Treatment of infected tunneled venous access hemodialysis catheters with guidewire exchange

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Bacteremia associated with tunneled, cuffed hemodialysis catheters.

Bacteremia is a frequent complication associated with tunneled, cuffed, permanent catheters (PCs). The incidence, spectrum of infecting organisms, and optimal treatment for catheter-associated bacteremia (CAB) have not been clearly established. In this study, 101 chronic hemodialysis (HD) patients with PCs for blood access were prospectively monitored for infection during a 24-month period. Dat...

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Management of bacteremia associated with tunneled-cuffed hemodialysis catheters.

The dominant problem associated with the use of tunneled-cuffed catheters is infection. When this occurs, two issues must be addressed: treatment of the infection and management of the catheter. The purpose of this 2-yr study was to report the results of a prospective observational series in which catheter management was based on the clinical picture presented by the patient. Data were collecte...

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Locking of tunneled hemodialysis catheters with gentamicin and heparin.

INTRODUCTION Catheter-related infection (CRI) is a major cause of morbidity and mortality in patients receiving hemodialysis. Antibiotic locking of these catheters has been shown to increase both the success of systemic antibiotic treatment in line sepsis, and to reduce the incidence of sepsis. We have studied the use of gentamicin locking of catheters (in combination with standard heparin rath...

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Bacteremia associated with tunneled hemodialysis catheters: outcome after attempted salvage.

BACKGROUND AND OBJECTIVES Treatment without catheter replacement (catheter salvage) has been described for bacteremia associated with tunneled venous catheters in hemodialysis patients, but few data are available on which to base an estimation of the likelihood of treatment success. DESIGN, SETTING, PARTICIPANTS, & MEASUREMENTS In a prospective cohort study, all cases of catheter-associated b...

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Tunneled femoral central venous catheters in children with cancer.

OBJECTIVE We discuss the feasibility of long-term femoral venous access by means of a cuffed subcutaneously tunneled central venous catheter (Broviac catheter) in selected pediatric cancer and stem cell transplant patients in whom access via the veins of the upper part of the torso is difficult or contraindicated and in whom alternative routes must be used. PATIENTS AND METHODS We report on o...

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ژورنال

عنوان ژورنال: Kidney International

سال: 1998

ISSN: 0085-2538

DOI: 10.1046/j.1523-1755.1998.00954.x