Incidence of bloodstream infection among patients on hemodialysis by central venous catheter

Authors

  • Cibele Grothe Universidade Federal de São Paulo; Departamento de Enfermagem
  • Angélica Gonçalves da Silva Belasco Universidade Federal de São Paulo; Departamento de Enfermagem
  • Ana Rita de Cássia Bittencourt Universidade Federal de São Paulo; Departamento de Enfermagem
  • Lucila Amaral Carneiro Vianna Universidade Federal de São Paulo; Departamento de Enfermagem
  • Ricardo de Castro Cintra Sesso Universidade Federal de São Paulo; Departamento de Enfermagem
  • Dulce Aparecida Barbosa Universidade Federal de São Paulo; Departamento de Enfermagem

DOI:

https://doi.org/10.1590/S0104-11692010000100012

Keywords:

Catheterization, Renal Dialysis, Staphylococcus aureus

Abstract

This study evaluated the incidence and risk factors of bloodstream infection (BSI) among patients with a double-lumen central venous catheter (CVC) for hemodialysis (HD) and identified the microorganisms isolated from the bloodstream. A follow-up included all patients (n=156) who underwent hemodialysis by double-lumen CVC at the Federal University of São Paulo - UNIFESP, Brazil, over a one-year period. From the group of patients, 94 presented BSI, of whom 39 had positive cultures at the central venous catheter insertion location. Of the 128 microorganisms isolated from the bloodstream, 53 were S. aureus, 30 were methicillin-sensitive and 23 were methicillin-resistant. Complications related to BSI included 35 cases of septicemia and 27 cases of endocarditis, of which 15 cases progressed to death. The incidence of BSI among these patients was shown to be very high, and this BSI progressed rapidly to the condition of severe infection with a high mortality rate.

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Published

2010-02-01

Issue

Vol. 18 No. 1 (2010)

Section

Original Articles

License

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Including names of authors whose contribution does not fit into the above criteria cannot be justified. Those names can be included in the Acknowledgements section.
 Authors are fully responsible for the concepts disseminated in their manuscripts, which do not necessarily reflect the editors’ and editorial board’s opinion.

 

How to Cite

Incidence of bloodstream infection among patients on hemodialysis by central venous catheter . (2010). Revista Latino-Americana De Enfermagem, 18(1), 73-80. https://doi.org/10.1590/S0104-11692010000100012