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.

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