Hemodialysis Catheter-Related Infections among Pediatric Patients in Mansoura University Children Hospital
Yahia, A., Ali, M., Zedan, M., Moemen, D. (2022). Hemodialysis Catheter-Related Infections among Pediatric Patients in Mansoura University Children Hospital. EKB Journal Management System, 31(1), 7-14. doi: 10.21608/ejmm.2022.211924
Amira Yahia; Medhat M. Ali; Mohamed M. Zedan; Dalia Moemen. "Hemodialysis Catheter-Related Infections among Pediatric Patients in Mansoura University Children Hospital". EKB Journal Management System, 31, 1, 2022, 7-14. doi: 10.21608/ejmm.2022.211924
Yahia, A., Ali, M., Zedan, M., Moemen, D. (2022). 'Hemodialysis Catheter-Related Infections among Pediatric Patients in Mansoura University Children Hospital', EKB Journal Management System, 31(1), pp. 7-14. doi: 10.21608/ejmm.2022.211924
Yahia, A., Ali, M., Zedan, M., Moemen, D. Hemodialysis Catheter-Related Infections among Pediatric Patients in Mansoura University Children Hospital. EKB Journal Management System, 2022; 31(1): 7-14. doi: 10.21608/ejmm.2022.211924

Hemodialysis Catheter-Related Infections among Pediatric Patients in Mansoura University Children Hospital

Egyptian Journal of Medical Microbiology
Article 2, Volume 31, Issue 1, January 2022, Page 7-14  XML PDF (384.84 K)
Document Type: New and original researches in the field of Microbiology.
DOI: 10.21608/ejmm.2022.211924
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Authors
Amira Yahia1; Medhat M. Ali1; Mohamed M. Zedan2; Dalia Moemen email orcid 3
1Department of Medical Microbiology and Immunology, Faculty of Medicine, Mansoura University, Mansoura, Egypt
2Department of Pediatrics, Faculty of medicine, Mansoura University, Mansoura, Egypt
3Department of Medical Microbiology and Immunology
Abstract
Background: Infection is the second leading cause of death in patients on hemodialysis (HD) after cardiovascular disease. Using a central venous catheter (CVC) is the most important risk factor for blood stream infection in HD patients, which can lead to life-threatening complications. Central venous catheter related infections (CVC-RI) may be local access site infection (LASI) or access related blood stream infection (ARBSI). Objectives: We performed a descriptive longitudinal (prospective) study to detect incidence of hemodialysis CVC-RI in Mansoura University Children Hospital (MUCH), determine risk factors and provide appropriate infection control interventions. Methodology: A total of 114 hemodialysis catheters were collected from 100 patients with CVC inserted more than 48 hours. Results: From the 114 collected, 27 (23.7%) CVC-RI were documented with incidence of 8.6 per 1000 CVC-days. Among these CVC-RI, 24 were LASI (21.1%, 7.7 per 1000 CVC-days) and 3 were ARBSI (2.6%, 0.9 per 1000 CVC-days). The commonest micro-organism detected causing CVC-RI was staphylococcus aureus. Conclusions: Femoral catheters, associated co-morbidities as D.M and immunosuppression and low compliance to preventive measures of infection during maintenance of the catheters were significant risk factors for CVC-RIs. 
Keywords
Hemodialysis; CVC-RI; Incidence; Infection control
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