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Problems associated with hemodialysis and travel
Richard W Corbett1, Virginia Prout, Deborah Haynes
1Imperial College Renal and Transplant Centre, Imperial College Healthcare NHS Trust, London, UK.
Journal of Travel Medicine
|April 23, 2014
Summary
Traveling for hemodialysis increases infection risk. Patients undergoing dialysis away from their home center experienced more bacterial infections, anemia, and inflammation upon return, highlighting travel-related health concerns.
Area of Science:
- Nephrology
- Infectious Disease Epidemiology
Background:
- Dialysis patients traveling away from their usual center face potential health risks.
- Limited data exists on the specific impact of travel dialysis on patient morbidity.
Purpose of the Study:
- To determine the incidence of travel among hemodialysis patients.
- To investigate the association between travel dialysis and patient health outcomes.
Main Methods:
- Prospective data collection over 6 months for hemodialysis patients.
- Recording biochemical, microbiological, hematological, and hepatitis serology data 12 weeks pre- and post-travel.
- Tracking antibiotic starts for infection episodes.
Main Results:
- 172 patients traveled on 200 occasions.
- Increased bloodstream infection rates (0.25 vs. 0.83/1,000 access days) and antibiotic starts post-travel.
- Elevated inflammatory markers and anemia observed, with no hepatitis B or C seroconversion.
Conclusions:
- Travel dialysis is common and linked to increased morbidity.
- Patients experience higher risks of bacterial infection, anemia, and inflammation after dialysis away from their home unit.
- Findings support concerns regarding the health risks of hemodialysis performed at non-home centers.
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