#3139 PREVALENCE OF INFECTIONS ASSOCIATED WITH THE HEMODIALYSIS CATHETER IN MEXICO CITY

Abstract Background and Aims In hemodialysis, intravenous catheter is the most frequent vascular access to begin treatment in patients with chronic kidney disease. Infectious complications are a adverse effect of access, they may cause retreat serious diseases like septic shock, bacterial endocarditis, arthritis, venous thromboembolism death (between 5 10%). Leading microorganisms hemodialysis infection Gram positive bacteria, while negative less common. Method Study type design: Used descriptive, retrospective, open, observational analytical cross-sectional study. Sampling type: Non-probabilistic consecutive cases. Population: Patients diagnosed CKD KDIGO on renal function replacement therapy through temporary or permanent private care unit Mexico City from October 2014 September 2022. Results We identified 168 cases CRBSI throughout 8 years found prevalence 0.86% for every 100 cumulative incidence 4.97% hemodialysis. etiology pathogens were bacteria (76.8%), mainly Enterobacter cloacae (20.8%), Escherichia coli (13.7%), Stenotrophomonas maltophilia (11.9%) Burkholderia cepacia (4.2%). that 51,8% due multiresistant which led directly related deaths. On other hand, caused 23.2% CRBSI. Staphylococcus aureus epidermidis 8.9% 8.3%, respectively, no Conclusion Unlike international literature, our study, gram main agents The study was high, however, mortality remained low. These results us investigate origin infection. an attempt reduce number CRBSI, we emphasized preventive measures, especially hand hygiene healthcare professionals within patient's personal environment at home. would recall empirical should be based microbiology antibiotic sensitivity, episodes resistance.