Complications catheter-related infections in patients on hemodialysis (septic infections of patients on hemodialysis)

• Main Author: Knežević Violeta
• Format: Article
• Language: English
• Published: Serbian Society of Anesthesiologists and Intensivists 2017-01-01
• Series: Serbian Journal of Anesthesia and Intensive Therapy
• Subjects: catheter-related infections; hemodialysis; complications
• Online Access: http://scindeks-clanci.ceon.rs/data/pdf/2217-7744/2017/2217-77441704087K.pdf

Introduction: Hemodialysis catheters are used for quick establishing of an adequate vascular approach, when urgent hemodialysis is indicated in time of maturation of artery-vein fistula and in patients in whom all other vascular approach have been exhausted. Although the placement of the catheter provides the necessary vascular access, carries a risk of both local-infection exit site of a catheter, as well as systemic complications, including catheter-related infection, septic thrombophlebitis, endocarditis, and other metastatic infections such as lung abscess and brain, osteomyelitis and endophthalmitis. Cases series: We have presented a retrospective series of 5 cases of hemodialysis patients hospitalized at the Clinic of Nephrology and Clinical Immunology, of the Clinical Center of Vojvodina in the period of 2010 to 2017, which have developed different complications of catheter-related infections. Three patients diagnosed with spondylodiscitis and endocarditis in two. In one patient with native valve endocarditis, due to the appearance of other complications, there was a death, while the other patients had an adequate response to therapy. Conclusion: Early recognition of potential complications of catheter-related infections to more successful treatment of these patients.