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High Incidence of Subclavian Dialysis Catheter-Related Bacteremias

Published online by Cambridge University Press:  02 January 2015

Hugo E. Pezzarossi ,
R Samuel Ponce de León ,
Juan J. Calva ,
Sergio A. Lazo de la Vega  and
Guillermo M. Ruiz-Palacios
Hugo E. Pezzarossi
Affiliation:
Departamento de Infectologia, Instituto National de la Nutriciόn, “Salvador Zubirán,”Mexico City, Mexico
R Samuel Ponce de León*
Affiliation:
Departamento de Infectologia, Instituto National de la Nutriciόn, “Salvador Zubirán,”Mexico City, Mexico
Juan J. Calva
Affiliation:
Departamento de Infectologia, Instituto National de la Nutriciόn, “Salvador Zubirán,”Mexico City, Mexico
Sergio A. Lazo de la Vega
Affiliation:
Departamento de Infectologia, Instituto National de la Nutriciόn, “Salvador Zubirán,”Mexico City, Mexico
Guillermo M. Ruiz-Palacios
Affiliation:
Departamento de Infectologia, Instituto National de la Nutriciόn, “Salvador Zubirán,”Mexico City, Mexico
*
Departamento de Infectologia, Instituto National de la Nutritión, ‘Salvador Zubirán, ’ Vasco de Quiroga No. 15 Tlalpan C.P. 14000, Mexico City, Mexico
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Abstract

This retrospective cohort study reviews the incidence of bacteremia in 48 patients undergoing hemodialysis using subclavian vein dialysis catheters (SDC) as temporary vascular access. Twelve (25%) of these patients had catheter-related bacteremia, and the most frequently isolated organisms were coagulase-negative staphylococci. Three patients developed right-sided endocarditis and one of diem died due to pulmonary embolism. The presence of possible risk factors for SDC-related bacteremia, including duration of catheterization and number of hemodialysis procedures, were not statistically different when patients with and without bacteremia were compared, with the exception of a significantly lower incidence of bacteremia among those patients receiving antibiotic therapy at the time of catheter insertion. The use of resterilized catheters was not a risk factor. Specific guidelines for SDC insertion and care were established and followed, after which the infection frequency was reduced to 7.5% (1 episode per 45.5 patient-weeks of catheter use) in this high-risk population

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 7 , Issue 12 , December 1986 , pp. 596 - 599
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1986

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