Infection Rate of Tunneled Hemodialysis Catheters

Year 2021, Volume: 23 Issue: 1, 55 - 60, 30.04.2021

Ata Ecevıt , Okay Güven Karaca , Mehmet Kalender , Osman Tansel Darçın

https://doi.org/10.18678/dtfd.869083

Cited By: 1

Abstract

Aim: Tunneled hemodialysis catheters are frequently used for hemodialysis patients and provide temporary venous access. However, it causes complications such as catheter-related infection, pneumothorax and hematoma. In this study, we aimed to evaluate the infections, complications and catheter patency rates that developed after the use of tunnel catheters connected to three different access routes.
Material and Methods: A total of 145 patients who underwent hemodialysis due to chronic renal failure and who were placed on permanent hemodialysis catheter were included. In this study, jugular vein route was used as the first choice for the dialysis access route, when other access routes were needed due to complications and infection, femoral vein route was the second choice, while subclavian vein route was the third choice.
Results: The femoral vein group had the highest infection rate and the lowest patency rate (both p<0.001). The infection rate at the end of one year was 65.3%, 95.6%, and 64.0% for the jugular vein, femoral vein and subclavian vein, respectively. At the end of one year, patency rates for the jugular vein, subclavian vein and femoral vein were 57.3%, 6.7%, and 32.0%, respectively.
Conclusion: Although the jugular vein is the first choice for venous entry in hemodialysis patients, femoral and subclavian veins are also used. In this study, the jugular vein was the best option in terms of patency rate and infection. The femoral vein, on the other hand, had the worst patency rate and was also the access route with the highest infection rate.

Keywords

Hemodialysis, Infestions, Catheters

Tünelli Hemodiyaliz Kateterlerinin Enfeksiyon Oranları

Abstract

Amaç: Tünelli hemodiyaliz kateterleri hemodiyaliz hastaları için sıklıkla kullanılır ve hastalara hemodializ için geçici venöz erişim sağlar. Ancak kateter ile ilişkili enfeksiyon, pnomotoraks ve hematom gibi komplikasyonlara neden olur. Bu çalışmada, üç farklı giriş yoluna bağlı tünelli kateterlerin enfeksiyon, komplikasyon ve açıklık oranlarının değerlendirilmesi amaçlanmıştır.
Gereç ve Yöntemler: Çalışmaya kronik böbrek yetmezliği nedeniyle hemodiyaliz yapılan ve kalıcı hemodiyaliz kateteri takılan toplam 145 hasta dahil edildi. Bu çalışmada diyaliz giriş yolu olarak juguler ven yolu ilk tercih olarak kullanıldı, komplikasyonlar ve enfeksiyona bağlı olarak diğer giriş yollarına ihtiyaç duyulduğunda femoral ven yolu ikinci tercih olurken subklavian ven yol ise üçüncü tercih oldu.
Bulgular: Femoral ven grubu en yüksek enfeksiyon oranına ve en düşük açıklık oranına sahipti (her iki p<0.001). Birinci yılın sonunda enfeksiyon oranı juguler ven, femoral ven ve subklavyen vende sırasıyla %65,3; %95,6 ve %64,0 idi. Birinci yıl sonunda juguler ven, subklavyen ven ve femoral ven açıklık oranları ise sırasıyla %57,3; %6,7 ve %32,0 idi.
Sonuç: Hemodiyaliz hastalarında juguler ven venöz giriş için ilk seçenek olmasına rağmen femoral ve subklavyen venler de kullanılmaktadır. Bu çalışmada, juguler ven açıklık oranı ve enfeksiyon açısından en iyi seçenek idi. Diğer taraftan, femoral ven ise en kötü açıklık oranına sahipti ve aynı zamanda enfeksiyon oranı en yüksek olan giriş yolu idi.

Keywords

Hemodializ, Enfeksiyonlar, Kateter

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