The evaluation of catheter infections in kidney disease patients
Aim: In our study, we aimed to review the factors retrospectively that may be related to catheter infection (CI) in patients who received hemodialysis (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 clin...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Rabia Yılmaz
2021-01-01
|
| Series: | Journal of Contemporary Medicine |
| Subjects: | |
| Online Access: | https://dergipark.org.tr/tr/download/article-file/1093116 |
| _version_ | 1797860671909527552 |
|---|---|
| author | İbrahim Güney Edip Erkuş Suleyman Karakose Mustafa Topal Pervin Özkan Arzu Tarakcı |
| author_facet | İbrahim Güney Edip Erkuş Suleyman Karakose Mustafa Topal Pervin Özkan Arzu Tarakcı |
| author_sort | İbrahim Güney |
| collection | DOAJ |
| description | Aim: In our study, we aimed to review the factors retrospectively that may be related to catheter infection (CI) in patients who received hemodialysis (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 (ICU) and who were diagnosed as CI while on HD treatment were analyzed retrospectively.
Results: Forty-seven (44.8%) of the patients were male, 58 (55.2%) were female and the mean age was 62.3 ± 17.6 (19-90). The average length of hospital stay of the patients was 16 (2-60) days and the infection was mortal in 16 (15.2%) patients. In the cultures taken from the catheters, in 51 (48.6%) patients Gr (+) bacteria, in 24 (22.9%) patients Gr (-) bacteria and in 2 (1.9%) patients fungi were detected. There was no reproduction in 26 (24.8%) catheter cultures. The methicillin resistance (MR) was 87.6% and the highest resistance was detected in Coagulase Negative Staphylococcus (CNS) and S. aureus culture samples. 43 (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 (-) bacterial group (14 patients, 58.3%) (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. |
| first_indexed | 2024-04-09T21:49:43Z |
| format | Article |
| id | doaj.art-4686d4fd67034f788cae069cf786aaa8 |
| institution | Directory Open Access Journal |
| issn | 2667-7180 |
| language | English |
| last_indexed | 2024-04-09T21:49:43Z |
| publishDate | 2021-01-01 |
| publisher | Rabia Yılmaz |
| record_format | Article |
| series | Journal of Contemporary Medicine |
| spelling | doaj.art-4686d4fd67034f788cae069cf786aaa82023-03-24T19:43:24ZengRabia YılmazJournal of Contemporary Medicine2667-71802021-01-01111697410.16899/jcm.7340571809The evaluation of catheter infections in kidney disease patientsİbrahim Güney0Edip Erkuş1Suleyman Karakose2Mustafa Topal3Pervin Özkan4Arzu Tarakcı5University of Health Sciences, Konya Training and Research Hospital, Department of NephrologyUniversity of Health Sciences, Konya Training and Research Hospital, Department of NephrologyUniversity of Health Sciences, Konya Training and Research Hospital, Department of NephrologyUniversity of Health Sciences, Konya Training and Research Hospital, Department of NephrologyUniversity of Health Sciences, Konya Training and Research Hospital, Department of NephrologyUniversity of Health Sciences, Konya Training and Research Hospital, Department of Clinical Microbiology and Infectious Diseases , Konya, TurkeyAim: In our study, we aimed to review the factors retrospectively that may be related to catheter infection (CI) in patients who received hemodialysis (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 (ICU) and who were diagnosed as CI while on HD treatment were analyzed retrospectively. Results: Forty-seven (44.8%) of the patients were male, 58 (55.2%) were female and the mean age was 62.3 ± 17.6 (19-90). The average length of hospital stay of the patients was 16 (2-60) days and the infection was mortal in 16 (15.2%) patients. In the cultures taken from the catheters, in 51 (48.6%) patients Gr (+) bacteria, in 24 (22.9%) patients Gr (-) bacteria and in 2 (1.9%) patients fungi were detected. There was no reproduction in 26 (24.8%) catheter cultures. The methicillin resistance (MR) was 87.6% and the highest resistance was detected in Coagulase Negative Staphylococcus (CNS) and S. aureus culture samples. 43 (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 (-) bacterial group (14 patients, 58.3%) (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.https://dergipark.org.tr/tr/download/article-file/1093116kidney diseasecatheter infectionsgram negative bacteria |
| spellingShingle | İbrahim Güney Edip Erkuş Suleyman Karakose Mustafa Topal Pervin Özkan Arzu Tarakcı The evaluation of catheter infections in kidney disease patients Journal of Contemporary Medicine kidney disease catheter infections gram negative bacteria |
| title | The evaluation of catheter infections in kidney disease patients |
| title_full | The evaluation of catheter infections in kidney disease patients |
| title_fullStr | The evaluation of catheter infections in kidney disease patients |
| title_full_unstemmed | The evaluation of catheter infections in kidney disease patients |
| title_short | The evaluation of catheter infections in kidney disease patients |
| title_sort | evaluation of catheter infections in kidney disease patients |
| topic | kidney disease catheter infections gram negative bacteria |
| url | https://dergipark.org.tr/tr/download/article-file/1093116 |
| work_keys_str_mv | AT ibrahimguney theevaluationofcatheterinfectionsinkidneydiseasepatients AT ediperkus theevaluationofcatheterinfectionsinkidneydiseasepatients AT suleymankarakose theevaluationofcatheterinfectionsinkidneydiseasepatients AT mustafatopal theevaluationofcatheterinfectionsinkidneydiseasepatients AT pervinozkan theevaluationofcatheterinfectionsinkidneydiseasepatients AT arzutarakcı theevaluationofcatheterinfectionsinkidneydiseasepatients AT ibrahimguney evaluationofcatheterinfectionsinkidneydiseasepatients AT ediperkus evaluationofcatheterinfectionsinkidneydiseasepatients AT suleymankarakose evaluationofcatheterinfectionsinkidneydiseasepatients AT mustafatopal evaluationofcatheterinfectionsinkidneydiseasepatients AT pervinozkan evaluationofcatheterinfectionsinkidneydiseasepatients AT arzutarakcı evaluationofcatheterinfectionsinkidneydiseasepatients |