Volume : IX, Issue : III, March - 2019

A study on catheter related infection in hemodialysis in Tirunelveli

Dr. K. Jayaprakash, Dr. R. Periyasamy

Abstract :

Background:Haemodialysis is a procedure to remove extra salt,fluids and toxins through a dialysis machine . central venous catheters are frequently used to initiate the dialysis before the arteriovenous fistulas mature and starts functioning . Catheter related blood stream infection is the most common indication for the catheter removal.Aim of the study:To study the incidence of temporary vascular catheter related infection in haemodialysis patients and to study the most common risk factors for catheter infection. Also to study about the bacteriological profile of catheter related infection.Methods:This is a prospective study done for one year from June 2017 to June 2018 in Tirunelveli medical college. About 75 patients undergoing haemodialysis via central venous catheters were included in the study. Patients with signs of catheter related infection like fever, chills, hypotension,local catheter site infection were subjected to blood culture and catheter tip culture.Results:Totally 75 patients with central venous catheter for haemodialysis were studied.Among 75 patients ,37 patients had Diabetes, 60 patients had chronic kidney disease. Regarding the type of venous access, 56 of them had femoral vein catheterization, 19 had jugular vein catheterization. 39 patients had feile episodes,hypotension occurred in 33 individuals during dialysis. Blood culture positivity was observed in 23 patients. The most common organism isolated was gram positive staphylococci aureus followed by gram negative klebsiella and pseudomonas. Culture from catheter tip by semi quantitative method showed growth in 23 patients conclusion: .From our study, we come to a conclusion that there is no significant association between the site of catheter insertion and blood stream infection. Patients witDiabetes ,hypoalbuminemia has significant association with the blood Culture positivity for infection.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

A STUDY ON CATHETER RELATED INFECTION IN HEMODIALYSIS IN TIRUNELVELI, Dr.K.Jayaprakash, Dr.R.Periyasamy INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-3 | March-2019

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