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Caracterización clínico epidemiológica de las infecciones relacionadas con catéter de hemodiálisis en pacientes en terapia sustitutiva renal en un hospital nacional de referencia

Chronic kidney disease (CKD) is considered a 21st century pandemic. In our country the most used renal replacement therapy is hemodialysis through a central venous catheter. The second cause of death in people with chronic kidney disease is related to infections, many of them related to catheter infections. The Central Hospital of the Instituto de Previsión Social is a big hospital where patients with CKD are admitted. The objective was to describe describe the clinical and epidemiological characteristics of patients with hemodialysis catheter-related infections. A cross-sectional descriptive observational study was carried out with no probabilistic sampling by consecutive cases. 31 patients were included, the average age of the patients was 63,3 ±12,8 years , 51,2% were men, 96,7% has High Blood pressure (HBP), 77,4% diabetes, 38,7% dyslipidemia, 22,5% with heart failure. 77,4% has a simple jugular venous catheter. In 29% of cases, infection occurred one week after catheter placement. Half of the femoral catheters were infected within one week of placement. The most frequently isolated germ was the methicillin resistant StaphylococcusAureus(32,3%), the second was the methicillin-susceptible Staphylococcus aureus. in-hospital mortality was 19,3%. gender distribution was similar, most of patients has HBP and Diabetes, most frequent venous access was simple jugular catheter, the most frequent germ was the methicillin resistant Staphylococcus Aureus, the registered mortality is lower than in other centers.



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Keywords: Renal Dialysis,Catheter-Related Infections,Renal Insufficiency

ISSN: 2521-9596

EISSN: 2617-2852


EOI/DOI: https://doi.org/10.36003/Rev.i


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