[Pyoinflammatory complications of the permanent vascular hemodialysis access]

Of 315 patients with permanent vascular hemodialysis access, 23 (7,3%) patients developed pyoinflammatory complications in various terms after the operation. Angiogenic sepsis was registered in 73,9% of them. Lethality among patients with pyoinflammatory complications of the vascular access was 69,6%. Gram-positive polyresistant microorganisms were predominantly defined. Clinical features of the pyoinflammatory process in the category of patients were: typical picture of phlegmon or infiltration in 50%; latent laboratory and clinical signs of the systemic inflammatory response. The above features and immunodeficiency defined late diagnostics and antibioticotherapy and, therefore, high lethality level in that category of patients.