Epidemiology of Central Venous Catheters Infection in Hemodialysis Patients

Central venous dialysis catheters: catheter-associated infection.

Tunneled dialysis catheters (TDC) are extensively used for long-term venous hemodialysis access and their use is frequently associated with infectious complications. Catheter-related bacteremia (CRB) is the most common and important infection associated with TDC use and may be caused by a wide variety of Gram-positive or Gram-negative organisms. Prevention of CRB can be difficult despite use of...

Central Venous Catheters for Hemodialysis: How to Overcome the Problems.

The use of central venous dialysis catheters is increasing in clinical practice. These devices, although relatively easy to insert, do have problems. Catheter size limits the amount of dialysis that can be delivered. Central venous hemodialysis catheters minimize cardiopulmonary recirculation, but have increased potential for access recirculation compared to native or artificial arteriovenous (...

Central venous catheters.

Central venous catheterisation was first performed in 1929when Werner Frossman, a German doctor, inserted a ureteric catheter into his antecubital vein. He then walked to the radiography department so that the catheter could be guided into his right ventricle using fluoroscopy. Since then, central venous access has become amainstay of modern clinical practice. An estimated 200 000 central venou...

Removal of central venous catheters.

incidences in the landmark group of carotid artery puncture (10.6%), hemothorax (1.7%), and pneumothorax (2.4%) greater than most anesthesiologists would accept. Thus it is not surprising that meta-analysis of these disparate studies (which have not been scored by traditional methods to assess for bias and scientific rigor) would find statistical significance only in success of line insertion. ...

Can antimicrobial central venous catheters prevent associated infection?