Catheter related infection in hemodialysis patients with double lumen catheter.

  • Muhammad Ali JPMC Karachi.
  • Bhagwan Das LUMHS Jamshoro.
  • Santosh Kumar LUMHS Jamshoro.
  • Rafia Memon LUMHS.
  • Bella Dayu LUMHS.
  • Babeeta - LUMHS.
Keywords: Catheter Related Infection, Culture, Double-Lumen Catheter

Abstract

Catheter related infections are common issue, a major cause of morbidity and mortality in patients with uremia. Clinical findings, including fever, redness, or tenderness at catheter site are unreliable for the diagnosis of catheter-related infection due to poor sensitivity and specificity. Study Design: Descriptive Cross sectional Study. Setting: Department of Nephrology, Jinnah Postgraduate Medical Centre, Karachi. Period: September 2014 to March 2015. Materials and Methods: All patients with age 25-50 years of either gender undergoing hemodialysis via double-lumen catheter were enrolled. Regular monitoring of temperature and WBC counts was carried out. If a patient develops fever (100 F or more) or leukocytosis (TLC 12,000 /mcl), a through re-examination, urinalysis and chest X-ray was done to exclude other causes of infection in this patient. Blood cultures from catheter tip and a peripheral blood culture was sent. Growth of the organism from both the cultures was noted and catheter related infection was termed positive if same organism s found to be present in both the cultures. Results: Mean age of the patients was 42.69 ±6.86 years. There were 75 (58.10%) females and 54 (41.90%) males. In majority of the patients, site of catheter was right internal jugular vein 54 (41.90%), followed by femoral vein 30 (23.30%), left internal jugular vein 24 (18.60%) and subclavian vein in 21 (16.30%) patients. Frequency of catheter related infection was found to be 19 (14.70%). Conclusion: The frequency of catheter related infection was found in 19 (14.70%) patients undergoing hemodialysis via double-lumen catheter.

Author Biographies

Muhammad Ali, JPMC Karachi.

FCPS Nephrology

Senior Registrar

Department of Nephrology

 

Bhagwan Das, LUMHS Jamshoro.

FCPS

Assistant Professor

Department of Nephrology

 

Santosh Kumar, LUMHS Jamshoro.

MBBS, FCPS

Associate Professor

Department of Nephrology

 

Rafia Memon, LUMHS.

PG Trainee

Department of Nephrology

 

Bella Dayu, LUMHS.

PG Trainee

Department of Nephrology

 

Babeeta -, LUMHS.

PG Trainee

Department of Nephrology

 

Published
2019-08-10