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Infections from temporary catheters in hemodialysis patients in Kosovo
Ibrahim Rudhani1, Naim Morina1, Gresa Elezi2
1Clinic of Nephrology and Hemodialysis, UCCK Kosovo Hospital, Circle n.n. 10000; Medical Faculty, University of Pristina "Hasan Prishtina", Circle n.n. 10000, Pristina, Kosovo.
Insights
Central venous catheter (CVC) infections in hemodialysis patients were studied. Femoral vein access showed higher infection rates, primarily caused by Staphylococcus epidermidis, with 2019 having the most infections.
Area of Science:
- Nephrology
- Infectious Diseases
- Medical Devices
Background:
- Central venous catheters (CVCs) are crucial for hemodialysis (HD).
- Catheter-related infections pose a significant risk to HD patients.
- Understanding infection patterns is vital for patient safety.
Purpose of the Study:
- To determine the frequency and causative microorganisms of CVC infections in HD patients.
- To compare infection rates across different CVC insertion sites.
- To analyze temporal trends in CVC infections.
Main Methods:
- Retrospective study of 1902 HD patients with temporary CVCs and 642 controls (Jan 2017-Dec 2019).
- Data collection included medical history, examination, lab tests, CVC swabs, antibiograms, and hemocultures.
- Statistical analysis used descriptive methods and the Chi-square test.
Main Results:
- Higher infection incidence was observed with femoral vein CVC access compared to jugular or subclavian.
- Staphylococcus epidermidis was the most frequent causative microorganism.
- The year 2019 exhibited the highest overall incidence of CVC infections.
Conclusions:
- Femoral vein catheterization is associated with increased CVC infection risk in hemodialysis.
- Staphylococcus epidermidis is a primary pathogen in these infections.
- Ongoing surveillance and infection control measures are essential, particularly noting the rise in 2019.
Abstract:
The objective of this study is to evaluate the frequency of infections from central venous temporary catheters and the type of a microorganism caused, from January 2017 up to December 2019. This study was performed on patients who were on hemodialysis (HD) through the central temporary venous catheter, right and left femoral vein, right jugular vein, and right subclavian vein.The patients in the HD center in Pristina, Kosovo, were used as a clinical sample. In this study, 1902 patients with temporarily central venous catheters (CVCs) were involved, while the control group consisted of 642 patients. Both groups were matched for age and gender. In all patients and the subjects of the control group, following data were obtained: Anamnesis, medical examination, as well as biochemical and hematological laboratory tests, CVC swab and antibiogram and hemoculture. Data analysis was performed using the descriptive statistical methods and the Chi-square test comparing the laboratory results of a HD patients treated through the central temporary venous catheter. Based on the results of this research, higher incidence of infections occurred with femoral vein access, compared to other CVCs accesses. The most common microorganisms responsible were Staphylococus epidermidis, while the 2019 had the highest incidence of infection.
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