Infection Rate of Tunneled Hemodialysis Catheters
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Tarih
2021
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info:eu-repo/semantics/openAccess
Özet
Aim: Tunneled hemodialysis catheters are frequently used for hemodialysis patients andprovide temporary venous access. However, it causes complications such as catheter-relatedinfection, pneumothorax and hematoma. In this study, we aimed to evaluate the infections,complications and catheter patency rates that developed after the use of tunnel cathetersconnected to three different access routes.Material and Methods: A total of 145 patients who underwent hemodialysis due to chronicrenal failure and who were placed on permanent hemodialysis catheter were included. In thisstudy, jugular vein route was used as the first choice for the dialysis access route, when otheraccess routes were needed due to complications and infection, femoral vein route was thesecond 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 thejugular vein, femoral vein and subclavian vein, respectively. At the end of one year, patencyrates 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 hemodialysispatients, femoral and subclavian veins are also used. In this study, the jugular vein was the bestoption in terms of patency rate and infection. The femoral vein, on the other hand, had theworst patency rate and was also the access route with the highest infection rate.
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Düzce Tıp Fakültesi Dergisi
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23
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1
