Yıl 2021, Cilt 11 , Sayı 1, Sayfalar 69 - 74 2021-01-30

The evaluation of catheter infections in kidney disease patients

Pervin ÖZKAN [1] , İbrahim GÜNEY [2] , Suleyman KARAKOSE [3] , Mustafa TOPAL [4] , Edip ERKUŞ [5] , Arzu TARAKCI [6]


Aim: In our study, we aimed to review the factors retrospectively that may be related to catheter infection (CI) in patients who received hemodialysis (HD) treatment in our clinic and followed up due to CI. Materials and Methods: The files of 105 patients who were hospitalized in the Nephrology clinic or Intensıve Care Unıt (ICU) and who were diagnosed as CI while on HD treatment were analyzed retrospectively. Results: Forty-seven (44.8%) of the patients were male, 58 (55.2%) were female and the mean age was 62.3 ± 17.6 (19-90). The average length of hospital stay of the patients was 16 (2-60) days and the infection was mortal in 16 (15.2%) patients. In the cultures taken from the catheters, in 51 (48.6%) patients Gr (+) bacteria, in 24 (22.9%) patients Gr (-) bacteria and in 2 (1.9%) patients fungi were detected. There was no reproduction in 26 (24.8%) catheter cultures. The methicillin resistance (MR) was 87.6% and the highest resistance was detected in Coagulase Negative Staphylococcus (CNS) and S. aureus culture samples. 43 (41.0%) of the patients didn't respond to antibiotics during treatment and catheter exchange was required in these patients. Catheter replacement requirement was significantly higher in the Gr (-) bacterial group (14 patients, 58.3%) (p = 0.050). Conclusion: To prevent CI, it is important to reveal the factors related to infection. Microbiological agent distribution and resistance rate of each clinic and HD unit are different. Antibiotherapy should be planned according to this agent distribution to decrease antibiotic resistance.
Kidney disease, catheter infections, , gram negative bacteria
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Birincil Dil en
Konular Sağlık Bilimleri ve Hizmetleri
Bölüm Orjinal Araştırma
Yazarlar

Orcid: 0000-0002-4206-0525
Yazar: Pervin ÖZKAN (Sorumlu Yazar)
Kurum: University of Health Sciences, Konya Training and Research Hospital, Department of Nephrology
Ülke: Turkey


Orcid: 0000-0002-1646-2811
Yazar: İbrahim GÜNEY
Kurum: University of Health Sciences, Konya Training and Research Hospital, Department of Nephrology
Ülke: Turkey


Orcid: 0000-0003-4680-7435
Yazar: Suleyman KARAKOSE
Kurum: University of Health Sciences, Konya Training and Research Hospital, Department of Nephrology
Ülke: Turkey


Orcid: 0000-0001-7888-0894
Yazar: Mustafa TOPAL
Kurum: University of Health Sciences, Konya Training and Research Hospital, Department of Nephrology
Ülke: Turkey


Orcid: 0000-0002-6052-4645
Yazar: Edip ERKUŞ
Kurum: University of Health Sciences, Konya Training and Research Hospital, Department of Nephrology
Ülke: Turkey


Orcid: 0000-0002-1245-3221
Yazar: Arzu TARAKCI
Kurum: University of Health Sciences, Konya Training and Research Hospital, Department of Clinical Microbiology and Infectious Diseases , Konya, Turkey
Ülke: Turkey


Destekleyen Kurum Herhangi bir destekleyen kurum yoktur.
Proje Numarası S. B. Üniversitesi Konya Eğitim ve Araştırma Hastanesi, Şubat ayı TUEK toplantı karar ve sayı no: 06.02.2020 tarih ve 35-35 nolu karar, sayı no 48929119/ 74
Teşekkür Sayın Editör; Çalışmamız hakkındaki fikirleriniz bizim için değerlidir. Emekleriniz için şimdiden teşekkürler...
Tarihler

Kabul Tarihi : 25 Kasım 2020
Yayımlanma Tarihi : 30 Ocak 2021

AMA Özkan P , Güney İ , Karakose S , Topal M , Erkuş E , Tarakcı A . The evaluation of catheter infections in kidney disease patients. J Contemp Med. 2021; 11(1): 69-74.