Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

Hemodialysis Catheter-Related Bloodstream Infections during 10 Years and Factors Associated

Version 1 : Received: 11 January 2024 / Approved: 12 January 2024 / Online: 12 January 2024 (11:33:41 CET)

How to cite: Galindo Marin, I.; Mon Mon, C.; Ortiz Librero, M.; El Fellah, S.; Sánchez Sánchez, M.; Camacho Juarez, R.E.; Lentisco Ramírez, C.; Cedeño Mora, S.A.; Herrero Berron, J.C.; Abadal Villayandre, J.M.; Galvez González, E. Hemodialysis Catheter-Related Bloodstream Infections during 10 Years and Factors Associated. Preprints 2024, 2024011013. https://doi.org/10.20944/preprints202401.1013.v1 Galindo Marin, I.; Mon Mon, C.; Ortiz Librero, M.; El Fellah, S.; Sánchez Sánchez, M.; Camacho Juarez, R.E.; Lentisco Ramírez, C.; Cedeño Mora, S.A.; Herrero Berron, J.C.; Abadal Villayandre, J.M.; Galvez González, E. Hemodialysis Catheter-Related Bloodstream Infections during 10 Years and Factors Associated. Preprints 2024, 2024011013. https://doi.org/10.20944/preprints202401.1013.v1

Abstract

Catheter-associated bloodstream infection (CVC-BSI) is a significant cause of morbidity and mortality among hemodialysis patients. In our center was a notable increase in CVC associated with patient age and morbidity. This 10-year retrospective study investigated catheter-associated bloodstream infections (CVC-BSI) in hemodialysis patients. We recorded a total of 67 bacteremia episodes in 52 patients, predominantly linked to Gram-positive microorganisms, particularly Staphylococcus aureus, the study found a mean age of 68 years, 74.6% males, and 88% with tun-neled jugular catheters. Notably, catheter removal occurred in 65.7% of cases, more frequently in Gram-positive instances. Two episodes of endocarditis and five ICU admissions were reported. The study identified a higher incidence in the summer and a significant decrease in bacteremia from 2017, coinciding with the introduction of Tauro-LockTM. Despite enhanced preventive measures during the COVID-19 pandemic, there was no significant impact on catheter infection rates. This research emphasizes the importance of early catheter removal, highlights seasonal variations in incidence, and suggests a potential positive influence of Tauro-LockTM on de-creasing CVC-BSI rates in hemodialysis units.

Keywords

bloodstream infection; catheter; hemodialysis

Subject

Medicine and Pharmacology, Urology and Nephrology

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