.34), catheter indwelling time (1.79, 1.21 ~ 2.66), serum albumin (2.26, 1.25 ~ 4.08), catheter indwelling site (3.29, 1.74 ~ 6.23) and the number of tube placement (5.40, 2.65 ~ 11.02). Conclusions The main risk factors for a Dacron-cuffed CRI in hemodialysis were combined with diabetes, hemoglobin level, age, catheter indwelling time, serum albumin level, femoral vein catheter indwelling and catheterization times. In other words, hemodialysis patients are at higher risk of CRI if they have diabetes, or if they have a lower hemoglobin level, or if they are older, or if they have a longer duration of catheterization, or if they have a lower serum albumin level, or if they have a femoral vein catheter, or if they have more catheters. |
| first_indexed | 2024-04-24T09:55:08Z |
| format | Article |
| id | doaj.art-3317e592d72f4ee0b0f00fb0d1f75cea |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-04-24T09:55:08Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-3317e592d72f4ee0b0f00fb0d1f75cea2024-04-14T11:09:55ZengBMCBMC Nephrology1471-23692024-04-0125111010.1186/s12882-024-03568-0A meta-analysis of risk factors for a Dacron-cuffed catheter related infection in hemodialysisWen Chen0Zaoju Wang1Guoping Wang2Chunyu Cao3Bo Hong4Jinying Liu5Fuhua Xie6Runxiu Wang7Department of Nephrology, The First Affiliated Hospital, Gannan Medical UniversityDepartment of Nephrology, The First Affiliated Hospital, Gannan Medical UniversityDepartment of Nephrology, The First Affiliated Hospital, Gannan Medical UniversityDepartment of Nephrology, The First Affiliated Hospital, Gannan Medical UniversityDepartment of Nephrology, The First Affiliated Hospital, Gannan Medical UniversitySchool of Basic Medicine, Gannan Medical UniversitySchool of Basic Medicine, Gannan Medical UniversityDepartment of Nephrology, The First Affiliated Hospital, Gannan Medical UniversityAbstract Objective To provide theoretical basis for prevention of a Dacron-cuffed catheter related infection (CRI), the risk factors of CRI in hemodialysis patients were systematically evaluated. Methods Eight databases, including PubMed, Cochrane library, EMBASE, Web of Science, China National Knowledge Infrastructure (CNKI), Chinese Biomedical Database (CBM), Wanfang Database and Chinese Scientific Journal Database (VIP), were searched to screen out literatures related to the risk factors of long-term indwelling a Dacron-cuffed CRI in hemodialysis. Meta-analysis of risk factors for a Dacron-cuffed CRI in hemodialysis and publication bias test were performed using RevMan 5.4 software. Results After screening, 13 literatures involving a Dacron-cuffed CRI were included, with a total of 625 patients, and the infection rate was 11.7%. The combined OR value and 95% confidence interval (CI) of all factors were: Combined with Diabetes (1.94, 1.51 ~ 2.50), Hb (1.82, 1.35 ~ 2.44), age (2.38, 1.06 ~ 5.34), catheter indwelling time (1.79, 1.21 ~ 2.66), serum albumin (2.26, 1.25 ~ 4.08), catheter indwelling site (3.29, 1.74 ~ 6.23) and the number of tube placement (5.40, 2.65 ~ 11.02). Conclusions The main risk factors for a Dacron-cuffed CRI in hemodialysis were combined with diabetes, hemoglobin level, age, catheter indwelling time, serum albumin level, femoral vein catheter indwelling and catheterization times. In other words, hemodialysis patients are at higher risk of CRI if they have diabetes, or if they have a lower hemoglobin level, or if they are older, or if they have a longer duration of catheterization, or if they have a lower serum albumin level, or if they have a femoral vein catheter, or if they have more catheters.https://doi.org/10.1186/s12882-024-03568-0HemodialysisCatheter-related infectionRisk factorsMeta-analysis |
| spellingShingle | Wen Chen Zaoju Wang Guoping Wang Chunyu Cao Bo Hong Jinying Liu Fuhua Xie Runxiu Wang A meta-analysis of risk factors for a Dacron-cuffed catheter related infection in hemodialysis BMC Nephrology Hemodialysis Catheter-related infection Risk factors Meta-analysis |
| title | A meta-analysis of risk factors for a Dacron-cuffed catheter related infection in hemodialysis |
| title_full | A meta-analysis of risk factors for a Dacron-cuffed catheter related infection in hemodialysis |
| title_fullStr | A meta-analysis of risk factors for a Dacron-cuffed catheter related infection in hemodialysis |
| title_full_unstemmed | A meta-analysis of risk factors for a Dacron-cuffed catheter related infection in hemodialysis |
| title_short | A meta-analysis of risk factors for a Dacron-cuffed catheter related infection in hemodialysis |
| title_sort | meta analysis of risk factors for a dacron cuffed catheter related infection in hemodialysis |
| topic | Hemodialysis Catheter-related infection Risk factors Meta-analysis |
| url | https://doi.org/10.1186/s12882-024-03568-0 |
| work_keys_str_mv | AT wenchen ametaanalysisofriskfactorsforadacroncuffedcatheterrelatedinfectioninhemodialysis AT zaojuwang ametaanalysisofriskfactorsforadacroncuffedcatheterrelatedinfectioninhemodialysis AT guopingwang ametaanalysisofriskfactorsforadacroncuffedcatheterrelatedinfectioninhemodialysis AT chunyucao ametaanalysisofriskfactorsforadacroncuffedcatheterrelatedinfectioninhemodialysis AT bohong ametaanalysisofriskfactorsforadacroncuffedcatheterrelatedinfectioninhemodialysis AT jinyingliu ametaanalysisofriskfactorsforadacroncuffedcatheterrelatedinfectioninhemodialysis AT fuhuaxie ametaanalysisofriskfactorsforadacroncuffedcatheterrelatedinfectioninhemodialysis AT runxiuwang ametaanalysisofriskfactorsforadacroncuffedcatheterrelatedinfectioninhemodialysis AT wenchen metaanalysisofriskfactorsforadacroncuffedcatheterrelatedinfectioninhemodialysis AT zaojuwang metaanalysisofriskfactorsforadacroncuffedcatheterrelatedinfectioninhemodialysis AT guopingwang metaanalysisofriskfactorsforadacroncuffedcatheterrelatedinfectioninhemodialysis AT chunyucao metaanalysisofriskfactorsforadacroncuffedcatheterrelatedinfectioninhemodialysis AT bohong metaanalysisofriskfactorsforadacroncuffedcatheterrelatedinfectioninhemodialysis AT jinyingliu metaanalysisofriskfactorsforadacroncuffedcatheterrelatedinfectioninhemodialysis AT fuhuaxie metaanalysisofriskfactorsforadacroncuffedcatheterrelatedinfectioninhemodialysis AT runxiuwang metaanalysisofriskfactorsforadacroncuffedcatheterrelatedinfectioninhemodialysis |