Infection is a common complication and is the second leading cause of death in hemodialysis patients. The risk of bacteremia in hemodialysis patients is 26-fold higher than in the general population, and 1/2-3/4 of the causative organisms of bacteremia in hemodialysis patients are Gram-positive bacteria. The ratio of resistant bacteria in hemodialysis patients compared to the general population...

BACKGROUND AND OBJECTIVES Concerns have been raised about nephrology fellows' skills in inserting temporary hemodialysis catheters. Less is known about temporary hemodialysis catheter insertion skills of attending nephrologists supervising these procedures. The aim of this study was to compare baseline temporary hemodialysis catheter insertion skills of attending nephrologists with the skills o...

background the invention of central venous catheters (cvc) for hemodialysis (hd), brought about a fundamental change in the treatment of patients who needed hd, from the late 1970’s till the present time. nowadays the use of cvc is a common medical procedure. increasing use of these methods necessitates clarification of the exact nature of the effects, and potential complications for surgeons. ...

BACKGROUND AND PURPOSE Catheter-related bloodstream infection is the greatest threat to the safety of patients on hemodialysis. Catheter lock solutions containing heparin have been linked to an increased risk of hemorrhage and thrombocytopenia. OBJECTIVES To ascertain the safety and efficacy for prevention of catheter-related bloodstream infection and catheter loss from patency failure of a n...

Catheter-related bacteremia is an important source of morbidity and mortality in hemodialysis patients. A number of well-designed, controlled, prospective trials using antimicrobial catheter lock solutions to prevent catheter-related bacteremia have shown a dramatic, statistically significant decrease in not only infection but also mortality related to catheter-related bacteremia. Despite evide...

1. MCINTYRE CW, HULME LJ, TAAL M, FLUCK RJ: Locking of tunneled hemodialysis catheters with gentamicin and heparin. Kidney Int 66:801–805, 2004 2. DOGRA GK, HERSON H, HUTCHISON B, et al: Prevention of tunnelled haemodialysis catheter-related infections using catheter-restricted filling of gentamicin and citrate: A randomised control study. J Am Soc Nephrol 13:2133–2139, 2002 3. SAXENA AK, PANHO...

abstract we report a 54-year-old woman with the history of end-stage renal disease (esrd) who was admitted to our hospital because of volume overload. due to long-term use of peripheral veins and arteriovenous fistula (avf) failure, central venous catheterization was the only choice for hemodialysis. she developed right upper extremiti’s pain and paresis during hemodialysis. a posteroanterior c...

Objective: To evaluate the impact of the use of topical Mupirocin on the insertion of central venous catheter for hemodialysis. Methods: This was a systematic review with meta-analysis. Results: After a careful and extensive search, we included three clinical trials that compared the use of Mupirocin versus other intervention in central venous catheter for hemodialysis. Conclusion: The study fo...

Background: Central Venous Catheters (CVCs) are used not only as a tool to access to central venous system, but also for hemodynamic monitoring, parenteral nutrition, chemotherapy and hemodialysis. The use of CVCs is associated with some complications notably infections that are troublesome both to patient and physician. We conducted this study to examine catheter fixation with skin fold techni...